Acceptance and Commitment Therapy (ACT) in Las Vegas, NV with Dr. Quinnett Swank, EdD, LMFT
ACT is a therapy approach that changes how you respond to difficult thoughts, feelings, and uncertainty, so you can move toward a life aligned with your values instead of waiting for discomfort to disappear first. It's the foundation of my work with anxiety, relationships, burnout, and life transitions, in person in Northwest Las Vegas and online anywhere in Nevada.
When ACT May Be Useful
What does ACT help with?
ACT is useful when you're spending a lot of energy trying to manage, avoid, or fight what you feel. It's practical support for being human.
Anxiety and overthinking
Notice unhelpful mental loops and practice responding without getting pulled into every thought.
Anxiety Therapy →Self-criticism and perfectionism
Create room around rigid rules and expectations that keep you stuck.
Avoidance and uncertainty
Take small, meaningful steps even when discomfort or doubt is present.
Life transitions and identity
Reconnect with personal values when familiar roles or routines change.
Life Transitions →Relationship patterns
Notice your reactions and practice responding like the partner or person you want to be.
Couples Therapy →Burnout and over-functioning
Check whether current habits and commitments match your values and your actual capacity.
My Approach
How does ACT work?
ACT builds psychological flexibility: the skill of noticing the present moment, making room for difficult internal experiences, and stepping back from thoughts that feel rigid or controlling. Together we identify values that matter to you, not as a checklist of achievements, but as directions for how you want to live and relate to others.
Then we translate those directions into realistic actions, recognizing that anxiety, uncertainty, and other uncomfortable feelings don't have to disappear first. ACT is not positive thinking or forcing yourself to feel better. It's responding more flexibly to real life, and I pair it with trauma-informed and attachment-informed care when that fits your goals.
Notice what is happening
Build awareness of thoughts, feelings, sensations, and automatic responses as they show up.
Create space and clarify values
Practice unhooking from difficult thoughts and identify the directions that matter to you.
Take meaningful steps
Choose small, sustainable actions that reflect those values, with discomfort along for the ride.
ACT-Informed Individual Therapy
Who is ACT for?
Adults in Las Vegas and across Nevada navigating anxiety, relationship concerns, burnout, identity changes, and life transitions. ACT is one of several approaches I tailor to your goals; you don't need any meditation or mindfulness experience to start. Skills we practice include:
- Psychological flexibility
- Mindfulness and present-moment attention
- Values clarification
- Stepping back from difficult thoughts (defusion)
- Making room for uncomfortable feelings
- Meaningful, manageable action
Sessions and Fees
How much does ACT therapy cost?
Individual Therapy
$200
Per 50-minute session, in person or online
ACT is an approach, not a separate service, so it's included in every individual session. Private pay means no insurer decides how long you stay or what you work on. ACT principles also shape couples therapy, which is $250 per 50-minute session.
Private pay
Swank Counseling does not bill insurance directly, so no insurer sets your length of care or what you work on. A Good Faith Estimate is available under the No Surprises Act.
How often we meet
Most clients meet every other week or monthly. We set the cadence together and adjust as you go.
Cancellations
Please give at least 24 hours' notice. Late cancellations and missed appointments may be charged the scheduled session fee.
Where We Meet
Where do you offer ACT?
In person at the Northwest Las Vegas office on Azure Drive, convenient to Summerlin, Centennial Hills, Skye Canyon, and Aliante. Secure video sessions for adults physically located in Nevada at the time of the appointment.
Swank Counseling7495 West Azure Drive, Suite 204
Las Vegas, NV 89130
Swank Counseling
7495 West Azure Drive, Suite 204
Las Vegas, NV 89130
Office visits are by appointment. Online sessions are available throughout Nevada.
Common Questions
Frequently Asked Questions About Acceptance and Commitment Therapy
What does ACT stand for?
ACT stands for Acceptance and Commitment Therapy, pronounced as the word "act." It is an evidence-based approach that focuses on psychological flexibility, values, and meaningful action rather than eliminating difficult thoughts.
Is ACT about accepting harmful situations?
No. Acceptance in ACT means making room for internal experiences like anxiety, doubt, or grief so they don't run your choices. It never means accepting unsafe or harmful circumstances.
Does ACT help with anxiety?
Yes. ACT is widely used when anxiety, rumination, avoidance, or worry makes it hard to live in line with your values. The goal is to change your relationship with anxious thoughts, not to argue with each one.
How is ACT different from CBT?
Cognitive Behavioral Therapy (CBT) often works on changing the content of unhelpful thoughts. ACT focuses on changing your relationship to thoughts, noticing them without obeying or fighting them, and acting on your values anyway. Many people find ACT a relief after years of trying to think their way out of anxiety.
Do I need meditation experience to use ACT?
No. ACT skills are practiced in brief, everyday ways, such as noticing a thought as a thought or making one small values-based choice. No formal meditation is required.
Where do you offer ACT-informed therapy, and what does it cost?
In person at 7495 West Azure Drive, Suite 204, in Northwest Las Vegas, and online for adults physically located in Nevada. Individual sessions are $200 for 50 minutes, private pay. A Good Faith Estimate is available under the No Surprises Act.
You can start with what matters to you.
A free 15‑minute call to talk about ACT and whether this approach fits your goals.