Integrating Acceptance and Mindfulness into Treatments for Child and Adolescent Anxiety Disorders: Acceptance and Commitment Therapy as an Example

Abstract

The efficacy of acceptance and commitment therapy (ACT) and related approaches has been demonstrated empirically across a broad range of adult clinical disorders. Yet, the value and ideal methodology for balancing acceptance and change remain virtually unexplored within the realm of child and adolescent behavior therapy. In this chapter, we discuss the nature of childhood anxiety and briefly summarize several major components of existing cognitive behavioral therapy (CBT) protocols for anxious youth. We then apply basic principles of Relational Frame Theory (RFT) to child anxiety, describe the potential role of two RFT-relevant processes (cognitive fusion and experiential control) in childhood anxiety disorders, and outline several core components of ACT. Finally, we provide suggestions for adapting this approach for young people and offer directions for future clinical and empirical work. (PsycINFO Database Record (c) 2007 APA, all rights reserved) (from the chapter)