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Radical Acceptance: Definition, Skills, & Exercises

By Zamfira Parincu, BA, Researcher
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Reviewed by Tchiki Davis, M.A., Ph.D.
What is radical acceptance, and why should you learn to practice it? Discover how radical acceptance can impact your physical and mental health and how it can improve your relationships.​
Radical Acceptance: Definition, Skills, & Exercises
There is a famous saying that circulates freely all over social media channels and self-help books: “Pain is inevitable. Suffering is optional.” Although the quote has been misattributed to Buddha or Dalai Lama, its message is more important than the messenger—pain is an inevitable part of life; suffering, however, arises from not accepting the pain.
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What makes this quote helpful is that it not only discerns between pain and suffering, two concepts we often use interchangeably, but it also recognizes our unique power in the face of challenges. This difference is crucial and can save your life or your relationships. 
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In this article, we will talk about what allows us to keep pain from transforming into suffering and helps us see reality as it is: radical acceptance.

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What Is Radical Acceptance? (A Definition)

Radical acceptance is accepting what is not under your control and embracing what is happening now in a non-judgmental way. When you wholeheartedly and radically accept emotional or physical pain, it can reduce the suffering they cause.  

Marsha Linehan, a leading psychologist who introduced the idea of radical acceptance into Western societies, sums it up beautifully: “Radical acceptance rests on letting go of the illusion of control and a willingness to notice and accept things as they are right now, without judging”. It is a “complete and total openness to the facts of reality as they are, without throwing a tantrum and growing angry.” (2021; p. 503)

Lady Gaga shares how radical acceptance changed her life in an emotional and honest conversation about mental health and self-care with Oprah. Talking about how she balances pain and the creative process, Lady Gaga explains that the radical acceptance skills learned in therapy (when practiced daily) helped her heal from trauma and use that pain for her creative process. 
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Not only does Oprah agree with Lady Gaga, but she gives an insight into what radical acceptance is: “All stress comes from wanting something to be what it isn’t. And it doesn’t change until you first accept it for what it is, and then make a decision about what to do next.”
You can watch the full interview below or you can skip to the minute 19:14 to listen to Lady Gaga and Oprah talk about radical acceptance.

What Is Radical Acceptance Therapy?

Radical acceptance is a skill that helps people who experience difficult situations or intense emotions to accept their reality. Radical acceptance is a skill taught in Dialectical Behavior Therapy (DBT), an evidence-based therapy developed by Marsha Linehan. However, radical acceptance can be learned as a skill and practiced on its own.

“Dialectical” simply means the integration of opposites, the balance between two different ideas. The essence of Dialectical Behavior Therapy is a dynamic balance, a dialectical: acceptance of our life and our situation in life, and embracing change toward a better life. Bringing together two different ideas can enable us to move forward and unstuck from extreme positions (Behavioral Tech; Linehan, 2020).

Dialectics allows opposites to coexist. Marsha Linehan gives an example of how her clients who were traumatized by their parents still want to love them. She argues that dialectics and radical acceptance help the patients because it shows how the parents’ behavior was reprehensible and was caused, meaning that the parents’ behavior was a result of something else happening in their lives. She concludes “I can love a parent and disapprove of her at the same time.” (2020; p. 462)

Therapies that include radical acceptance are designed to stop the clients from having reactive behaviors and encourage them to respond to challenging situations skillfully. For example, it has been shown that these therapies can reduce substance use and relapse (Bowen et al., 2012), anxiety (Roemer et al., 2008), suicidality (DeCou et al., 2019), and chronic pain (Hann & McCracken, 2014). 
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As a tool, radical acceptance can help people accept themselves wholeheartedly, increase well-being (Kotsu et al., 2018), and have positive weight loss benefits (Lillis et al., 2016). Acceptance is a central factor in understanding emotional disorders and is a predictor of psychological health in terms of anxiety, depression, stress, and happiness. Furthermore, emotional acceptance is related to resiliency, making people less likely to develop emotional disorders (Kotsu et al., 2018). 
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But, radical acceptance is a skill that needs practice. It can be challenging to master it. After all, it wasn’t easy for Marsha Linehan either. To learn more about her story and how she started practicing radical acceptance, check out the video below.

Video: On Learning Radical Acceptance

Radical Acceptance Examples

Suffering typically arises from not accepting pain. When reality is painful, it’s natural to try and sweep it under the rug, push it down, or fight against it. However, this strategy only provides temporary relief, and it’s not helpful in the long run.

