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    Committed Action Worksheet

    Uploaded by

    fg55930
    The document outlines a committed action form for pursuing a valued action. It includes spaces to identify the valued action, what the individual has been doing that is inconsistent with that value, and the costs of those inconsistent actions. The individual commits to specific actions in certain circumstances and identifies what sensations, thoughts, feelings, and urges they are willing to make room for in order to perform their valued action.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Committed Action Worksheet

    Uploaded by

    fg55930
    223 views4 pages
    The document outlines a committed action form for pursuing a valued action. It includes spaces to identify the valued action, what the individual has been doing that is inconsistent with that value, and the costs of those inconsistent actions. The individual commits to specific actions in certain circumstances and identifies what sensations, thoughts, feelings, and urges they are willing to make room for in order to perform their valued action.

    Original Title

    Committed+Action+Worksheet

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    © © All Rights Reserved

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    The document outlines a committed action form for pursuing a valued action. It includes spaces to identify the valued action, what the individual has been doing that is inconsistent with that value, and the costs of those inconsistent actions. The individual commits to specific actions in certain circumstances and identifies what sensations, thoughts, feelings, and urges they are willing to make room for in order to perform their valued action.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    223 views4 pages

    Committed Action Worksheet

    Uploaded by

    fg55930
    The document outlines a committed action form for pursuing a valued action. It includes spaces to identify the valued action, what the individual has been doing that is inconsistent with that value, and the costs of those inconsistent actions. The individual commits to specific actions in certain circumstances and identifies what sensations, thoughts, feelings, and urges they are willing to make room for in order to perform their valued action.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4
    At a glance
    Powered by AI
    The passages discuss tools for committing to valued actions and overcoming avoidance behaviors. The committed action form helps the reader identify values, inconsistent behaviors, and specific actions to align with their values. The 100th birthday exercise encourages envisioning a life fully lived according to one's values.

    The committed action form is a tool to help the reader identify a value they wish to pursue, behaviors that are inconsistent with that value, and specific committed actions they can take when faced with urges to engage in inconsistent behaviors. Completing the form may help the reader strengthen their commitment to living a life aligned with their values.

    The 100th birthday exercise asks the reader to imagine a speech given at their 100th birthday party describing the life they led according to their deeply held values. It encourages setting aside present difficulties and envisioning an ideal future self who fully lived out their values.

    Committed Action Form

    Day:__/__/__
    The value I want to pursue is:
    ______________________________________________________
    What I have been doing that is inconsistent with my value is:
    ________________________________________________________
    ____________________________________________________
    This has cost me (e.g. relationships, health, time, money, distress):
    ________________________________________________________
    ____________________________________________________
    The goal I want to achieve is:
    ________________________________________________________
    ____________________________________________________
    I commit to take the following actions in the following circumstances:
    ________________________________________________________
    ________________________________________________________
    ________________________________________________________
    ________________________________________________________
    ______________________________________________
    In order to perform my valued action I am willing to make room for
    the following sensations in my body:
    ________________________________________________________
    ____________________________________________________
    In order to perform my valued action I am willing to make room for
    the following thoughts or images:
    ________________________________________________________
    ____________________________________________________
    In order to perform my valued action I am willing to make room for
    the following feelings or emotions:
    ________________________________________________________
    ____________________________________________________

    In order to perform my valued action I am willing to make room for


    the following urges:
    ________________________________________________________
    ____________________________________________________

    What have I been doing so far?

    Take a few minutes to think about what you have been doing so far to cope with the
    experiences that come along with IBS (symptoms, thoughts or feelings). Are there
    particular actions you are taking to try to keep these IBS experiences away (e.g.
    medication, exercises)? Are there situations in your life that you avoid in order to keep
    IBS associated symptoms, thoughts or feelings away?

    What have I been doing? I do this so I don’t come in to contact


    with… (IBS symptoms, thoughts,
    feelings)
    100th Birthday Exercise

    What would the speaker in your 100th birthday party say about the life you led?

    Remember you have lived a full life, so this person is describing the “you” that lived

    according to your values, not the “you” that is currently in a difficult situation. Try not to

    let the reality of now interfere with the description of this ideal future you. Imagine that

    the speech this person is making is exactly what you would want to hear about the life

    you led. What would you really like to hear?

    ______________________________________________________
    ________________________________________________________
    ________________________________________________________
    __________________________________________________
    ______________________________________________________
    ________________________________________________________
    ________________________________________________________
    __________________________________________________
    ______________________________________________________
    ________________________________________________________
    ________________________________________________________
    __________________________________________________
    ______________________________________________________
    ________________________________________________________
    ________________________________________________________
    __________________________________________________
    ______________________________________________________
    ________________________________________________________
    ________________________________________________________
    __________________________________________________
    ______________________________________________________

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