DBT — Meghan Breen, LCSW Specialized Eating Disorder & Addiction Treatment in NYC

Radical Acceptance is a Dialectical Behavioral Therapy Skill used to help reduce emotional suffering. It is also a common practice of meditation leaders, Buddhists, and Zen masters, and a book written by the incredible teacher, author, and psychologist, Tara Brach. It is called radical acceptance because it is freaking radical. We don’t need to radically accept things that aren’t particularly challenging or causing us distress, those things are just fine. When we approach life’s challenges we have 4 choices.

Problem solve. When there is a problem that can be solved, by you, SOLVE IT. Admittedly my favorite option, I love solutions. I love being able to fix things or make things work better. When there is a problem that is solvable, go get at it.
- Identify the problem and that it is in fact solvable (by you).
- Analyze the problem, explore pro/cons of different solutions, what could go wrong, anticipate possible barriers and strategize the best solution for the problem at hand.
- Implement solution: take action: troubleshoot along the way, tweaking and changing as you go, remain flexible and solution focused.
Change your Perception of the problem. Re-frame. This involves changing the way you see a problem, for example, if there is someone difficult in your life you can view the relationship as an opportunity to learn about yourself and how to cope more effectively with difficult people. Now when difficulty arises you see it as a chance to practice new skills! This can take the focus off the other person and on to what matters most, YOU.
Radically Accepting the Situation: Accepting completely and all the way whatever the situation is with your whole heart and whole self. Accepting reality as it is, rather than how you believe it should be. Letting go of the resistance, judgment, and control and detaching from the story of right/wrong or fair/unfair, settling into what is happening, because it is happening! Radical acceptance is not agreeing or condoning something, but rather accepting it as it is, because it is. For example, getting the flu and having to radically accept that you are sick and cannot go to Miami for an amazing conference you have been looking forward to!
Stay Miserable/non-acceptance: Of course, staying miserable is never an option we would sign on for intentionally. “This can’t be happening,” “I can’t stand this,” “This isn’t right.” It is almost as if we think refusing to accept the truth about what is happening will keep it from being true or stop it from happening. It is like closing your eyes, and hoping for the if I can’t see you, you can’t see me trick.

I often reflect to clients after going through a decision dialogue around a particular problem, “so you are choosing to stay miserable?” Then we laugh and go back in, trying to find something, ANYTHING more effective than that. Staying miserable is akin to a default state, it happens way more often than any of us would like. If you can’t solve the problem, are unwilling to change your perception of the situation, and aren’t ready to radically accept it, then by default you are staying miserable.

Refusing to accept reality doesn’t change reality, it just increases our pain. Accepting you didn’t get the job, the person you love doesn’t love you back, that you were let go from a job you busted your ass at, these are not easy pills to swallow. Life is full of things we cannot change, accepting life is difficult when life is painful. When we think about challenges as being contingent on the choice we make, it makes our default state of “stay miserable” less likely, as we are being intentionally aware and mindful of the power choice has over our experiences.

I am reminded of the serenity prayer, “Grant me the serenity to accept the things I cannot change, courage to change the things I can, and the wisdom to know the difference.” We are often stuck resisting something or trying to change things that are unchangeable, like the past or another person. When we focus all our energy on things we do have power over like our own behavior, reactions and choices, we can get out of the tug of war game with ourselves and our problems. The real skill is the wisdom to know the difference. It is hard to accept that things are out of our control or not solvable by us, trust me- it usually looks something like this:

Me: “You cannot change this, it is 100% out of your control.”

Also Me: “Maybe if you {xn•y<(7n+7y)*sum of + n-yz2} then you can change it…”

Pro-tip: Radical Acceptance is not linear and it is not a one and done kind of skill. Sometimes we need to radically accept something five minutes after having just radically accepted it the first time. You may notice you have picked said accepted challenge back up, and now it is in your hand again. That’s ok, radical acceptance happens over and over and over again. Put it down, rinse repeat. You got this. Radical acceptance is the answer to ending unnecessary emotional suffering, one radically accepted breath at a time.

Pain + non-acceptance = suffering.

Pain + acceptance = pain that is about to pass.

Practice Practice Practice. <3 Meg

7 Self-Care Tips to Cope and Heal Together with #MeToo: Feel - Deal - Heal Find your Tribe, Love Them Hard.

Limited Exposure: We cannot control A LOT of things, but we can choose how we engage. It is difficult when trauma symptoms arise not to behave in impulsive ways and react in the moment. Set aside a social media time, give yourself a time limit and stick to it. Then when it is not the allotted social media time, you are on a social media break. Stick to it. Feelings fade over time, if they are not re-stimulated. Think of every time you read an article, repeat a story, engage in conversation as re-firing. It is important to talk about it, and it is important to protect yourself.
Safe People: Shame depends on you subscribing to the belief that you are alone, don't be alone with this. Safety is greatly impacted by exposure to traumatic events. Be mindful of how you feel around certain people, if people are judging you or telling you that you are overreacting, they are not your people right now. Everyone has a different experience, and you are the only expert on your experience. Surround yourself with people who are supportive and validating. Connect with others who can relate with your experience, identification and "me too" conversations are some of the most healing and validating experiences.
Therapy: There are many incredible therapies and therapists who specialize in trauma treatment. These modalities include: Eye Movement Desensitization Reprocessing (EMDR), Cognitive Behavioral Therapy (CBT), Prolonged Exposure (PE), Neurofeedback, and Emotional Freedom Techniques also known as Tapping (EFT). Therapy can be a great resource for working through trauma and also a space to reality test and validate the rollercoaster of emotions you are feeling. Make sure you find a therapist who specializes in the treatment of trauma.
Self-Care Plan: Have a plan. We often call them "coping kits" in my office. Three things you can do when you feel overwhelmed by emotions. Know what those three things are before you are overwhelmed by emotions. The tricky thing about traumatic memories is when they are activated it feels like it is happening right now, in this very moment. The part of your brain that does the thinking shuts down and you are in fight/flight/freeze. Trying to be skillful in the middle of a trauma response, is like trying to do your taxes while you are being chased by a bear. By mapping out the plan in advance, you don't have to think in these moments, you can just act.
The More You Know, Knowledge is Power: As a trauma therapist, the first order of business is psychoeducation. It is incredibly validating to understand why and where some of your experiences come from and that they are neurobiologically indicated and normal responses to trauma. Learning about the impact of trauma on your brain and therefore your behavior can be very shame reducing for people who are having a lot of judgments and feeling critical of themselves. My favorite book is The Body Keeps the Score, By Bessel van der Kolk who is a clinician, researcher, and trauma expert. Here are a couple more Trauma reads.
Non-judgment and Self Compassion: You are doing the best you can. Trauma is not rational, be gentle with yourself and others. If you need to change the expectations of your functioning for a few days, DO. Do less, be easy, get what you need. Your healing isn't linear.
Own it, this is your story and your life: Figure out a way to reclaim the traumatic experience. Shame exists in isolation, and then begets more and more shame. Brene' Brown says, “The less you talk about it, the more you got it. Shame needs three things to grow exponentially in our lives: secrecy, silence, and judgment.” Speak the shame, tell your story and get reality testing from people you trust. This can be in therapy, rewriting the narrative and meaning, joining an action focused group or ally ship for survivors, writing about your experience, etc. There is not one-size fits all approach here, you have to find what works for you and then own it. You are not alone and you are a survivor.