There are many situations in your daily life where you can practice radical acceptance. For instance, if you’re stuck in traffic or the subway is not working, a typical reaction would be to get angry and frustrated: Why is this happening to me today? I have an important meeting to attend. I can’t believe it. However, using radical acceptance might sound like: Looks like we’re not moving anymore. There is no point in fighting with the traffic. Maybe I can call my friend and catch up or listen to this podcast I’ve been eyeing for a long time. This can help me relax before the important meeting I have today.
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While this can be very hard to practice when things get tough, it’s important to keep practicing and being intentional.

How to Practice Radical Acceptance

Radical acceptance is a skill that may help you cope better with pain and suffering. Here, you can learn more about the steps you can take to improve your radical acceptance skills or to start them (Taitz, 2021).
  • Acknowledge the present. The most important part is to be mindful of your situation, simply recognizing that it exists in a non-judgmental way. However, this does not mean you should accept abusive or manipulative behavior; it just means accepting the reality, whether you like it or not. For example, you can wake up and notice there is no electricity in the house. Either you get very mad and think how this shouldn’t have happened to you on such an important day. Or, you acknowledge the reality that it is challenging and figure out a solution.
  • Ask yourself if you can control or change the situation. If you can’t control what happens, why are you getting angry? It can be painful to acknowledge that you’re not always in control, but it can also be freeing. We have no say when it rains; we can only accept it.
  • Let go of judgment. Practicing radical acceptance means letting go of judgment and experiencing things as they actually are. You can improve your mindfulness skills by practicing meditation and being present in the moment.
  • The past is in the past. Remind yourself that the past cannot be changed. Going through painful times is not easy. The past, no matter if good or bad, happened. When you examine difficult situations or emotions, you can lead a more fulfilling life.
  • Breathe. This may sound simple, but it can be extremely effective. Whenever you are fighting reality, your body may get tense in parts such as shoulders, face, or stomach. Take deep breaths for a few moments and focus on them. When you practice watching your breath, you may ground yourself to the present moment and become more relaxed.
  • Be intentional. Choose to practice radical acceptance on a daily basis and understand that it takes exercise to master it. It’s also unrealistic to think that the first time you will try this skill, you will immediately let everything go. Be intentional about practicing this skill and use it to improve your life. 
  • Practice. Practice saying mantras or using coping mechanisms to help you get through challenging moments.
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Radical Acceptance Coping Statements

Radical acceptance is a skill that requires practice and can be difficult to master immediately. Coping mantras and breathing exercises can be very helpful to get you started. For example, if you find yourself in a situation where you feel overflooded, you can pause for a few seconds, breathe in, breathe out, and say some of these mantras.

Here are some coping statements you can use to practice radical acceptance. You can say these mantras out loud or in your mind, but it’s important to keep practicing them when you feel overwhelmed.
  • I can’t change the past. 
  • I can only control the present moment.
  • This situation is only temporary.
  • I have no control over what happened in the past.
  • I can accept things as they are.
  • There is no point in fighting with the past.
  • I am letting go of these negative emotions.
  • I can accept myself the way I am.
  • I have no control over other people, what they do or say. I can only control how I react.
  • I am focusing on the present moment.
  • This feeling will pass, and I will be OK.

Considering that many studies have shown the positive effects of mindfulness and radical acceptance, practicing these strategies is likely to improve your well-being. 
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Radical Acceptance Meditation

Mindfulness and meditation are available to everyone and have many positive effects on our mental health. A meditation practice can reduce stress, make you calmer, and even promote happiness (Mineo, 2018)

Mindfulness and radical acceptance are interrelated processes, as one enlarges the other. You can learn more about these two concepts in the video below:

DBT Skills: Mindfulness and Radical Acceptance ​

You can cultivate radical acceptance by taking a few minutes to meditate. As you practice bringing gentle mindfulness to pain, your ability to meet life as it is will only grow stronger.
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There are many guided meditations on radical acceptance. You can check out the link below and try a meditation by Tara Brach, a leading figure in mindfulness and radical acceptance.

Radical Acceptance Meditation with Tara Brach

Radical Acceptance in Relationships

Many studies have shown how beneficial radical acceptance can be for various conditions, such as Borderline Personality Disorder, depression, eating disorders, and also for the overall well-being of healthy individuals. Considering such positive outcomes of practicing radical acceptance, this skill may be useful too for interpersonal relationships.

In relationships, radical acceptance means loving someone for who they are, no matter what flaws or quirks they may have, in a non-judgmental way. 

It is important to note that radical acceptance does not mean accepting abuse, maltreatment, or dangerous situations. For example, if you are sexually harassed at work or your colleague is constantly treating you poorly, radical acceptance does not mean you continue the job and get bad treatment. In cases like this, radical acceptance means acknowledging what is happening, the fact that is unfair, and starting looking for a new job. It is more prudent to try and change the situation rather than simply accepting things as they are.

