Introduction 1 1. Playing with the Choice Point 5 Introducing a very useful tool, the choice point, which we'll refer to throughout the book 2. Miserable Mindfulness 27 Misunderstandings and myths about mindfulness--for therapists and clients 3. Ghastly Goals 37 Problems related to establishing therapy goals 4. Beastly Barriers 59 Overcoming barriers to ACT, building rapport, and getting buy-in 5. Freaky Functional Analysis 73 The ABCs of functional analysis, and how this can enhance our therapy 6. Vicious Values 88 Values conflicts, rigid rules, "I don't have any values," and other common sticking points 7. Dodgy Dropping Anchor 114 The single most powerful intervention for extreme fusion 8.

Crummy Creative Hopelessness 127 Mishaps and misconceptions about one of the most misunderstood parts of ACT 9. Dastardly Defusion 135 The myriad of ways that defusion can go wrong or backfire--and how to bounce back Surprising Self-Compassion 165 The nuts and bolts of self-compassion 11. Sticky Structure 176 Confusion about and obstacles to process work in ACT 12. Measly Motivation 187 Homework horrors, "I've got no motivation," and other barriers to committed action 13. Obnoxious Outcomes 196 Anything that can go wrong will go wrong--and how our responses make all the difference 14. Slippery Self-as-Context 201 Misunderstandings about self-as- context in therapists and clients 15. Exasperating Exposure 215 The nuts and bolts of ACT-style exposure 16. Awkward Acceptance 221 Problems and pitfalls pertaining to acceptance and willingness Acknowledgments 226 Appendix 1: ACT Case Formulation Worksheet 227 Appendix 2: Informed Consent 230 Appendix 3: The Bull's-Eye 233 Appendix 4: Defusion from Barriers to Therapy 235 Appendix 5: The Hands as Thoughts and Feelings Exercise 242 Appendix 6: Pushing Away Paper Exercise 245 Appendix 7: Triggers-Behavior-Payoffs Worksheet 249 Appendix 8: Exposure Crib Sheet 250 Appendix 9: A Clinician's Guide to Getting Unstuck from Just About Anything 251 References 258 Free Resources and Online Training 260 Index 262.