Leaves on a Stream: Art in Mindfulness
- Sonya Haryett
- Apr 23, 2023
- 1 min read

Leaves on a stream is a technique used in acceptance and commitment therapy (ACT) to cope with uncomfortable thoughts and feelings. This technique uses a concept called cognitive defusion, which works by creating distance from thoughts and feelings as a way to reduce the power they have over us.
Cognitive defusion teaches us to take a step back and observe our thoughts and feelings from afar. By doing this, we can see how they are affecting us. We learn to recognize: “I am having this thought, but it isn’t necessarily true.”
During leaves on a stream, you will practice cognitive defusion by clearing your mind and visualizing a stream. Whenever a thought enters your mind, you will briefly observe it, place it upon a leaf, and watch as it floats down the stream.
The Leaves on a Stream worksheet explains how to use this technique with simple instructions and tips. The text briefly introduces the rationale behind the skill, then provides practical instructions for getting started.
From: www.therapistaid.com
References
1. Harris, R. (2019). ACT made simple: An easy-to-read primer on acceptance and commitment therapy. New Harbinger Publications.
2. Hayes, S. C., Levin, M. E., Plumb-Vilardaga, J., Villatte, J. L., & Pistorello, J. (2013). Acceptance and commitment therapy and contextual behavioral science: Examining the progress of a distinctive model of behavioral and cognitive therapy. Behavior therapy, 44(2), 180-198.
3. Schreiner, I., & Malcolm, J. P. (2008). The benefits of mindfulness meditation: Changes in emotional states of depression, anxiety, and stress. Behaviour Change, 25(3), 156-168.





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