In healthy relationships, radical acceptance means accepting the other person just how they are right now. For example, your significant other might prefer to sleep with a warm blanket, whereas you really don’t need it. Rather than trying to fight with reality (after all, you know your partner gets chilly at night), you may want to practice radical acceptance and figure out solutions. 

In her book about radical acceptance in romantic relationships, Andrea Miller shares how using this tool saved her relationship. She gives five examples of how to practice radical acceptance to deepen our relationships when they are healthy and not abusive (Miller, 2020).
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  1. Just love them (or just dump them). Andrea Miller argues that by identifying your partner’s “unlovable” parts you can commit to loving them, no matter what. However, if there is mental, physical, or emotional abuse, the best strategy is to get out of the relationship.
  2. Stop, reflect, introspect. This technique can help you understand your emotional reactions and what triggers them. For example, instead of getting angry, you can take a step back,  take a deep breath, and reflect on what it is about the situation that makes you angry. By doing this, you can prevent arguments from escalating.
  3. Radical communication. All relationships are built on communication, safety, and trust. You can practice active listening or learn about what comes in the way of effective communication.
  4. Love them fully—even the “unlovable” parts. Sometimes they can be wrong or just annoying, but it’s important to always show love and acceptance.
  5. Make them your priority. Expressing love and prioritizing are key elements of healthy relationships. You can figure out your partners’ love language so you can show your love in meaningful ways or you can make it explicitly clear how important the relationship is to you.

Articles Related to Radical Acceptance

Want to learn more about acceptance? Here are some more articles to read.​
  • Acceptance: Definition, Theory, & Tips
  • Self Love: Definition, Tips, Examples, and Exercises
  • Self-Compassion: Definition, Examples, and Exercises
  • Letting Go: How to Let Go (of The Past, Love, Anger, & Fear)
  • Self-Acceptance: Definition, Quotes, & How to Practice It

Radical Acceptance Books

There are many books about radical acceptance. If you’d like to learn more about this important skill, you can check out the titles below:
  • Building a Life Worth Living: A Memoir. In this book, Marsha Linehan shares how she transformed from a suicidal teenager to a world-renowned clinical psychologist who developed a life-saving therapy. She uses her struggles to empower others and help them develop important life skills.
  • Radical Acceptance: Embracing Your Life with the Heart of a Buddha by Tara Brach
  • Radical Acceptance: The Secret to Happy, Lasting Love by Andrea Miller
  • The Radical Acceptance of Everything: Living a Focusing Life by Ann Weiser Cornell
  • Radical Compassion: Learning to Love Yourself and Your World with the Practice of RAIN by Tara Brach​​

Final Thoughts on Radical Acceptance

As you can now see, radical acceptance can be a useful skill for improving personal well-being and interpersonal relationships. Hopefully, the information provided here gives you some ideas for how to practice it in your life.

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References

  • ​DeCou, C. R., Comtois, K. A., & Landes, S. J. (2019). Dialectical behavior therapy is effective for the treatment of suicidal behavior: A meta-analysis. Behavior therapy, 50(1), 60-72.
  • Hann, K. E., & McCracken, L. M. (2014). A systematic review of randomized controlled trials of Acceptance and Commitment Therapy for adults with chronic pain: Outcome domains, design quality, and efficacy. Journal of contextual behavioral science, 3(4), 217-227.
  • Kotsou, I., Leys, C., & Fossion, P. (2018). Acceptance alone is a better predictor of psychopathology and well-being than emotional competence, emotion regulation and mindfulness. Journal of affective disorders, 226, 142-145.
  • Lillis, J., Niemeier, H. M., Thomas, J. G., Unick, J., Ross, K. M., Leahey, T. M., ... & Wing, R. R. (2016). A randomized trial of an acceptance‐based behavioral intervention for weight loss in people with high internal disinhibition. Obesity, 24(12), 2509-2514.
  • Linehan, M. (2021). Building a life worth living: A memoir. Random House Trade Paperbacks.
  • Miller, A. (2020). What Is Radical Acceptance? The 5 Steps I Took To Save My Relationship. 
  • Mineo, L. (2018). With mindfulness, life’s in the moment. 
  • Roemer, L., Orsillo, S. M., & Salters-Pedneault, K. (2008). Efficacy of an acceptance-based behavior therapy for generalized anxiety disorder: evaluation in a randomized controlled trial. Journal of consulting and clinical psychology, 76(6), 1083.
  • Taitz, J. (2021). Radical Acceptance Can Keep Emotional Pain From Turning Into Suffering. The New York Times. 
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