THEME: "Future Directions: Pioneering Mental Health and Well-being Initiatives"
EAP Services, New Zealand
Title: Acceptance and Commitment Therapy A Clinical Social Worker’s Application in Practice in New Zealand
Jermin is a registered social worker in both New
Zealand and the Philippines and have been specializing in mental health
counseling and therapy for almost seven years. At age 18, he was certified by
the Philippine Civil Service Commission as a Professional Civil Servant and
became a registered social worker at age 20. He represented the Philippines in
various international youth leadership congress like ASEAN Future Leader’s
Summit in University Sains Malaysia and International Social Work Conference in
University of Hong Kong. He worked as a case manager in the Philippine
Government for three years and practiced clinical social work in California,
USA before he moved to New Zealand. He currently works as a clinical social
worker and his expertise includes PTSD, anxiety, depression, men’s health, and
neurodiversity.
I would want to share my practice in New Zealand as a clinical social worker to the delegates of Asia-Pacific Mental Health and Well-Being Conference. Below is my own summary application of Acceptance and Commitment Therapy (ACT) that I use with my clients. I am happy to share outcomes of this therapy approach in the stage.
Cognitive Defusion: Stop taking negative thoughts literally- cognitive defusion is when we learn how to change our relationship with our thoughts, instead of changing the thoughts, which is most of the time hard, if not impossible to do. Recognizing that negative thoughts are just mental events and not necessarily true hence, we should not fully attach ourselves to them and not allow them to dictate and limit our lives.
Acceptance:
How to tolerate unpleasant feelings- acceptance is the anecdote of
experiential avoidance that precludes us from doing the things that are
meaningful to us because of the fear of the negative feelings or consequences
that we may experience in achieving these things (fear of going out of our
comfort zones, the feeling of pain/discomfort when we apply for a promotion,
change careers, marriage, pursuing a romantic relationship, moving houses,
having children, etc.). Acceptance is allowing ourselves to be fluid, to feel
all the emotions and feelings, both good and bad, positive and negative,
comfortable and uncomfortable and acknowledging that this is normal, and we
should not be letting these natural feelings hinder us from doing the things
that give us a sense of fulfilment.
Being
Present: How to take back control of your
behavior-
being present in the here and now instead of living in the past or projecting
to the future. The past and the future thinking leads to human suffering
because when we focus our mind on the things that have already happened or what
is going to happen, it makes us feel worried and anxious, and we miss what is
happening around and in front of us in the moment.
Self
as context: How to cultivate your
sense of self-
this is the core process of ACT that I love the most. Learning how to accept,
watch, observe, and just experience the moment, whether good or bad, rather
than labeling it if it is good or bad. I always share with my clients the
importance of knowing the difference between our self as content and self as
context. Self as content is the part of us that we label and identify based
on our life’s experiences, but self as context is the part of us that has
always been there in the most difficult moments of our lives but will always
remain whole and intact. Self as context reminds us that it is okay to take
risks and be uncomfortable in achieving the things that are meaningful to us,
and no matter the outcome is going to be, we always have our safe base that we could
always return to.
Values
and Committed Action: Achieve Lasting Self-Fulfilment- learning the importance
of rooting our goals with core values and trying to achieve eudaimonic (purpose
and meaning) happiness more than hedonic (pleasure and enjoyment) happiness.
Acknowledging that living a meaningful life does not always give us good feelings
all the time, but we will still pursue a meaningful life based on our core
values and committed actions even when distressing feelings are present (and/or
acknowledging that these distressing feelings may always be present).