Table 1. ACT intervention: contents per session.

First session	Introducing the members to the therapist and each other, describing group rules, familiarizing with and describing the treatment approach in general.
	Homework: Listing 5 examples of the most important problems that patients are faced with in their lives.
Second session	Assessment of prior session assignment, assessment of patients’ problems from ACT perspective, extraction of avoidance experience, mixing and individual values.
	Homework: Providing a list of the advantages and disadvantages and approaches to problem control.
Third session	Assessment of prior session assignment, highlighting the inefficiency of controlling negative events using metaphors and training the tendency toward negative emotions and experiences.
	Homework: Registering situations in which the patients could eliminate ineffective control approaches.
Fourth session	Assessment of prior session assignment, training distinction between evaluations and personal experiences (bad cup metaphor) and adopting a position of observing the thoughts without judgment.
	Homework: Registering situations in which the patients could observe but did not evaluate experiences and emotions.
Fifth session	Assessment of prior session assignment, communicating with the present moment and considering it as the context (chessboard metaphor) and teaching mindfulness exercises.
	Homework: Registering situations in which the patients were able to observe thoughts using mindfulness techniques.
Sixth session	Assessment of prior session assignment, identifying patients’ life values and evaluating values based on their importance.
	Homework: Providing a list of obstacles to the realization of values.
Seventh session	Assessment of prior session assignment, presenting practical solutions to eliminate the obstacles while applying metaphors and planning for commitment to pursue values.
	Homework: Preparing a report on the steps to pursue values and contemplating the outcomes of the sessions.
Eighth session	Summing up the concepts discussed during sessions, asking members to explain their achievements to the group and talking about their plans for their lives.

ACT = acceptance and commitment therapy.