What Is Radical Acceptance?
By David Hennessy, Clinical Psychologist

Radical Acceptance Analogy: The House Fire
Imagine your house catches fire. Firefighters arrive to do what is necessary: contain the flames, reduce harm, and preserve as much of the structure as possible. They fully accept the reality, the house is burning, and immediately begin the work required to minimise danger and loss. Yes, it is uncomfortable, frightening and unwanted, but acknowledging the situation allows them to act effectively.
This is radical acceptance. Recognising what is happening, even if we strongly dislike it. This allows us to respond wisely and constructively.
Now imagine the opposite scenario: the firefighters turn up, but instead of getting their hoses ready, they sit in the truck arguing about how the fire should not have happened, how unfair it is, or whose fault it might be. None of that debate changes the flames. Meanwhile, the house burns.
This is what happens when we resist reality. We become stuck in the unfairness, anger, and blame, and the situation often gets worse.
Radical acceptance does not mean approving of the situation or giving up. It means acknowledging the truth of what is, so we can direct our energy toward effective action and minimise further damage.
The Origins of Radical Acceptance
The concept of radical acceptance comes from the work of Dr Marsha Linehan, who developed Dialectical Behaviour Therapy in the late 1980s. DBT integrated Zen mindfulness principles with behavioural science, highlighting that suffering often increases when we resist pain. The term radical means complete, to accept reality fully rather than selectively.
Related ideas appear in Stoic philosophy and in Acceptance and Commitment Therapy, developed by Steven C. Hayes and colleagues. ACT teaches acceptance of inner experience together with values-guided action. Across these traditions, the outcome is the same: acceptance creates the conditions for wise and effective responding.
Understanding Radical Acceptance
Radical acceptance is the skill of acknowledging reality as it is. It is not approval or passivity. It is the clear seeing that quietens mental struggle and opens space for problem-solving, compassion, and emotionally regulated action.
Why Radical Acceptance Matters
Life includes loss, illness, disappointment, and change. Avoidance or denial often prolongs suffering. Acceptance-based approaches such as DBT and ACT can improve emotion regulation, reduce anxiety and depression, and support resilience and wellbeing.
How to Practise Radical Acceptance
- Notice resistance. Catch the mind arguing with reality.
- State the facts. Use simple language about what is happening now.
- Pause and breathe. Settle the body before you act.
- Allow emotions. Let feelings be present without judgment.
- Ask what is effective. Given this reality, what helps most right now?
In Summary
Radical acceptance is an act of courage and clarity. It is not surrender. When we stop fighting reality, we reclaim energy to respond effectively and to live by our values. Just as firefighters accept the flames so they can act, we can face life’s fires with awareness, steadiness, and purpose.
Enquiries / Appointments
To learn more about evidence-based therapies such as DBT, ACT, and mindfulness-based interventions, contact Hennessy Clinical Psychology.
References
- Linehan, M. M. (2015). DBT Skills Training Manual (2nd ed.). Guilford Press. https://scholar.google.com.au/scholar?q=Linehan,+M.+M.+(2015).+DBT+Skills+Training+Manual+(2nd+ed.)&hl=en&as_sdt=0&as_vis=1&oi=scholart
- Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2021). Acceptance and Commitment Therapy: The Process and Practice of Mindful Change (3rd ed.). Guilford Press. https://doi.org/10.1037/0000206-000
- McCracken, L. M., Vowles, K. E., & Eccleston, C. (2022). Acceptance and commitment therapy for chronic pain: Advancements and future directions. Pain, 163(3), 397 402. https://doi.org/10.1097/j.pain.0000000000002420
- Öst, L. G. (2021). The efficacy of Acceptance and Commitment Therapy: An updated systematic review and meta-analysis. Behaviour Research and Therapy, 149, 103997. https://doi.org/10.1016/j.brat.2021.103997


