Acceptance and commitment therapy (ACT) is a psychotherapy based on the philosophy of functional contextualism and behavior analysis. Its aim is to help individuals choose actions aligned with their personal values while accepting distressing and unwanted internal experiences. In consultation-liaison psychiatry (CLP), addressing patients with various psychiatric and physical problems requires collaboration with physicians from other specialties and multidisciplinary teams. With its transdiagnostic characteristics, ACT is effective not only in treating mental disorders but also in managing physical illnesses and intervening in health-compromising behaviors. It is therefore applicable to the diverse conditions encountered in CLP. Furthermore, the functional contextualism underlying ACT facilitates understanding the treatment environment and clarifying shared goals among medical staff, thereby supporting effective interventions by multidisciplinary teams. Although CLP interventions are often constrained by limited time and session frequency, focusing ACT on specific issues enables its practical application within these constraints.

Burnout is not only a health issue; it is also associated with a decline in the quality of care, absenteeism, and turnover, and has a significant negative impact on the productivity of hospital management. The onset of burnout typically occurs during the clinical years of medical school, underscoring the importance of early intervention. This paper expounds on the rationale behind the efficacy of acceptance and commitment training (ACT) in addressing burnout among medical students, while concurrently providing a overview of the research endeavors undertaken. Additionally, it explores the potential for the implementation of such programs in other domains of medical education.

Acceptance and commitment therapy (ACT) does not set symptom reduction as a treatment goal but rather encourages the activation of behaviors that move toward the individual’s values. Therefore, it is a method that fits the target of chronic illness and reality anxiety, which are difficult to deal with using only the medical model that aims to identify the cause of symptoms and alleviate them. However, the concept of ACT may not fit well with the concept of patients who come to the hospital for symptom relief or with the concept of medical professionals who work under the medical model. Therefore, it is necessary to integrate the idea of ACT with the medical model when utilizing ACT in the medical field. In this paper, while introducing examples of ACT for chronic pain patients, we will discuss how to encourage patients to ACT with pain toward values, that is, to find effective ways to interact with pain and to accumulate action toward values while bringing pain with them, and how to achieve the integration mentioned above.

This paper reviews the use of acceptance and commitment therapy (ACT) for lifestyle support in patients with type 2 diabetes mellitus. The key strategy of ACT is to increase patients’ valued behaviors that lead to an improved quality of life. To promote their self-care behaviors ACT cultivates “psychological flexibility (PF),” which is the ability to behave flexibly while accepting unwanted experiences. Recent studies have demonstrated the effectiveness of ACT in improving various psycho-behavioral problems in patients with diabetes. The possible PF patterns of patients and intervention directions are illustrated in the latter part of this paper. In addition, the applicability and implications of ACT, not only for patients but also for healthcare providers and support teams, are described.

The role of Certified Nurses in Dementia Nursing within memory outpatient clinics requires expertise in dementia care and a diverse skill set. The needs of patients and their families vary, with complex issues arising in their care and daily life. As many patients visit memory clinics, prompt decision-making regarding medical and therapeutic matters within limited timeframes is essential. Certified Nurses in Dementia Nursing are important for collaborating with patients and their families, including support beyond hospital settings in the community and ensuring patients stay informed about their situation. Moreover, these certified nurses should be prepared to take necessary actions, even outside regular consultation hours, including establishing an in-hospital support system.

In case of the lack of access to family registers and resident registers, it is difficult to prove the identity of the person or to confirm the relationship of family members, making it difficult to obtain insurance cards and other social administrative services for the stateless. In psychiatric treatment, the existence of a consenting party for Hospitalization for Medical Care and Protection is not legally recognized, so when hospitalization is necessary, it is necessary to consider Hospitalization for Medical Care and Protection based on the consent of the mayor of the municipality or another form of hospitalization. In this report, we describe a rare case in which a patient was transferred from an emergency room to a psychiatric ward due to a suicide attempt, and was not covered by social insurance or other social security.