Casting a Wider Net: Using Focused Acceptance & Commitment Therapy in Primary Care

Frontline practitioners are called upon to provide psychosocial counseling in conjunction with traditional medical care, often without adequate training, experience, or resources. Healthcare systems are addressing this call to action by casting a wider net and aiming to optimize care. Focused acceptance and commitment therapy (FACT) may be the alternative tool to treat chronic pain. Research has shown that integrating behavioral health interventions into primary care leads to better patient outcomes by reducing provider burden, lowering healthcare costs, and mitigating stigma associated with mental health services. FACT is an abridged version of ACT, acceptance and commitment therapy, which uses experiential exercises, mindfulness practice, and values clarification to promote psychological flexibility and overall health. FACT distills the core methods of ACT into a protocol that is delivered in 4 sessions: Finding Leverage, Promoting Awareness, Promoting Openness, and Promoting Engagement. FACT shows promise for treating the biopsychosocial symptoms of chronic pain in an overburdened healthcare system.

Learning Objectives

  • Differentiate how brief interventions offer an opportunity to offer greater accessibility to services while optimizing the use of their time. 
  • Describe Focused Acceptance & Commitment Therapy (FACT) and how it is different from traditional ACT protocol.
  • List the core principles to help patients develop psychological flexibility using FACT.
  • Cite research support for FACT in chronic pain.

Additional Information

Tarsus Medical Education
State Relevance: 
Georgia Requirement
Kansas Requirement
Michigan Requirement
Nevada Requirement
Oklahoma Requirement
Texas Requirement
Vermont Requirement
Washington Requirement
Course summary
Available credit: 
  • 1.00 AANP Contact Hours
  • 1.00 ACPE Pharmacy
  • 1.00 AMA PRA Category 1 Credit
  • 1.00 ANCC
  • 1.00 APA
Course opens: 
Course expires: 

David Cosio, PhD, ABPP


Jesse Brown VA Medical Center

Chicago, IL

Available Credit

  • 1.00 AANP Contact Hours
  • 1.00 ACPE Pharmacy
  • 1.00 AMA PRA Category 1 Credit
  • 1.00 ANCC
  • 1.00 APA
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Pain Management