Vitality vs. Suffering ACT Worksheet

Help your patient identify and determine if their responses towards negative emotions/thoughts are beneficial or harmful for their well-being with a Vitality vs. Suffering ACT Worksheet.

By Patricia Buenaventura on Aug 2, 2025.

Fact Checked by Ericka Pingol.

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What is Acceptance and Commitment Therapy?

Acceptance and Commitment Therapy, or , is a type of psychotherapy developed in the 1980s by psychologist Steven Hayes. Compared to other types of therapy, it’s more action-oriented and has roots in traditional behavior therapy and cognitive-behavioral therapy. ACT is meant to teach the client to accept instead of deny, avoid, or struggle with their feelings, which are normal and appropriate responses to any situation, experience, thought, etc. Aside from acceptance, ACT is also meant to provide them with the information and tools they need to care for their well-being.

ACT nowadays is used to treat mental and physical conditions such as chronic pain/stress, substance use/eating disorders, psychosis, OCD, depression, and anxiety.

Aside from the approach mentioned above, what makes ACT different from other types of therapy is the goal to have the client develop the following core processes:

Acceptance: The client must learn to allow and accept any negative thoughts/feelings to happen without denying or changing them.
Cognitive Defusion: The client must learn to use the techniques of changing how they react to their thoughts/feelings from negative and harmful to more positive and beneficial to their wellbeing.
Being Present/Mindfulness: The client must learn to be present and observe any events/thoughts without judging or wanting to change them.
Self as Context: The client must understand and accept that they are not defined by what happens to them, and they are not their thoughts, experiences, and emotions.
Values: The client must be able to determine the values they strive to live for.
Committed Action: The client must be able to take the steps needed to change their life for the better using the tools provided by the practitioner to change amidst difficult situations, experiences, and thoughts.

Accepting and Commitment Therapy or ACT sessions and exercises are usually conducted by mental health professionals with ACT training, like licensed and experienced therapists, psychiatrists, psychologists, social workers, and counselors.

Vitality vs. Suffering ACT Worksheet Template

Vitality vs. Suffering ACT Worksheet PDF Template

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How to use the Vitality vs. Suffering ACT Worksheet:

Access and Download the Template

Access and download a digital and printable version of the Vitality vs. Suffering ACT Worksheet by doing either of the following:

Clicking the “Use the Template or “Download Template” button
Searching “Vitality vs. Suffering ACT Worksheet” in the search bar on Carepatron’s template library in the website or app

Explain the Template

Even if the template has straightforward and simple instructions, it’s best to go over the different sections with your client so they can better understand how to fill out the worksheet. Feel free to use the sample template here as a guide when explaining.

It’s also helpful to set a date for the next session since the exercise is meant to be done between the current and next session.

Fill the Template

You may provide them with a copy when they’ve understood how to fill it out. You may remind them that there are no rules, and they may write down their answers even if it’s not in sentence or paragraph form. Furthermore, you may also remind them that they may contact you if they have any further clarifications.

Securely Store

When they come back, and you’re finished discussing their answers on the worksheet, it’s best to securely store their worksheet at a secure physical location or right on Carepatron, a HIPAA-compliant EHR.

When would you use this Vitality vs. Suffering ACT Worksheet?

Practitioners, specifically licensed and experienced mental health professionals with additional training in ACT, like therapists, social workers, psychiatrists, psychologists, and counselors, can use this Vitality vs. Suffering when they have clients who:

Are going through a tough time
Have gone through challenging times but are still experiencing the repercussions of that experience
Have shared experiences, and you’ve noticed that their reactions mainly harm their mental, physical, or emotional well-being
Have recurring negative thoughts, emotions, sensations, or memories and usually avoid, deny, continue to struggle, or have difficulty moving on

Ultimately, however, we’ll leave it up to the referring physician’s expertise to decide exactly when they’ll ask the client to complete the worksheet, given that they know the client best and can better determine if the exercise will be effective if the client needs this particular exercise, or if they are capable of completing the worksheet.

What are the benefits of using this Vitality vs. Suffering ACT Worksheet?

Establish Baselines for Comparison Later On

The worksheet can be used as a baseline to compare how they react to disturbing thoughts/emotions/memories/sensations before and after a treatment plan. This is helpful for practitioners because, through this document, they’ll better know if their treatment is effective and the pace at which their client is honing a particular ACT skill.

Provides Insight

If the worksheet is one of the first documents the practitioner asks the client to answer, it may provide insight into who the client is, their thought patterns, their environment, etc. All of these are important to forge a bond with the client and develop a treatment plan to help the client.

Improved Self-Awareness

Since the worksheet will be answered by the client, preferably independently, because of the nature of the questions and content, it will improve the client’s self-awareness. Through the worksheet, they’ll know the type of reactions they usually have with painful emotions/thoughts/sensations/memories, learn how to accept and even, possibly, actively choose to react in a way that’s not harmful to their well-being eventually.

Entirely Digital and Accessible

Our Vitality vs. Suffering ACT Worksheet isn’t only free to download by the referring physician. Still, it can also be completed on any local PDF editor on any device they have on hand. To add, if the physician decides to store it on Carepatron, they and the client can easily access it wherever they have Carepatron installed.

Commonly asked questions

Since this worksheet will be completed during specific periods of time, it can be hard to say when it will be accomplished. However, it’s safe to say that the client may take at least an hour to answer after having a painful/disturbing experience that day.

It can help them be more self-aware and accepting of the different types of reactions they may have to negative experiences, feelings, etc.

Practitioners who have training in ACT, like therapists, psychologists, counselors, and psychologists, can use and provide a copy of the Vitality vs. Suffering Worksheet to clients they feel need assistance dealing with painful and disturbing emotions, thoughts, etc.