CBT vs ACT: What’s the Difference? There’s a moment in therapy where someone says: “I know this thought isn’t true. I’ve journaled it. I’ve reframed it. I’ve done the work. But I still feel  like shit.” That’s where the difference between CBT  and ACT  begins to matter. You see, Cognitive Behavioral Therapy (CBT)  and Acceptance and Commitment Therapy (ACT)  both aim to help people feel better. But they approach the mind in two very different ways ,one by challenging your tho