Acceptance and Commitment Therapy (ACT) for Adolescent and Application in COVID-19 Outbreak: A Literature Review


  • Auschara Kongsonthana, B.Sc. Queen Sirikit National Institute of Child Health


Acceptance and commitment therapy, Psychological flexibility, Adolescent


Acceptance and commitment therapy (ACT) is a psychotherapy model that emphasize the process of accepting current psychological experiences, and aims to help adolescents understand themselves and adapt to difficult situations and live a pleasant life. This literature review presents an application of ACT in mental health problems that may emerge during adjusting to the outbreak of COVID-19 and the “new normal” life of adolescents based on FACE COVID principles. An applied process of the ACT model consists of six principles; acceptance, defusion, present moment, self-as-context, value, and committed action. Several techniques are used to create mental flexibility, acceptance, and expansion of inner conceptual framework, perspective, and mindfulness of the present moment. Behavior changes according to the core values of living will facilitate through role-playing activities and the usage of words and metaphors to enable adolescents to accept current situations, awareness of their self-worth, and value of them to each other.


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Amanda E, Halliburton, Lee D.Cooper. Applications and adaptations of Acceptance and Commitment Therapy (ACT) for adolescents. Jounal of Contextual Behavioral Science[Internet].2015 [cited 2020 April 29]; 4:7. Available from:

Haenjohn J. Acceptance and Commitment Therapy (ACT). Chonburi: Get good creation co.,ltd; 2018.

Harris R. ACT Made Simple: The Extra Bits[Internet].2019 [cited 2020 April 29]. Available from:

Harris R. FACE COVID How to respond effectively to the Coronacrisis[Internet].2020. [cited 2020 April 29].Available from: [Internet]. COVID-19 anxiety: How can ACT help?.[updated 2020; cited 2020 Apil 29] Available from:

Daks SJ, Peltz SJ, Rogge DR. Psychological flexibility and inflexibility as sources of resiliency and risk during a pandemic:Modeling the cascade of COVID-19 stress on family systems with a contextual behavioral science lens.Journal of Contextual Behavioral Science[Internet]. 2020 [cited 2020 Oct 24];18:16-27.Available from:

Towsyfyan N, Sabet HF. The Effectiveness of Acceptance and Commitment Therapy on the Improving of Resilience and Optimism in Adolescents with Major Depressive Disorder.International Journal of Humanities and Social science[Internet].2017 [cited 2020 May 15];7:239-245. Available from:

Murrell RA, Scherbarth JA. State of the Reach & Literature Address: ACT with Children, Adolescent and Parents.International Journal of Behavioral Consultation and Therapy[Internet]. 2006 [cited 2020 May 22];2:532-533. Available from:

Hadlandsmyth K, White SK, Nesin EA, Greco AL. Proposing an Acceptance and Commitment Therapy Intervention to Promote Improved Diabetes Management in Adolescents: A Treatment Conceptualization.International Journal of Behavioral Consultation and Therapy[Internet]. 2013 [cited 2020 May 21];7:12-15. Available from:

Murrell RA, Al-jabari R, Moyer D, Novamo E, Connally EM.An Acceptance and Commitment Therapy Approach to Adolescent Suicide. Department of Psychology University of NorthTexas[Internet].[cited 2020 May 22] Available from:

Public Health England.Guidance for parents and carers on supporting children and young people’s mental health and wellbeing during the coronavirus (COVID-19) pandemic [Internet].2020 [cited 2020 Dec 24]. Available from:




How to Cite

Kongsonthana อ. Acceptance and Commitment Therapy (ACT) for Adolescent and Application in COVID-19 Outbreak: A Literature Review. j dept med ser [Internet]. 2021 Sep. 3 [cited 2022 Aug. 9];46(2):159-65. Available from:



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