Acceptance and Commitment Therapy (ACT) is a form of psychological therapy that helps people develop a different relationship with difficult thoughts and feelings, rather than trying to eliminate them. In cardiac arrest recovery, ACT teaches skills to notice and accept distressing thoughts about health, vulnerability, and the future without being controlled by them, while clarifying personal values and committing to actions that make life meaningful despite ongoing uncertainty.
Core processes include cognitive defusion (stepping back from unhelpful thoughts), acceptance, present-moment awareness, and values-based action. ACT is increasingly used alongside Cognitive Behavioural Therapy (CBT) for cardiac survivors experiencing avoidance behaviour, health anxiety, or fear of recurrence.
ACT is available through NHS Talking Therapies services and some specialist cardiac psychology services. It can be delivered in individual sessions, group formats, or via validated self-help programmes. Speak to your GP or Cardiac Nurse Specialist about a referral.
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