Acceptance and Commitment Therapy is Making Waves in Psychedelic Science

In case you missed it, a renaissance in psychedelic science is happening! In January, the Journal of Contextual Behavioral Science published a special issue in the area of psychedelic medicine.  Many of studies in this issue made the case for why Acceptance and Commitment Therapy provides such an appropriate therapeutic framework for conducting psychedelic-assisted psychotherapy. Namely, it seems that when used in safe and supportive settings, psychedelics may enhance psychological flexibility and therefore be useful in treating a wide variety of psychological problems including anxiety and depression. In addition, ACT is being used as the therapeutic framework in clinical trials of psychedelic assisted therapy at The Imperial College in the UK and at Yale/NYU in New York. ACBS members can download all these articles by logging into their member account at contextualscience.org first.

For a summary of the research on psychedelic assisted therapy, we just published the most comprehensive meta-analysis of placebo-controlled trials to date. This will give you a good overview of the research evidence so far and why people are excited about the potential of psychedelic-assisted therapy for a range of psychological problems.

While it will still be several years before psychedelics can be legally administered, it is currently possible for people to meet with a therapist to discuss psychedelic experiences they may have had on their own. These services are often called psychedelic integration and safety servicesand refer to the use of a harm reduction approach where clients can have a safe non-judgmental space to talk about their interests in psychedelics, receive support in learning about the risks and benefits of psychedelic use, and process any prior experiences. We offer these services at Portland Psychotherapy and while we do not facilitate access to psychedelic experiences in any way, clients are welcome to discuss their interest in the therapeutic use of psychedelics with a trained professional. We’ve also begun offering training on the topic as well.

Portland Psychotherapy is currently planning what we believe will be the first trial of psychedelic assisted therapy in the Pacific NW. The study will be a randomized trial studying MDMA-assisted psychotherapy in the treatment of adults with severe social anxiety. We are currently preparing our submission to the FDA for approval to run the trial and hope to contribute to the understanding of the mechanisms of action of MDMA-assisted therapy, which to this point has mostly been used in treating PTSD.

Finally, this year’s ACBS virtual world conference will include a workshop on psychedelic integration and harm reduction therapy, as well as a symposium with several recent papers related to psychedelic-assisted therapy. If you are a member of ACBS, please also consider joining the Psychedelic and Non-Ordinary States of Consciousness Special Interest Group (SIG) to find more ways to connect with like-minded peers and stay up-to-date with the latest in psychedelic science.

Written by Brian Pilecki, PhD & Jason B. Luoma, PhD

Dr. Brian Pilecki is a licensed clinical psychologist who earned his Ph.D. from Fordham University and completed his postdoctoral training at the Warren Alpert Medical School of Brown University. He specializes in the treatment of anxiety disorders, trauma and PTSD, and matters related to the use of psychedelics. Additionally, Dr. Pilecki has experience in mindfulness and meditation and practices primarily from an orientation based on Acceptance and Commitment Therapy (ACT). He is also engaged in scientific research on psychedelics.

Jason is a psychologist who researches ways to help people with chronic shame and stigma and also works clinically with people struggling with those same problems.

Do you ever find yourself getting stuck as a therapist?

Do you ever get stuck as a therapist?

Our next workshop is about this topic. We are bringing in one of the most popular ACT trainers in Europe, Rikke Kjelgaard, to deliver this unique workshop about getting unstuck as a therapist, while treating yourself with kindness and compassion. Rikke Kjelgaard is an extremely dynamic and engaging presenter who will help you explore your stuck places and help you get free to be the therapist you most want to be (and also a good friend to yourself).

She wrote this inspiring blog post so that potential attendees have a sense for what it will be like to be in a workshop with her:

https://www.rikkekjelgaard.com/blog/thestucktherapist/

Here are a few excerpts from the post:

“I wanted to walk the talk. I wanted to show her ACT. I wanted to sit with her inside of the darkness with kindness and compassion. She was not alone. Nor was I.”
“My invitation is that you ask yourself what lessons you could take away from whatever experiences you have had of being stuck? And might you offer yourself some kindness and compassion for being human? ”

The Compassionate and Flexible Therapist-Using Acceptance and Commitment Therapy to Bring out the Best in you as a Therapist
Presenter: Rikke Kjelgaard, ACT Denmark
Date and Location: April 17-18, 2020, Portland
To sign up or get more info: https://portlandpsychotherapytraining.com/workshops-and-classes-for-therapists/

We’re thrilled to be able to bring Rikke out from Denmark and hope you will join us for this unique opportunity to see such a powerful and inspiring trainer present.

Author: Jason Luoma, Ph.D.

Jason is a psychologist who researches ways to help people with chronic shame and stigma and also works clinically with people struggling with those same problems.

