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Background and Objective: Adolescence is a critical period for shaping personality, career interests, and decision-making. This study aimed to compare the effectiveness of acceptance and commitment therapy (ACT) and reality therapy (RT) in improving anxiety and career path decision-making self-efficacy (CDSE) in female adolescents in Yazd City.
Materials & Methods: This quasi-experimental study, conducted in Yazd, Iran, during 2022-2023, utilized a pre-post-test design with a control group. Forty-five female high school students were divided into three groups: ACT, RT, and control (15 per group). Participants completed the Beck anxiety inventory (BAI) and the CDSE scale before and after the interventions. The ACT and RT groups received 90-minute weekly sessions for two months, while the control group received no intervention. Data were analyzed by SPSS software, version 23 using multivariate and univariate covariance analyses. 
Results: The control group had significantly higher anxiety scores than both the ACT (mean difference=-11.089, P=0.005) and RT (mean difference=-9.806, P=0.008) groups, with no significant difference between ACT and RT (P=1.000). Only the RT group showed a significant improvement in CDSE compared to the control group (mean difference=5.990, P=0.010). Multivariate analyses confirmed the overall effectiveness of the interventions, with treatment explaining 27% of the variance in anxiety and 44% in CDSE. 
Conclusion: Both ACT and RT reduced anxiety in female adolescents; however, only RT significantly improved CDSE. These findings suggest using ACT for anxiety management and RT for CDSE. Future research should explore long-term effects and potential combined therapeutic approaches. 
 

Keywords: Acceptance and commitment therapy (ACT), Anxiety, Career path decision-making self-efficacy (CDSE), Reality therapy (RT)

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