“Radically accept” – Am I ready for this?

The term “radical acceptance” is a concept that can be easily understood by clients, but more difficult to put into practice. The concept is not new; however, has risen in popularity as a result of the development of Dialectical Behaviour Therapy (DBT) in the early 1990s. Marsha Linehan, theorist and clinician, describes radical acceptance as something that is necessary to solve life problems. To radically accept is to accept the universe as it is, with radical indicating total (not partial) acceptance. To practice radical acceptance is to move past one’s own suffering. It is a means to modify extreme misery into normalised grief/sadness to improve adaptation to reality.

DBT radical acceptance

DBT radical acceptance

I recently attended a workshop, run by the Byron Clinic, facilitated by Marsha Linehan who encouraged the use of metaphors to describe the idea of radical acceptance. She talked about personal experiences where the concept could have been applied to her own life, which she shares in session with her own clients and therapists training in DBT. Other metaphors described were on a spectrum of challenges from day-to-day problems to extreme hardship in life. Some examples to which the concept could be applied to are: losing your dream job due to redundancy, living next-door to constantly disruptive neighbours, and discovering your long-term romantic partner has been “hooking up” with your closest friend.

When people first hear about the idea of radical acceptance they sometimes ask: Am I ready for this? How do I apply this to my life? Am I accepting defeat?

Marsh Linehan describes four options when people are faced with life challenges:

(1) problem solving – you could identify options for changing your current situation;

(2) altering your feelings – by adjusting negatives into positives;

(3) accepting the problem – coming to terms with reality and moving on; and

(4) holding on to suffering – sticking with the anguish.

Importantly, by radically accepting, you are not: letting others get away with what they have done to you or agreeing with the ethics around what has happened to you.  Instead, you are giving up the internal battle in relation to the problem/s you have faced.

For more information on radical acceptance please visit: http://www.dbtselfhelp.com/html/radical_acceptance_part_1.html

Sources:

Linehan (1993). Skills Training Manual for Treating Borderline Personality Disorder. The Guilford Press.

 

Get Me Out of Here My Recovery from Borderline Personality Disorder

Get Me Out of Here: My Recovery from Borderline Personality Disorder – Rachel Reiland

Borderline Personality Disorder. “What the hell was that?” raged Rachel Reiland when she read the diagnosis written in her medical chart. As the 29-year old accountant, wife, and mother of young children would soon discover, it was the diagnosis that finally explained her explosive anger, manipulative behaviors, and self-destructive episodes- including bouts of anorexia, substance abuse, and sexual promiscuity. With astonishing honesty, Reiland’s memoir reveals what mental illness feels like and looks like from the inside, and how healing from such a devastating disease is possible through intensive therapy and the support of loved ones.

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Get Me Out of Here: My Recovery from Borderline Personality Disorder –  Rachel Reiland

The Borderline Personality Disorder Survival Guide

The Borderline Personality Disorder Survival Guide: Everything You Need to Know About Living with BPD – Alex Chapman

If you or someone you love is struggling with borderline personality disorder (BPD), you need up-to-date, accurate, and accessible information on the problems you’re facing and where you can turn for help. But where do you look? Much of the professional literature on BPD is too technical and confusing to be of much help. And searching the Internet for accurate information can be treacherous, with some sites providing useful information and others giving dangerous advice and misinformation. If you’re living with BPD, this compassionate book offers what you really need: an easy-to-follow road map to guide you through this disorder and its treatment.

This book provides answers to many of the questions you might have about BPD: What is BPD? How long does it last? What other problems co-occur with BPD? Overviews of what we currently know about BPD make up the first section of the book. Later chapters cover several common treatment approaches to BPD: DBT, mentalization-based treatment (MBT), and medication treatments. In the last sections of the book, you’ll learn a range of useful coping skills that can help you manage your emotions, deal with suicidal thoughts, and cope with some of the most distressing symptoms of BPD.

This book has been awarded The Association for Behavioral and Cognitive Therapies Self-Help Seal of Merit — an award bestowed on outstanding self-help books that are consistent with cognitive behavioral therapy (CBT) principles and that incorporate scientifically tested strategies for overcoming mental health difficulties. Used alone or in conjunction with therapy, our books offer powerful tools readers can use to jump-start changes in their lives.

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The Borderline Personality Disorder Survival Guide: Everything You Need to Know About Living with BPD – Alex Chapman

I Hate You--Don't Leave Me: Understanding the Borderline Personality

I Hate You–Don’t Leave Me: Understanding the Borderline Personality – Jerold Kreisman

A revised and updated edition of the bestselling guide to understanding borderline personality disorder. 

After more than two decades as the essential guide to Borderline Personality Disorder (BPD), this new edition now reflects the most up- to-date research that has opened doors to the neurobiological, genetic, and developmental roots of the disorder as well as connections between BPD and substance abuse, sexual abuse, Post-Traumatic Stress Syndrome, ADHD, and eating disorders.

Both pharmacological and psychotherapeutic advancements point to real hope for success in the treatment and understanding of BPD.

This expanded and revised edition remains as accessible and useful as its predecessor and will reestablish this book as the go-to source for those diagnosed with BPD, their family, friends, and colleagues, as well as professionals and students in the field.

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I Hate You–Don’t Leave Me: Understanding the Borderline Personality – Jerold Kreisman