Skip links

The role of Acceptance and Commitment Therapy in personal injury work, with Dr Laura Krieger, PsychWorks Associate psychologist

Listen Now

Notes to Episode

Dr Laura Krieger talks to me today about Acceptance and Commitment Therapy: join us for some mindfulness practice, and a wide-ranging conversation introduction to ACT and its applications in the world of personal injury.


adjustment, struggle, distress, emotions, relationships, stuckness, feelings, Acceptance and Commitment Therapy, ACT, mindfulness, experiential, intrusive thoughts, being in the present, grounding, noticing, values, Steven Hayes, meaningful change, action, psychological flexibility, valued living, problem-solving, validation, denial, expressing not suppressing, observing, chessboard, identity, fusion, chronic conditions, creative hopelessness, slowing down, space, avoidance, anxiety, diffusion, self as context, committed action, valued living, engaging the senses, burnout, small changes.

1:52 Introducing Dr Laura Krieger

2:20 Mindfulness practice to demonstrate one of the principles of ACT

5:39 What you notice from the exercise

7:23 Why is ACT helpful?

9:18 What ACT is about

10:44 Six core processes to psychological flexibility

13:50 Increasing the therapeutic alliance through relationships

15:24 Not trying to change difficult feelings

16:17 Noticing distress

18:06 It’s not denial

19:24 The chessboard metaphor

20:30 We are more than one identity

21:36 The evidence base

23:26 Creative hopelessness

24:58 Giving clients space

28:26 Avoidance perpetuates distress

29:40 Practical applications

37:13 Take-home message


7:52 “When we are in the present moment, we’re not worrying about the past, we’re not worrying about the future, so it’s a really helpful grounding strategy.”

10:09 “Meaningful change happens with action.”

13:15 “It’s not always appropriate to jump into advice giving and problem solving. Sometimes there’s a step before that the clients need, that we all need, where our feelings are validated.”

20:03 “We existed before, and we exist after the trauma. The trauma is something that has visited us. It is not us.”

39:18 “We can be the CEO of our lives.”

Guest: Dr Laura Krieger, PsychWorks Associates

Presenter: Dr Shabnam Berry-Khan, Director of PsychWorks Associates

Editor: Emily Crosby Media