Acceptance and Commitment Therapy•For Professionals

ACT Hexaflex Formulation Sheet

A structured formulation template organised around the six ACT processes.

The Hexaflex represents six interrelated processes that together constitute psychological flexibility.

The six processes

Mindfulness & Acceptance: • Acceptance — embracing private events • Defusion — changing relationship with thoughts • Present moment — flexible attention to now • Self-as-context — stable sense of self Commitment & Behaviour Change: • Values — chosen life directions • Committed action — values-consistent behaviour

Clinical application

Use the hexaflex for case conceptualisation
Identify which processes are most stuck
Any technique that serves these processes is ACT-consistent
Process > technique