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In Chapter 3, we discussed the guiding principles of functional contextual psychiatry. Those principles form the basis of the ACT intervention framework, which views symptoms, and what to do about them, in a very different way. The functional psychiatrist creates a new definition of what doing “better” means and what the goals of the session will be. The psychiatrist wants to help the patient open up to distressing, unwanted internal experiences and use a flexible, values-based approach to making needed adaptations. Painful private experiences are now seen as a natural, honorable result of the patient pursuing basic hopes, aspirations, and personal values. There is something very uplifting about engaging a patient in a conversation that helps him move from a stance of emotional and behavioral avoidance to one of openness to inner experiences and a newfound willingness to experiment with behaviors grounded in personal values.
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