Shame co-occurs with many disorders and client concerns, such as self-harm, depression, anxiety, substance abuse, eating disorders, interpersonal conflicts, self-criticism, trauma, and personality disorders. The authors review the complexity of shame and present a rationale for using Acceptance and Commitment Therapy (ACT) to treat it. The article presents primary ACT techniques, a case study, and considerations for counselors.

Format: Asynchronous, distance learning. Non-interactive.

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Page last modified or reviewed by athealth.com on Jun 10, 2025.

Daniel Gutierrez, MA, LMHC, and W. Bryce Hagedorn, PhD, LMHC, NCC, are affiliated with the University of Central Florida. Correspondence about this article should be addressed to Daniel Gutierrez, Dept. of Educational & Human Sciences, University of Central Florida, College of Education, ED 322C, Orlando, FL 32816-1250. E-mail: [email protected].

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