Anxiety and Therapy

Which therapy offers the best value for an anxious patient using either, Acceptance and Commitment Therapy (ACT), Cognitive behavioural therapy (CBT) or Dichotomy of control.

Acceptance and Commitment Therapy (ACT), Cognitive Behavioural Therapy (CBT), and the Dichotomy of Control are all types of therapies that can be effective for treating anxiety. However, the best therapy for an anxious patient in terms of value may vary depending on the individual's preferences, needs, and circumstances.


Acceptance and Commitment Therapy (ACT) is a type of therapy that focuses on accepting difficult thoughts and feelings, and committing to actions that align with one's values. It helps individuals develop psychological flexibility and mindfulness skills to better cope with anxiety and emotional distress. ACT may be particularly beneficial for those who struggle with accepting and managing the uncertainties and discomforts that often come with anxiety.

Cognitive Behavioural Therapy (CBT) is a widely used therapy that aims to help individuals identify and change negative thought patterns and behaviours that contribute to anxiety. It focuses on challenging and replacing irrational thoughts with more realistic and positive ones, as well as implementing behavioural strategies to reduce anxiety symptoms. CBT may be suitable for individuals who prefer a more structured and goal-oriented approach to therapy.

The Dichotomy of Control is a concept derived from Stoic philosophy, which suggests that individuals should focus their attention and efforts on things they have control over and accept things they cannot control. 

This approach encourages individuals to evaluate their thoughts and emotions related to anxiety and make a conscious choice to let go of concerns that are beyond their control. The Dichotomy of Control may be appealing to individuals who resonate with philosophical and mindfulness-based approaches.

Ultimately, the best therapy for an anxious patient in terms of value depends on several factors such as personal preferences, therapeutic goals, the severity of anxiety symptoms, and the expertise of the therapist. It is recommended to consult with a mental health professional who can assess individual needs and provide personalized recommendations.