Positives

• One patient with Long COVID experiencing depersonalization found that using acceptance and commitment techniques helped them manage symptoms by accepting the “unreal feeling” as a temporary response and shifting focus to productive activities Reddit.
  
  

Negatives

• Patients in ACT-based rehabilitation for chronic pain and fatigue often feel uncomfortable sharing practices and report the ACT programme brought few benefits for them — outcomes are not equal across participants PMC.
• Long COVID patients describing their views on psychological interventions report a tension between professional experts and lived experience — many feel disbelieved when offered ACT or CBT and reject reframing-only approaches that don’t address core fatigue and PEM Journals.

Hurdles & Side Effects

• One individual noted that ACT can become “harmful” when applied as if the core issue is psychological rather than physiological, highlighting the importance of proper application in chronic illness contexts Reddit.