How to Practice “Radical Acceptance”

“The curious paradox is when I accept myself just as I am, then I can change.” – Carl Rogers

In Dialectical Behavior Therapy (DBT), the word “dialectic” refers to balancing and comparing two things that seem to be quite different – even contradictory. In DBT, this balance is between change and acceptance. For many people, there is a tendency to engage in behaviors that are self-sabotaging or causing unnecessary suffering. There is a clear need to change destructive or maladaptive behaviors while simultaneously working towards radical acceptance of yourself just the way you are. It can be very difficult for many people to truly and completely – “radically” – accept themselves when they strongly dislike certain ways that they are behaving or otherwise living their lives. Radical acceptance is the key toward ultimately making lasting changes in your life.

Radical acceptance requires that you look upon yourself, others, and the world in an entirely new way. You must be willing to let go of your ideas about how you “should be” and simply accept the way that you are… in this present moment. When you radically accept something, you are completely releasing judgment of it and avoiding any attempts to fight against or change it. For example, if you were to radically accept this present moment in time, it means that you would acknowledge that everything that “is” right now is the result of a very long and complicated chain of events. You are responsible for some of this present moment and you are not responsible for some of this present moment. Many events have happened to bring you to precisely where you are right now.

McKay (2007) points out that “the present moment never spontaneously leaps into existence without being caused by events that have already taken place. Imagine that each moment of your life is connected like a line of dominoes that knock each other down.” The idea is that this present moment is the complex consequence of many events – some caused by you and some caused by other people. It does no good to place blame on whose “fault” any of it is. The reality is that no matter who “caused” your circumstances in this moment in time, you have to deal with them nonetheless. It is in your best interest to accept this moment precisely as it is and then begin to make real behavioral changes.

When you radically accept the present moment, you are allowing yourself the opportunity to recognize and take responsibility for the role that you have played in creating the current reality. Things are rarely “all” anyone’s fault. When you are able to assume responsibility for the only things that are truly within your control – your thoughts and behaviors – then you are taking back an enormous amount of power over building a meaningful life that can enable you to feel happy, proud, and fulfilled.

Dialectical Behavior Therapy: Radical Acceptance

Imagine a recent distressing situation. Now, read and respond to the following questions to see how radical acceptance can help:

What events led up to the distressing situation?

Think about particular events that may have happened prior to the event. Notice any thoughts that went through your mind prior to the distressing situation. In DBT, a “prompting event” is whatever happened right before you experienced an emotional reaction.

What role did you play in creating this situation?

It can be difficult to recognize the role that you may have played in creating the distressing situation. Remember that you are not a passive observer of your life – you are an active participant. With that in mind, think about what you may have done (or not done) to help create this situation. Let go of the ideas of “fault” or “blame” and simply describe.

What role did other people / another person play in creating this situation?

Describe what actions (or inactions) of other people may have contributed to this distressing event. Remember to be realistic and only describe the factual information associated with the event – let go of the emotional impulse to place blame or exaggerate. Just describe.

What did you have control of in this situation?

It can be difficult sometimes to recognize just how much control we have over creating our current realities. No matter what “happens” in life, it is always up to you how you choose to respond. Your thoughts and behaviors are entirely up to you.

What didn’t you have control of in this situation?

No matter how much we might like to believe that we have control over other people, this is simply untrue. Recognize what external events or behaviors of other people were entirely outside of your direct control. Try to find peace and acceptance in the knowledge that you cannot control the behaviors of other people.

What was your response to this situation?

How did you choose to respond to this distressing event? Sometimes it might feel like there is “no choice” over how to respond to events, but there really is a choice. Just like strengthening a muscle, strengthening your ability to mindfully recognize your internal state can enable you to be more intentionally responsive (rather than reactive) to upsetting situations.

How did your response affect your own thoughts and feelings?

When you make a behavioral choice to take action in some way, there is a natural effect on your thoughts and feelings. Similarly, when you make the choice to alter your thoughts, there is often an effect on your actions and feelings. Notice how the way that you chose to respond to this distressing event impacted your thoughts and emotions.

How did your response affect the thoughts and feelings of other people?

Notice the impact that your response may have had on other people. Recognize that the way that you behave has an effect on people around you, even when it is unintentional on your part. Try to become mindfully aware of how you affected those around you in this situation.

How could you have changed your response to this situation to lead to less suffering for yourself and others?

Whatever happened has already happened – it’s done. Radical acceptance means fully embracing this reality. When you accept what “is” you open yourself up to reflect on what “might be” in the future. Rather than blocking out distressing events and their consequences, allow yourself to reflect on how a different response to the situation on your part may have resulted in a more desirable outcome for yourself and others.

How could this situation have occurred differently if you had decided to radically accept the situation?

Reflect on what might have been different if you had been able to radically accept the situation in the moment that it occurred. How might your thoughts, emotions, and behaviors had been different with radical acceptance? Remember that radical acceptance does not mean that something is “okay” with you – it means that you recognize and accept that whatever is happening is happening. How might future distressing events be different if you practice radical acceptance?

