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http://www.actcbsconference.com/programme.pdf
The Third BABCP ACT SIG / ACBS UK & Ireland Chapter conference on ACT and Contextual Behavioural Science
22-25 November 2016
Poster Presentations
P18 The use of Acceptance and Commitment Therapy in the management of chronic fatigue syndrome/ME: A case example
Miss Ashley Mai Williams Royal National Hospital for Rheumatic Diseases
Acceptance and Commitment Therapy (ACT) has attracted much interest over the last 17 years, and literature is fast increasing on its use in Functional Somatic Syndromes, such as Fibromyalgia Syndrome and Irritable Bowel
Syndrome.To date, the use of ACT in the treatment of CFS/ME has not been investigated.This case example
illustrates how ACT has been used in the treatment of an adult with Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME).
The patient was a 52-year-old woman severely affected by CFS/ME. It was hypothesised that fusion with her critical mind was leading to a reduction in her engagement in valued life domains.
ACT was used as the psychological treatment model in this study, focusing on fostering behaviours embedded in valued life directions rather than emphasising reductions in fatigue and psychological distress. Following treatment, improvements were seen in valued life activities, psychological resilience, and long-term management of fatigue.This was evidenced by improved communication of needs to significant others, validation of self, reduced isolation (yoga classes, seeing friends), compassionate relationship with self, stronger sense of selfidentity not dominated by fatigue, willingness to accept challenging emotions and symptoms, and engagement in self-care behaviours (mindfulness meditation, rest). The outcome of this intervention indicates that ACT can be an important therapy for supporting adults with CFS/ME to manage this long-term condition. Empirical studies are needed to examine the clinical effectiveness of ACT with this patient population.