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In this chapter, we provide an overview of how to conduct ACT in an outpatient psychiatric setting. The approach described will be of value in a private practice, in a community mental health center, or in a hospital-based outpatient psychiatric clinic. In each of these practice contexts, the structure of treatment might vary from a longer-term, “traditional” approach to brief and time-limited therapy. In some contexts, the sessions might last 1–2 hours, depending on whether the treatment is delivered in an individual or group format. In other contexts, the visit might be part of a 15-minute monthly or bimonthly medication check. Regardless of the practice context, certain basic features of the ACT model will always come into play. The only change is in how compact or extended the delivery of the core therapeutic processes will be.
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