Reality can be painful. It is natural to want to push away things that hurt and cause suffering. The idea of accepting – much less embracing – a painful reality might seem terrifying. Consider that reality doesn’t change just because you deny it exists. It is still there, waiting for you to deal with it. When you open yourself up to accepting the present moment precisely as it is, with no judgments, you are free to look at all of those puzzle pieces of the present moment and start to piece them together. When you deny reality, it is like choosing to take away pieces of the puzzle, then wondering why you can’t make things fit. Allow yourself to see things just as they are, with radical acceptance, then allow change to happen.

Linehan, M.M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York, NY: The Guilford Press.

McKay, M., Wood, J.C., & Brantley, J. (2007). The dialectical behavior therapy skills workbook. Oakland, CA: New Harbinger Publications, Inc.

Featured image: step by step by AlicePopkorn / CC BY-ND 2.0

About Laura K. Schenck, Ph.D., LPC

I am a Licensed Professional Counselor (LPC) with a Ph.D. in Counseling Psychology from the University of Northern Colorado. Some of my academic interests include: Dialectical Behavior Therapy, mindfulness, stress reduction, work/life balance, mood disorders, identity development, supervision & training, and self-care.


  1. Sillyme on January 30, 2014 at 8:43 pm

    I have discovered a obstacle to radical acceptance of my past and your suggestion to”Reflect on what might have been different if you had been able to radically accept the situation in the moment that it occurred.”

    example: when I imagine how things might have been different IF I had fully radically accepted the verbal abuse of my husband, I might have not reacted with rage and we would still be together. Then I blame (ie judge)myself for not having been skillful enough or because I was willful.

    There was all kinds of abuse, in fact, my daughter revealed that he sxlly abused her. I swing on a pendulum of blame and guilt. Mainly because I am in so much pain because of the end of the relationship and that he is in a new relationship that I’m jealous about. Ashamed that she is better than I. More shame — which goads me to rally people who are in his circle to “my side,” crave revenge &

    In the women’s shelter we learned that statistically, women leave and return to their abuser 7 times. So to combat that urge, I used righteous anger to keep from going back. But that “medicine” has a toxic side effect and becomes addictive.

    I know radical acceptance is not about saying something is right, but rather that it merely is.

  2. Sillyme on January 30, 2014 at 8:45 pm

    Judgment is such a strong habit

  3. Jimindigo on July 21, 2014 at 8:05 pm

    I live in a very dysfunctional,sick society,
    how can I NOT judge them to keep myself safe and
    free from harm?
    If I were to accept their behavior,
    they would walk all over me!

    • Lasha on June 10, 2016 at 8:16 am

      No. “Accepting,” means acknowledging how the situation is, not how you wish it were. Only after that can you take steps to change YOU in the situation (or the situation, for example: leave that relationship, etc), so that you DON’T get walked on. “Acceptance” is a step toward effective action, it is not an end in itself.

  4. Amanda on June 23, 2016 at 9:06 pm

    I fight daily to find radical acceptance, and boy what a challenge. I have been practicing over and over since december … sometimes it is so hard and the pain takes over and leads to my suffering. Some days are better than others. I try every day, I mean every single day…and times i succeed and times I fail horribly. Will I ever be able to do right every day????????????/

  5. Pauline Bishop on June 24, 2016 at 3:32 pm

    Thank you so much for sharing your insights and wisdom. I have suffered from habitual judgement of myself as not being good enough and then judging others before they can judge me my whole life.
    I am privileged to have met someone brave enough to challenge my bullying behavior and this has lead me to your website.
    I am now looking at radical acceptance and being more mindful in the moment. I don’t expect this to be easy as my self-defense mechanism is so strong but I do have to do something-I can’t continue to judge and criticize it is so destructive and I do not accept myself as destructive.
    thank you

  6. Chelle on September 28, 2017 at 7:46 pm

    my struggle with radical acceptance hit me hard (although a struggle for so many years), but recently – my husband has terminal cancer. I thought my world would end. We were both devistated – so as to not devalue radical acceptance – there are some instances such as this one – where one needs to radically accept the pain – radically accept each other’s acceptance of the situation, radically accept that we have to mourn the situation, and realize that we have to take action and find hope.

  7. Jennifer on November 8, 2017 at 4:15 pm

    I am always blaming myself for past mistakes n they follow me through life and I understand about people having to See these changes but it’s been 8 years of me really being dedicated and devoted to being clean n donor and it just seems like no ONE sees it or accepts or believes it. I don’t feel any closer to the trust I seek from my grown children and with me being able to participate as their mammaw. I blame myself for being honest and telling the truth about my mistakes for my kids never knew til I told them. My grandkids are young and I don’t want to miss out on them having the kind of grandparents I had. How do I do this without feeling angry n hurt ALL THE TIME?

  8. Jocelyn Shelton on October 9, 2018 at 10:50 am

    Another possibility could have been to recognize that his behavior is abusive (earlier than you did) and instead of taking blame or feeling rage, accepting that you cannot control him and then chosen to leave the relationship before it became so damaging.
    I don’t know if that is a “right” answer for radical acceptance. I am struggling with this concept myself.

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