Person in forest with arms open and backpack — DBT skills series

DBT Skills Series 19: Radical Acceptance

When You Want Something to Be Different:
How Radical Acceptance Can Help

An empty park bench in the rain, surrounded by soft greenery

You planned to spend Saturday outside, and it rains. You text someone you care about, and hours later there is still no response. Or maybe your body can’t do something that used to come easily.

When reality isn’t what we want it to be, our minds often respond:

This shouldn’t be happening.
They should have answered me by now.
I should still be able to do this.

We may question why something is happening, think about how unfair it is, or replay what someone should or shouldn’t have done.

This is where Radical Acceptance can help.

What Is Radical Acceptance?

In my blog on Reality Acceptance, I explored how fighting what has already happened or what is happening now can add suffering to the pain we are already experiencing. Radical Acceptance is one of the DBT skills that helps us step out of that struggle and meet life as it is in this moment.

Radical Acceptance begins with acknowledging the reality that is already here, even when we want it to be different.

Imagine you sent an email and immediately wanted to take it back. Your mind keeps returning to what you should have said differently, why you didn’t wait, or what you should have known before you hit send.

It makes sense that our minds go back over something we regret, trying to understand it or wishing it were different. And no matter how many times we replay the moment, we cannot make the already-sent email unsent.

In DBT, radical means complete, or all the way. Radical Acceptance is working toward accepting the situation as it is with our mind, body, and emotions.

That might sound like:

“I did it, and I don’t like that I did it.”

THAT is Radical Acceptance.

Not “I did it, and it’s okay.”
Not “I shouldn’t feel guilty.”
Not “Everybody makes mistakes, so let it go.”

We can regret something we did and still acknowledge, This is where things are right now.

When we keep fighting a reality that has already happened, we can get stuck in nonacceptance, adding suffering to the pain we are already experiencing. The shoulds, shouldn’ts, whys, and not fairs can keep us reaching toward the reality we want instead of the one we are living.

Radical Acceptance gives us a place to begin. For the email, that might mean asking, What is needed now? Maybe there is an apology or repair to make, something to learn, or some compassion we need to offer ourselves.

We cannot change that the email was sent. And when we stop requiring that moment to be different, we have more freedom to decide what we want to do from here.

What Really Matters Here?

Sometimes the struggle is over something quite ordinary.

You open the dishwasher and immediately think, Why do they load it like this? How many times have I shown them? Why can’t they just do it the right way?

The irritation is real. And the dishwasher can quickly join a growing collection of all the things the other person does “wrong,” building resentment and disconnection.

Radical Acceptance might sound like: This is how they load the dishwasher. I don’t like how they do it, and this is how they do it.

Then, Effectively, one of the DBT Mindfulness skills can help us ask: What is my goal here?

If my goal is clean dishes and the dishes are getting clean, does it matter how they were loaded? Maybe it does. Maybe it doesn’t. If the dishes aren’t getting clean, there may be a problem worth addressing.

Radical Acceptance gives us enough space to ask what actually matters. Sometimes that means addressing a problem. And sometimes it means letting a difference be a difference, leaving more room for connection and less for resentment.

When We Keep Wanting Someone to Change What They Do

It can be much harder when what we want to be different involves someone we care about.

Maybe someone repeatedly cancels plans at the last minute. You have told them how much this affects you, and it keeps happening. Each time, you feel hurt and angry. They shouldn’t keep doing this. If I mattered to them, they would stop.

Accepting this can feel like giving in. If I accept how they are treating me, doesn’t that mean I’m saying it’s okay?

We can acknowledge, This person continues to cancel plans with me, and I don’t like how this affects me. The disappointment, hurt, or anger can still be there.

What can add to our suffering is continuing to hope that next time they won’t cancel, only to be disappointed again when they do. Radical Acceptance means beginning with the person as they are: This is something this person does.