Podcast Fights Mental Health Stigma Using Acceptance and Commitment Therapy

In a time when the public discourse around mental health struggles is permeated with sweeping generalizations of “those” mentally ill people and calls to “lock them up,” a new podcast attempts to bring common humanity back into how we discuss the psychological suffering we all face as humans. Beyond Well with Sheila Hamilton incorporates an Acceptance and Commitment Therapy (ACT) perspective on the struggles we face, ideas about psychological flexibility and mental health, and what we can all do to lead a well-lived life.

Beyond Well – The Podcast

Started by Emmy Award winning journalist, author, and longtime mental health advocate Sheila Hamilton, Beyond Well is a podcast for the general public that aims to destigmatize and depathologize psychological difficulties while offering hope and resources to the listener. Each week the podcast features a guest, usually an author, musician, actor, activist or other person in the public eye, who talks openly and honestly about the struggles they have faced, whether that be anxiety, depression, substance use, racism, shame, trauma, or grief. In addition to Sheila, the podcast is co-hosted each week by psychologists and ACT therapists Brian Goff, Ph.D. and Jenna LeJeune, Ph.D., who incorporate ACT principles like acceptance, mindfulness, values, and defusion into the conversation. Along with each episode, listeners can also find written “After the Show Thoughts” that offer a deeper dive into some of the various themes and ACT principles discussed in the episode as well as resources.

Recent Guests

Beyond well covers a wide range of topics and features guests from all walks of life. Some recent guests include:  

  • Academy Award nominated documentary film maker Skye Fitzgerald talking about compassion fatigue and the migrant crisis in the Mediterranean Sea
  • Pop star Lauv talking about his struggle with depression
  • Award winning author Mitchell S. Jackson talking about racial identity
  • Activist Anna Debenham talking about her life-changing work with individuals who are incarcerated
  • Singer-songwriter, actor, and playwright Storm Large talking about being more than her labels and embracing all parts of herself
  • Bestselling author Cheryl Strayed talking about grief

Why Beyond Well Is the Fastest Growing Mental Health Podcast on Spotify   

Every guest has an inspiring and unique story to tell. But what unites all the episodes together is an idea fundamental to ACT — that psychological suffering is not some “abnormality” that happens to others, but rather an inescapable part of the human condition. The emphasis is on our shared humanity and on developing the psychological flexibility that allows us to live a life of meaning, purpose, and integrity even in the midst of that suffering. This perspective seems to be striking a cord with listeners. In just 7 months, the show has gained a tremendous following and is currently the fastest growing mental health podcast on Spotify.

How to Learn More

You can find Beyond Well on Spotify, SoundCloud, and iTunes, or go to the Beyond Well with Sheila Hamilton website for all the past episodes and other information.

Acceptance and Commitment Therapy Books from 2018

Each year, we update our Learning ACT Resource Guide with the newest resources on Acceptance and Commitment Therapy that come out each year. The guide contains a comprehensive list of all of all the ACT that have ever been published. You can browse this list, organized by category, on our LearningACT website. Below, are the 43 new books we discovered when revising the guide at the end of 2018:

Learning ACT

Books for Therapists

Books for Clients

Introducing ACT With Compassion

Dear reader,

We feel a bit like a rude guest, who has forgotten to introduce you to their friend. If you’re reading this post, you’re probably a therapist looking for resources to learn and grow professionally. We think you might be interested in meeting this friend, “ACT With Compassion,” a website dedicated to helping therapists who are interested in bringing more compassion and effectiveness to their work with clients struggling with self-criticism and shame. Actwithcompassion.com is created by therapists at Portland Psychotherapy and is a place where we:

  • List all the latest training events for therapists that we can find that relate to things like self-compassion, compassion-focused therapy, and working with shame prone clients
  • Publish original resources for therapists (e.g. handouts, and exercises) that we’ve created that therapists can use in their practices to help clients with self-criticism and shame
  • Write blog posts about research and resources related to shame, self-criticism and self-compassion.

In our free time, we travel around the web, curating content (e.g. readings, videos, and measures) on self-compassion, shame and self-criticism. It’s possible that actwithcompassion.com might just become your go-to place for book and audio recommendations on these topics.

We apologize for the tardy introduction, but do hope you will become acquainted soon.

Sincerely,
Portland Psychotherapy

Written by Christina Chwyl, B.A.

UPCOMING TRAINING EVENTS

September 25 and 26, 2020, 9:15 am – 5:00 pm · Portland, OR · Details

This two-day workshop provides a thorough overview of the theory, principles, and techniques of Acceptance and Commitment Therapy. It is intended for those who are relatively new to ACT and for those who have done some reading on their own about ACT but who may not have had the opportunity to participate in more experiential learning, observe models, or receive feedback while using the ACT model. Read more

October 3 and 4, 2020, 9:30 am – 4:30 pm · Portland, OR · Details

This 2-day training offered by psychologists Ingmar Gorman and Elizabeth Nielson is designed for clinicians and healthcare providers who want to learn more about current psychedelic research and clinical practice, including how to work with patients who have a history of psychedelic use or have expressed an interest in using psychedelics. This interactive training includes role plays, demonstrations, case examples, and experiential learning opportunities. Read more