Committed Action Plan
An ACT committed action worksheet linking a value to actions across three timeframes, with a barrier-response plan, willingness rating and recommitment statement.
1-page fillable PDF · US Letter (prints on A4) · Committed action
- Approach / concern
- ACT
- Technique
- Committed action
- Format
- Fillable PDF, 1 page (US Letter / A4)
- Access
- Pro and Advanced plans (3-day free trial)
- For
- Licensed clinicians to use with clients
- Updated
- October 2026
Key facts
What is the Committed Action Plan?
Committed action is the ACT process of taking effective, values-guided action, including when it brings discomfort. It involves setting goals in the service of values, acting on them and recommitting after slips.
Why it works
Committed action translates values work into behaviour change. ACT protocols combine values clarification with concrete action planning and skills for handling barriers (Harris, 2019; Hayes et al., 2012).
When to use it
- After values clarification
- Stuck clients who know what matters but don’t act
- Health behaviour change
- Career and relationship goals
How to use it in session
- Start with a chosen value.
- Plan actions at three timeframes.
- Anticipate internal and external barriers.
- Link each barrier to an ACT skill or problem-solving.
- Rate willingness and plan for recommitment.
Clinician tips
- Make the first step small enough to succeed.
- Normalize slips; recommitment is the skill.
- Review actions in each session.
Worked example
Sharing with clients
Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.
Frequently asked questions
How is committed action different from goal setting?
It’s goal setting guided by values, with explicit skills for handling the discomfort and barriers that arise.
What if I don’t follow through?
In ACT, slips are expected. Notice what got in the way, then recommit.
References
Harris, R. (2019). ACT made simple (2nd ed.). New Harbinger.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change (2nd ed.). Guilford Press.
This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.
