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When difficult thoughts won't quiet down

Acceptance & Commitment Therapy Across The North East

A therapy that helps you build a fuller life alongside difficult thoughts and feelings, rather than waiting for them to disappear.

  • 44 Practitioners
  • 6 North East clinics
  • Free First Pathway call

How it works

For the thoughts that get in the way of living.

Most psychological therapies work by trying to reduce the frequency or intensity of difficult thoughts and feelings. ACT takes a different position: the problem is not the presence of difficult thoughts, but the way we react to them. When we struggle to suppress or avoid what feels uncomfortable, that struggle can become more limiting than the thoughts themselves.

ACT builds six core skills: the ability to observe thoughts without being fused to them, to make room for difficult feelings without fighting them, to stay present in the current moment, to recognise that you are more than your thoughts, to clarify what genuinely matters to you, and to take committed steps in that direction regardless of what your mind throws up.

The approach is grounded in a substantial evidence base and is recognised by NICE and the British Psychological Society. It is particularly well-suited to presentations where multiple areas of life are affected, or where previous attempts to manage symptoms have led to further avoidance.

Therapist and client in an ACT session

What ACT can help with

ACT is effective across a wide range of presentations.

  • Anxiety, worry, and generalised anxiety disorder

  • Depression and persistent low mood

  • Obsessive Compulsive Disorder (OCD)

  • Chronic pain and long-term health conditions

  • Work-related stress and burnout

  • Low self-esteem and self-criticism

  • Health anxiety

  • Coping with major life transitions

How the match is made

ACT is most effective when it feels like the right fit

Our Pathway Team takes the time to understand your goals, challenges, and preferences before introducing you to an ACT therapist whose expertise, experience, and approach align with your needs. The right therapeutic relationship helps you get more from every session.

  1. 01

    A confidential first discussion

    The Pathway Team listens to what is happening and matches you to the right practitioner. Your therapist then agrees a personalised plan with you.

  2. 02

    Matched to an ACT practitioner

    Select guides you to a practitioner trained in ACT with relevant experience and availability at your preferred clinic or online.

  3. 03

    Values-based, practical sessions

    Work begins by clarifying what matters to you, then building flexibility skills you can use between sessions and in everyday life.

Practitioner fit

ACT matched to you, not a generic programme.

ACT can be used as a standalone approach or alongside other methods depending on what fits best for your situation. The first conversation is about understanding what you are carrying and finding the right practitioner for where you are starting from.

What the first conversation explores

  • The nature of your current difficulties and how long they have been present
  • What you have tried before and what has felt most helpful
  • Location, online preference, and session timing
  • Any risk or safeguarding considerations
  • Which practitioner experience and style is the right match

A simple first move

Not sure where to start? Talk it through with the Pathway Team.

Who you might work with

Practitioners who offer this

Browse the full team, or let the Pathway Team match you.

Fees and insurance

Clear fees, and most major insurers accepted

No GP referral is needed. If you are using private medical insurance, tell the Pathway Team when you get in touch and they will help with authorisation.

Session fees

  • Relationship therapy£95
  • Specialist psychological therapy£110
  • Clinical & counselling psychology£140
  • Psychological assessmentsfrom £350
Insurers accepted

Bupa · Aviva · AXA · Allianz · Simply Health · Vita Health Group

Questions before you start

What people usually ask

1 What is ACT therapy?

Acceptance and Commitment Therapy is a mindfulness-based approach that teaches you to accept what is outside your control and commit to action aligned with your values. Rather than trying to eliminate difficult thoughts or feelings, ACT helps you change your relationship with them, so they have less power over your behaviour. The goal is a richer, more meaningful life, not simply the absence of distress.

2 What can ACT therapy help with?

ACT has a strong evidence base for anxiety, depression, OCD, and chronic pain. It is also used for work-related stress, low self-esteem, health anxiety, and coping with long-term physical health conditions. Because ACT works on psychological flexibility rather than targeting a single symptom, it can be helpful across a wide range of presentations.

3 How many ACT sessions will I need?

This depends on what you are bringing. A focused course for anxiety or low mood typically runs 8 to 16 sessions. More complex presentations may take longer. Your practitioner will discuss a realistic plan with you after the initial assessment, and progress is reviewed regularly.

4 Can ACT be delivered online?

Yes. Many of our ACT practitioners offer sessions online as well as in person at our clinics across the North East. The Pathway Team will help you work out which format suits your situation best.

From the blog

Read more before you decide

How Long Does EMDR Take to Work? Effects & Recovery

EMDR therapy typically takes 6 to 12 sessions for a single traumatic event (such as a car accident) and 12 or more sessions for complex or repeated trauma. Each session lasts 60 to 90 minutes, usually once a week. Many people notice significant improvement within the first 3 to 4 sessions. Post-session effects like tiredness or vivid dreams are normal and usually settle within 1 to 3 days. EMDR is recommended by NICE as a first-line treatment for PTSD and is as effective as trauma-focused CBT.

Select Psychology Team · 23 Mar 2026 · 6 min read

Read article

Get in touch

Ready to feel heard?

Leave your details and a member of our Pathway Team will be in touch, usually within one working day. Or call us directly on 0191 258 0008.

  • Confidential and judgement-free
  • No obligation, no pressure to book
  • No GP referral needed
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How can we help?

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Phone lines open Mon to Thu 8.30am to 5pm, Fri 8.30am to 4.30pm

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