Radical CBT

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Radical Acceptance!

A common criticism of Cognitive Behavioral Therapy (CBT) is that much of it hinges on the following process:

  • You are having bad feelings
  • Which were caused by negative automatic thoughts
  • Which can be taken apart logically
  • Thus diffusing the feelings
  • And then feeling better

For example:

  • I feel like Iโ€™m an unwanted burden to my friend
  • Because he canceled on me today
  • But a reasonable explanation is that he indeed accidentally double-booked himself and the other thing wasnโ€™t re-arrangeable
  • My friend is trusting me to be an understanding friend myself, and greatly values my friendship
  • I feel better and look forward to our next time together

But what if the negative automatic thoughts are, upon examination, reasonable?

Does CBT argue that we should just โ€œkeep the faithโ€ and go on looking at a cruel indifferent world through rose-tinted spectacles?

Nope, thereโ€™s a back-up tool.

This is more talked-about in Dialectic Behavior Therapy (DBT), and is called radical acceptance:

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Radical acceptance here means accepting the root of things as true, and taking the next step from there. It follows a bad conclusion with โ€œalright, and now what?โ€

โ€œBut all evidence points to the fact that my friend has been avoiding me for months; I really canโ€™t ignore it or explain it away any longerโ€


โ€œAlright. Now what?โ€

  • Maybe thereโ€™s something troubling your friend that you donโ€™t know about (have you asked?)
  • Maybe that something is nothing to do with you (or maybe it really is about you!)
  • Maybe thereโ€™s a way you and he can address it together (how important is it to you?)
  • Maybe itโ€™s just time to draw a line under it and move on (with or without him)

Whatever the circumstances, thereโ€™s always a way to move forwards.

Feelings are messengers, and once youโ€™ve received and processed the message, the only reason to keep feeling the same thing, is if you want to.

Note that this is true even when you know with 100% certainty that the Bad Thingโ„ข is real and exactly as-imagined. Itโ€™s still possible for you to accept, for example:

โ€œAlright, so this person really truly hates me. Damn, that sucks; I think Iโ€™ve been nothing but nice to them. Oh well. Shit happens.โ€

Feel all the feelings you need to about it, and then decide for yourself where you want to go from there.

Get: 25 CBT Worksheets To Help You Find Solutions To A Wide Variety of Problems

Recognizing Emotions

We talked in a previous edition of 10almondsโ€™ Psychology Sunday about how an important part of dealing with difficult emotions is recognizing them as something that you experience, rather than something thatโ€™s intrinsically โ€œyouโ€.

Butโ€ฆ How?

One trick is to just mentally (or out loud, if your current environment allows for such) greet them when you notice them:

  • Hello again, Depression
  • Oh, hi there Anxiety, itโ€™s you
  • Nice of you to join us, Anger

Not only does this help recognize and delineate the emotion, but also, it de-tooths it and recognizes it for what it isโ€”something that doesnโ€™t actually mean you any harm, but that does need handling.

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