1.Danielle Strouse, MA, LCPCVerified
(971) 318-2328
Portland, OR 97203
Anxiety · Body Positivity · Infertility
psychologytoday.com/profile/362124 · orcounselors.com/provider/danielle-strouse-lake-oswego
Therapy approaches
Acceptance and Commitment (ACT) Therapists in Oregon
Find Oregon therapists who practice Acceptance and Commitment (ACT).
Acceptance and Commitment (ACT) also matches related terms: Acceptance and Commitment Therapy (ACT), ACT, Acceptance and Commitment Therapy. Results below include all of them.
RelatedCognitive Behavioral (CBT) (248)Mindfulness-Based (MBCT) (113)Acceptance and Commitment Therapy (ACT) (3)ACT (2)Acceptance and Commitment Therapy (1)
Acceptance and Commitment Therapy (ACT) is a third-wave behavior therapy developed by Steven Hayes, focused on building psychological flexibility — the capacity to fully experience the present moment, hold thoughts and feelings without being controlled by them, and act in line with your values. As of April 2026, many therapists listed on Oregon Counselors on this directory practice ACT. Many offer telehealth, many accept Oregon Health Plan, many offer sliding-scale fees. ACT has strong evidence for anxiety, depression, chronic pain, OCD, substance use, and the existential / meaning-making questions that show up in midlife and grief. Unlike CBT (which evaluates whether thoughts are accurate), ACT focuses on your relationship with thoughts — defusing from them, accepting their presence without obeying them, and choosing values-aligned action regardless. Most clients see meaningful change in 12–20 sessions.
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Acceptance and Commitment (ACT) — key facts & evidence
Researched data on this topic, every figure links to its source.
APA Division 12 (Society of Clinical Psychology) rates Acceptance and Commitment Therapy as having "Strong Research Support" for chronic pain - its highest evidence tier for ACT.
Source: Association for Contextual Behavioral Science (documenting APA Div 12 ratings)For depression, APA Division 12 rates ACT as having "Modest Research Support" - a lower tier than chronic pain. ACT also carries Modest Research Support for mixed anxiety, OCD, and psychosis.
Source: Association for Contextual Behavioral Science (documenting APA Div 12 ratings)A 2015 meta-analysis of 39 randomized controlled trials (1,821 patients) found ACT outperformed control conditions with a Hedges' g of 0.57 at post-treatment and follow-up across mental and physical health problems.
Source: A-Tjak et al., Psychotherapy and Psychosomatics (Karger) (2015)The same 2015 meta-analysis found ACT about as effective as established treatments: head-to-head comparisons with cognitive behavioral therapy showed no significant difference (p = 0.140).
Source: A-Tjak et al., Psychotherapy and Psychosomatics (Karger) (2015)A 2024 systematic review of 21 RCTs (1,298 participants) reported ACT produced medium-sized improvements in chronic pain for pain interference, functional impairment, pain acceptance, and depression at post-treatment.
Source: Systematic review and meta-analysis, PMC (2024)Frequently asked questions
Common questions about this coverage in Oregon.
How many Oregon therapists specialize in Acceptance and Commitment Therapy (ACT)?
As of April 2026, there are many therapists listed on Oregon Counselors who specialize in Acceptance and Commitment Therapy (ACT). This therapy approach can help clients develop psychological flexibility and mindfulness skills to manage various life challenges.
Do Oregon ACT therapists accept the Oregon Health Plan (OHP)?
Yes, many therapists listed on Oregon Counselors specializing in ACT accept the Oregon Health Plan (OHP) as of April 2026. This means that eligible individuals can access ACT therapy with reduced or no out-of-pocket costs, depending on their specific OHP plan.
Is telehealth available for Acceptance and Commitment Therapy (ACT) in Oregon?
Telehealth is indeed available for ACT therapy in Oregon, with many therapists listed on Oregon Counselors offering this service as of April 2026. This allows clients from various locations, including rural areas, to receive therapy from the comfort of their own homes.
Do Oregon ACT therapists offer sliding scale fees?
Yes, many therapists listed on Oregon Counselors who specialize in ACT offer sliding scale fees as of April 2026. This payment option can make therapy more affordable for clients with financial constraints, adjusting fees based on income.
How is ACT different from CBT?
CBT works to change distorted thoughts — examine them, evaluate them, replace them. ACT works on your relationship with thoughts — "defusion" exercises help you notice you are having a thought, rather than being it, and act on values regardless of whether the thought goes away. Both work; some clients respond better to one than the other. Many Oregon therapists draw on both and select based on the client's preferences and the specific issue.
What does "living by your values" actually mean in ACT?
Values are directions, not goals. "Be a more present parent" is a value; "have dinner with my kids three times this week" is a goal that's in service of it. ACT therapists help you clarify your values in core life domains (family, work, health, community, learning, recreation) and then design committed action — small, sustainable behavioral steps in those directions, regardless of whether the anxious or self-critical thoughts come along for the ride. Most people find the values clarification itself surprisingly clarifying.
Will ACT make me "accept" my depression and not try to change it?
No — that's a common misunderstanding. "Acceptance" in ACT means accepting the presence of difficult internal experiences (the depressed mood, the anxious thoughts, the painful memory) rather than fighting their existence. It frees up the energy you were using to fight them and redirects it toward effective action. Combined with behavioral activation, exposure work, and values-based committed action, ACT actively shifts depression — it's just a different theory of change than CBT.
Many therapists listed on Oregon Counselors specialize in Acceptance and Commitment Therapy (ACT). This approach, which promotes psychological flexibility, is available through telehealth with many providers, offering broad accessibility across Oregon. Many therapists accept the Oregon Health Plan (OHP), making ACT accessible for Medicaid-eligible individuals. Furthermore, many therapists offer sliding scale fees, adapting to income levels for more equitable access. These therapists may employ ACT to address various concerns, such as anxiety, depression, and stress management.