
Acceptance
Making room for feelings, not fighting them
Try: where do you feel it in your body?

Defusion
Seeing thoughts as thoughts, not facts
Try: "I'm having the thought that…"

Present moment
Flexible contact with what is here now
Try: name five things you can see

Self-as-context
The observing self behind each experience
Try: notice who is doing the noticing

Values
Chosen directions that give life meaning
Try: what do you want to stand for?

Committed action
Values-guided steps, even with discomfort
Try: one small step this week

Experiential avoidance
Trying to escape unwanted inner experience
Looks like: distraction, numbing, avoiding

Cognitive fusion
Thoughts taken as literal truth
Sounds like: "I'm useless" felt as fact

Past and future focus
Lost in rumination or worry
Sounds like: "If only…", "What if…"

Attachment to self-story
Rigid stories about who I am
Sounds like: "I'm just not that kind of person"

Unclear values
Disconnected from what matters
Looks like: drifting, or living by others' rules

Unworkable action
Impulsivity, inaction or avoidance
Looks like: the same pattern, the same cost
ACT hexaflex cards: processes and questions
Psychological flexibilityPsychological inflexibility
Based on Hayes, Strosahl & Wilson (2012), Acceptance and Commitment Therapy, 2nd ed.

What are you avoiding?
Acceptance: name the unwanted experience

What would you be willing to feel?
Acceptance: willingness, not liking

Is this thought helpful?
Defusion: workability over truth

What is your mind telling you?
Defusion: notice the story

What do you notice right now?
Present moment: the five senses

Where are you right now?
Present moment: here, or elsewhere?

Who is noticing this?
Self-as-context: the observer

Is this the whole of you?
Self-as-context: larger than the story

What matters to you here?
Values: the deeper why

Who do you want to be in this?
Values: qualities of action

What small step could you take?
Committed action: the next small step

What gets in the way?
Committed action: plan for barriers
ACT hexaflex cards: processes and questions: Questions for psychological flexibility
Based on Hayes, Strosahl & Wilson (2012), Acceptance and Commitment Therapy, 2nd ed.
More free printables
Threat system
Drive system
Soothing systemCompassion-focused therapy cards
Vulnerable child
Angry child
Impulsive childSchema therapy modes cards
Partnership
Acceptance
CompassionMotivational interviewing cards: OARS and change talk
Safety (self)
Safety (others)
Trust (self)CPT stuck point themes and questions