ACT at the End is based on the principles of Acceptance and Commitment Therapy (ACT), and while it has a grounding in research, it is also a hands-on clinical guide for those working with people at a tricky and complex time of life. This treatment manual is arranged to support clinicians in stepping through common concerns and addressing the ways that people at this stage of life may require psychological support as well as strategies for supporting clinicians working in this space. The guide provides a formulated ACT approach to address each element of the Hexaflex, as well as work around self-compassion and using ACT approaches to support difficult decision making. This book provides examples that clinicians will be able to apply to their own practices and tools that they can use to troubleshoot clinical concerns. It’s a helpful companion to clinicians navigating challenging terrain—much in the way that someone might turn to a colleague for advice, it is open and accessible, while still recognizing the ways in which that the work is hard.