From there, we have choices about how we participate in the relationship. We might make a backup plan for ourselves, stop making plans that depend on them following through, change how much we rely on or invest in the relationship, or decide the relationship no longer works for us.

We can value reliability and acknowledge that this particular person may not be someone we can rely on in that way. When we stop putting so much energy into trying to make another person change, we have more freedom to decide how we want to have that person in our life, if at all.

When We Cannot Change What Has Happened

Imagine losing a job you had been committed to for years. Maybe you didn’t see it coming. You feel blindsided, angry, and scared.

This isn’t fair. After everything I’ve done for them, how could they do this? I shouldn’t have lost my job.

And then come the fears: What am I going to do? How am I going to pay my bills? What if I can’t find another job?

The financial concerns may be very real. Notice where your mind keeps taking you. Maybe you replay the meeting, think about everything they should have done differently, or go over what you wish you had said. That kind of replaying is part of how the mind works to understand what happened. And each time it returns to “This shouldn’t have happened,” you may find yourself back in the struggle with what cannot be undone.

Radical Acceptance brings us back to what is here: the job has ended. You can still feel angry, hurt, disappointed, or scared while acknowledging that this is where things are now.

Acceptance might begin with, They let me go. I don’t like that this happened. And right now, I don’t have this job.

Pause for a moment. What do you notice in your body? Maybe there is tightness, heaviness, anger, sadness, or an urge to return to But they shouldn’t have done this.

As we begin to acknowledge what has happened with our mind, body, and emotions, the question can shift from How could they do this to me? toward What needs my attention now?

The fear about paying the bills may still be there. And now it is a problem we can begin responding to: financial decisions, looking for work, reaching out for support, or taking action around how the job ended.

We can disagree with how something was handled and still acknowledge the outcome. Radical Acceptance leaves more of ourselves available to respond to what comes next.

Turning the Mind

A forest path splitting into two directions, dappled with soft sunlight

You may genuinely accept something and find yourself fighting it again a few minutes, hours, or days later. This doesn’t mean you didn’t accept it before. Turning the Mind is the DBT skill that helps us find our way back.

Imagine coming to a fork in the road. One direction takes us toward nonacceptance: This shouldn’t be happening. It’s not fair. Why did this happen? The other moves us toward acceptance: I don’t like this. And this is where things are right now.

We may naturally head down the nonacceptance road first. Thoughts and emotions love each other. A thought can intensify an emotion, which can bring more thoughts and strengthen the emotion again. Before we know it, we may be several miles down that road.

Turning the Mind means noticing where we are and gently turning ourselves back toward the acceptance road.

We may need to turn our mind over and over and over again, sometimes within seconds. Each turn is part of practicing acceptance. Over time, the path toward acceptance can become more familiar and easier to find.

Practicing Radical Acceptance in Daily Life

Everyday moments can be a good place to begin practicing Radical Acceptance. Notice when “should,” “shouldn’t,” “why,” or “not fair” shows up.

Pause and get curious about what you are having trouble accepting. What is happening in your thoughts, emotions, and body? See if you can acknowledge the situation as it is while making room for how you feel about it.

Notice what happens next. Nothing may change right away. You may feel a little less stuck, or your mind may head right back toward nonacceptance.

If it does, you have reached that fork in the road again. Turn your mind toward acceptance, and begin again.

The pain may still be there. And with practice, there can be less suffering from fighting what is already here, more peace with what is, and more freedom to choose what comes next.

A dirt forest path lit by soft evening sunlight through the trees

Support and Resources

Sometimes Radical Acceptance is easier to understand than it is to practice. If you would like support applying Radical Acceptance and other DBT skills in your own life, you are welcome to reach out to me at Integrative Path Therapy.

I provide comprehensive DBT therapy for adults in Nevada and California. My availability is often limited, and at times my practice is full. When I don’t have immediate openings, I may be able to offer a waitlist or referrals for other resources.

For additional information about DBT, Behavioral Tech provides educational resources about Dialectical Behavior Therapy and the comprehensive DBT model.

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