Table 1: Context of sessions.

1

Ice breaking exercises

Asking them to explain why they seek treatment, what they hope and expect

Conceptualization and rational of therapy

Targets and commitments to targets

Asking females t to describe problem one by one and how they interfere with their life

explains the process of recovery and that it may

2

Review last session

explain contexts in which problem occur for client

Identify the negative impact of attempts to control situation

3

Help foster defusion by using the Physicalizing exercise and having

client draw a picture of this object

4

Introduce acceptance as an alternative to control using the Two

Scales metaphor &Trauma on Paper exercise using the picture

giving the infidelity some type of meaning and helping the client realize why the infidelity occurred

5

Review acceptance by demonstrating that the willingness to experience

Enhancing self as context

Identify opportunities for acceptance from out of session practice

Behavioral commitments to engage in value-based activities

6

Forgiving others

Forgiving self

Help the client be present with their inner experiences using the

Awareness of Inner Experiences and Leaves on a Stream exercise

Identify the importance of being present while not being heavily

attached to inner experiences using Kindergarten Teacher metaphor

Having a Thought versus Buying a Thought activity

Behavioral commitments to engage in value-based activities

7

Identify the self as the context where inner experiences occur

Explain that the client does not choose what inner experiences occur, but that they can choose what to do with them

Contact with Present Moment

Watching Thoughts on a Screen

Increased behavioral commitments to engage in valued living based on recent values work

Foster committed action by reviewing any processes that still need attention

Rewriting life story

8

Review sessions

Summarize the treatment

Discuss end of treatment and apply ACT processes to termination

Suggest a workbook for continued progress