Evidence-based trauma treatment: How Radical Acceptance works

In Dialectical Behavior Therapy, radical acceptance shows up as a concrete coping skill, a way of dealing with intensely distressing situations. In DBT, we acknowledge that there are moments when we can be in high distress about something that we cannot change. A skill for radical acceptance can be around accepting the truth, moving out of this distress and angst around forcing something that will not change. When we finally accept the situation, the distress tends to fall into grief, the sadness we may have been trying to avoid. The opposition to change, or acceptance, was really about preventing the grief. This realization can often bring our distress down, and we learn how to cope. Acceptance and change are in a dynamic yet creative relationship with each other. By accepting the relationship is over and the change I was hoping for is not possible, I can now move to make changes that are in my power. It stops me from going to a place of intense shame or sadness where I can now find peace and comfort.