Fear has a focus and on the trolley to the operating theatre it can manifest as high anxiety.  This exact situation unfolded while accompanying a teenager with a history of procedural anxiety, delayed and cancelled procedures to theatre.  Having just learned the guided imagery technique this seemed like a good opportunity to put the skills to practice.  “Despite my own inner terror that I was actually having to do this for real, it was utterly incredible to watch it working”.  On departing the anaesthetic room, both Dad and the technician expressed,”He's never done that so well" and that they had been surprised the technique had been so effective.In drawing upon techniques from Acceptance and Commitment Therapy, this presentation will address the question for attendees: “Can I actually do this?” It is one thing to learn a new technique it is another to put it to practice.  Hesitation, self-doubt, anxiety, fear of failure and so on are common stumbling blocks in effecting change in practice.  However, in an acceptance framework one can re-align with values and ‘make room’ for the negative thoughts and move in a direction that is meaningful and ultimately rewarding.