Therapy & approach

Acceptance & Commitment (ACT)

Acceptance and Commitment Therapy

Making room for what's hard, and moving toward what matters.

ACT (Acceptance and Commitment Therapy) helps you hold difficult thoughts and feelings more lightly, so they stop running the show, and take steps toward what matters to you. In Toronto and online across Ontario.

Not sure whether this approach is right for you? We'll talk it through with you, explain your options, and help you find the therapist who fits.

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Available therapists

If you know what you are looking for, go directly to our therapist schedules for a free introduction or book a session.

Magdhi Shah
Accepting new clientsIn person in DowntownVirtual

Magdhi Shah

Registered Psychotherapist

See profile

$170 · 60 min

Works with ACTCulturally-informed lens2SLGBTQI+ affirming

Angelica Rao
Accepting new clientsIn person in St. ClairVirtual

Angelica Rao

Registered Social Worker & Psychotherapist

See profile

$190 · 60 min

Works with ACTYouth & young adults

Megan Kuo
Accepting new clientsIn person in St. ClairVirtual

Megan Kuo

Registered Psychotherapist (Qualifying)

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$160 · 60 min

Columbia University trainedIntegrative, client-led

Lesley Nightingale
Limited spacesIn person in EglintonVirtual

Lesley Nightingale

Registered Psychotherapist

See profile

$180 · 60 min

Works with ACTCompassion-focused

ACT therapy in Toronto

Healing Space Therapy offers ACT in person at our Downtown, Eglinton and St. Clair offices in Toronto, and by secure video anywhere in Ontario. Our therapists who use ACT are Registered Psychotherapists and Registered Social Workers. Each card above shows their office, their rate and whether they are taking new clients.

ACT is one of several approaches we draw on, often alongside CBT, DBT and mindfulness-based work. You do not need to have settled on ACT before you reach out. Working out whether it fits is what the free 15-minute consultation is for. You can also read about our wider trauma therapy approach.

What a session looks like

Sessions tend to spend less time arguing with thoughts and more time changing your relationship to them — noticing a thought as a thought rather than an instruction, and seeing what becomes possible when it no longer has to be resolved first.

The other half is values: getting specific about what you actually want your life to be about, and finding the smallest workable step towards it. Often that step is taken while the anxiety is still present, which is the part that surprises people.

What ACT is like

ACT is built around a handful of skills that work together. You will not be drilled on them, but it helps to know what your therapist is working toward.

Noticing thoughts as thoughts. A thought like “I can’t cope” can feel like a fact, or an order. ACT practises stepping back far enough to see it as something your mind is saying, which often takes the urgency out of it. Therapists call this defusion.

Making room for feelings. Instead of pushing a feeling away, or waiting for it to pass before getting on with life, you practise letting it be there while you do what matters. This is what ACT means by acceptance. It is not the same as liking it, and it is not giving up.

Coming back to the present. Short mindfulness practices help you notice where you are and what is happening now, rather than being carried off by worry about what comes next or replaying what already happened.

Values and committed action. You get clear on what you want your life to be about, in relationships, work, health and community, and then take small, specific steps in that direction, adjusting as you learn what works.

None of this asks you to think positively or pretend things are fine. It asks what would make your life feel more like yours, with the hard things included.

Who it tends to help

ACT suits people who have been fighting their own minds for a long time and are tired — who have tried to think their way out of anxiety and found the thinking is part of it.

It is useful where something cannot simply be removed: chronic illness or pain, grief, uncertainty that will not resolve. Its aim is a life that feels worth it alongside the hard thing, rather than after it.

It is also a good fit if you want something practical and skills-based, but found that challenging your thoughts head-on turned into one more argument with yourself that you could not win.

What the research says

ACT has a solid evidence base across anxiety, depression, chronic pain and stress, and is one of the better-studied of the newer behavioural therapies.

We pair it with our trauma-informed way of working, so clarifying what matters never means overriding what your body is telling you.

Evidence is about averages, though, and you are not one. It is a reason to take the approach seriously, not a promise about how your own course will go, and your therapist will talk with you about that honestly.

Our approach

We use ACT to help you clarify what genuinely matters to you and take workable steps toward it, even in the presence of anxiety or grief. It pairs naturally with our trauma-informed, values-led way of working.

Why connect with us

If you're tired of fighting your own mind and want a life that feels meaningful rather than merely managed, ACT can help. We use it alongside our trauma-informed way of working, so clarifying what matters never means overriding what your body is telling you.

Good to know

Acceptance & Commitment (ACT), in brief.

How much does ACT therapy cost?

Sessions are 60 minutes, and each therapist's rate is shown on their card above. The first 15-minute consultation is free, and there is no obligation to book after it.

Is ACT covered by insurance?

Not by OHIP, because the practice is private. Many workplace benefit plans cover some or all of the cost of seeing a Registered Psychotherapist or Registered Social Worker, but coverage varies, so check which of the two your plan names. We provide receipts for reimbursement.

How is ACT different from CBT?

Both are practical and skills-based. CBT often works on examining and changing unhelpful thoughts. ACT works more on your relationship to them: noticing a thought without having to win an argument with it, and acting on what matters while it is still there. Many of our therapists draw on both, and will use whichever helps.

Is ACT only for anxiety?

No. ACT is used with low mood, stress and burnout, grief, chronic pain and illness, and with anyone who feels stuck in a struggle with their own thoughts. It can also help when nothing is clearly wrong, but life feels off course.

Can ACT be done online?

Yes. Every therapist here who uses ACT also sees clients by secure video, anywhere in Ontario. ACT works well on video, because so much of it is conversation, short practices and steps you take between sessions.

How many ACT sessions will I need?

There is no set number. Some people come for a focused stretch of work on one area of life; others use ACT as part of longer therapy. Your therapist will talk honestly with you about how it is going as you go.

Before you book

The practical part.

What does it cost?
Sessions start at $160 for 60 minutes, and each therapist's own rate is on their card above. The first 15-minute consultation is free.
Is it covered by insurance?
Not by OHIP — the practice is private. Many workplace benefit plans do cover some or all of the cost of seeing a Registered Social Worker or Registered Psychotherapist, though coverage varies, so it is worth a quick check with your insurer. We provide receipts for reimbursement. More on fees and insurance.
What happens in the free consultation?
Fifteen minutes, by phone or video, with no obligation. You can ask questions, say as much or as little as you want about what you are carrying, and get a feel for whether this is someone you could talk to. If it is not the right fit, we will say so and help you find one.
How many sessions will I need?
There is no set number. Many people meet weekly at the start, because that is what builds trust and momentum, and settle into a slower rhythm later. We revisit how it is going together, and you decide how long it goes on.
How do I choose between the therapists?
Start with the reasons listed under each name above — they say what each person has trained in and who they tend to work with. If that does not settle it, book the free consultation with whoever you are drawn to, or ask us and we will suggest someone.

No cost, no obligation, and no need to know what to say yet.

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