ACT Process: Defusion

How to Use This Worksheet

Purpose

This worksheet helps clients notice recurring thought patterns ("stories"), recognize what those stories invite them to do, create psychological distance from them, and reconnect with values based action. The goal is not to eliminate difficult thoughts. The goal is to reduce their influence.

When to Use

This worksheet works especially well with clients who experience:

  • Anxiety and worry
  • Rumination
  • Self criticism
  • Perfectionism
  • Shame
  • Chronic pain
  • Depression
  • Anger
  • Repetitive relationship conflicts

It is particularly useful when you notice a client saying the same thing repeatedly across sessions.

Examples include:

  • "I'm a failure."
  • "People are judging me."
  • "I'll never get better."
  • "I have to get this right."

Before Beginning

Normalize what is happening.

You might say:

"Our minds become very good storytellers. They repeat certain stories because they believe those stories will protect us. Today we're not trying to prove whether the story is true or false. We're simply becoming better at noticing it."

Step 1. Name the Story

Help the client identify one recurring thought.

Encourage them to write the story exactly as it normally appears.

Examples:

  • "I'm not good enough."
  • "Something bad is about to happen."
  • "Nobody really likes me."

Avoid spending excessive time analyzing accuracy.

If they list several stories, gently ask:

"Which one shows up most often?"

Step 2. Notice the Hook