ACT Case Formulation Worksheet

Free Acceptance and Commitment Therapy tool by Dr Russ Harris

This updated ACT Case Formulation Worksheet (June 2024) is a practical framework for understanding clients in the six core processes of Acceptance and Commitment Therapy. Developed by Russ Harris, it helps clinicians identify unworkable patterns, values, skills deficits, and external barriers, supporting tailored, values-based interventions and effective treatment planning.

Use this free worksheet to:

  • Organize client information using the ACT model

  • Identify fusion, avoidance, and values disconnection

  • Develop targeted, process-based treatment plans

A line drawing of some paper held together by a paperclip on a green background
Clinical tool

ACT Case Formulation Worksheet

by Russ Harris