Can Acceptance and Commitment Therapy Help With OCD?

Psychology Today

by Jennifer Rollin MSW, LCSW-C

February 24, 2026

AI-Generated Deep Dive Summary

Acceptance and Commitment Therapy (ACT) offers a promising adjunctive approach to treating Obsessive-Compulsive Disorder (OCD), particularly when combined with Exposure and Response Prevention (ERP). Unlike traditional methods that focus on eliminating intrusive thoughts, ACT emphasizes building psychological flexibility and changing an individual's relationship with unhelpful thinking. This therapy employs cognitive defusion strategies, such as creating separation from thoughts or reframing them as neutral observations rather than commands to act upon. By shifting the perspective away from fighting intrusive thoughts and toward accepting their presence while maintaining focus on meaningful actions, individuals can reduce the grip of OCD symptoms. Recent research supports the effectiveness of ACT in managing OCD. A 2026 meta-analysis reviewed nine randomized controlled trials and found that ACT showed moderate improvements in reducing OCD symptoms compared to medication-only approaches. While no significant differences were observed when ACT was compared to other psychotherapies, it demonstrated its own value as a standalone treatment option. These findings highlight the potential of ACT as a valuable adjunct to traditional ERP therapy. ACT also introduces innovative metaphors to help individuals visualize their internal struggles with OCD. For example, imagining intrusive thoughts as unruly passengers on a bus, individuals are encouraged to recognize these thoughts without engaging them—much like continuing to steer the vehicle toward their goals despite the noise. This approach empowers individuals to maintain control over their lives while managing anxiety and compulsions. The significance of ACT for OCD treatment lies in its ability to provide an alternative or complementary strategy for those who struggle with ERP's challenges, such as high dropout rates due to the intense emotional demands of the therapy. By fostering acceptance and psychological flexibility, ACT offers individuals a way to reduce the impact of intrusive thoughts and compulsions while living aligned with their values. This approach not only addresses symptoms but also equips individuals with long-term coping skills to navigate life's challenges more effectively. For readers interested in mental health, understanding the role of ACT in

Verticals

healthmental-health

Originally published on Psychology Today on 2/24/2026