Opposite Action: A Transformative DBT Skill for Emotional Regulation

By Wendy Douglas, LCSW, MSPH

Emotions are an integral part of the human experience, influencing our thoughts, actions, and overall well-being. While some emotions can uplift us, others might lead us down a path of distress or irrational behavior. Dialectical Behavior Therapy (DBT), a widely acclaimed therapeutic approach developed by psychologist Marsha M. Linehan, offers a diverse range of skills to help individuals navigate their emotional landscapes and cultivate healthier ways of responding to challenging situations. One of the most powerful and transformative skills within DBT is “Opposite Action.”

Understanding Opposite Action:

At its core, Opposite Action is a skill designed to counteract intense or distressing emotions by intentionally engaging in behaviors that are opposite to those emotions. The idea behind this technique is rooted in the premise that our emotions often prompt us to react in certain ways, but these reactions might not always be helpful or conducive to our well-being.

Opposite Action recognizes that emotions and actions are interconnected. When we experience a strong emotion, our natural instinct might be to act in a way that aligns with that emotion. However, this can sometimes perpetuate the distress or lead to undesirable consequences. Opposite Action encourages individuals to pause, evaluate their emotional state, and deliberately choose behaviors that contradict the emotion they are feeling.

Putting Opposite Action into Practice:

To illustrate the effectiveness of Opposite Action, let’s consider a few scenarios:

  1. Anger: Imagine a person experiencing intense anger after an argument. Their initial impulse might be to lash out verbally or physically. Instead, practicing Opposite Action would involve deliberately engaging in calm and compassionate communication, effectively diffusing the situation and preventing further conflict.
  2. Sadness: When someone is overwhelmed with sadness, they might feel like isolating themselves and withdrawing from social interactions. Opposite Action would encourage them to reach out to friends or loved ones, engage in activities they enjoy, and create opportunities for positive emotions to emerge.
  3. Anxiety: In the face of anxiety, individuals might be tempted to avoid the source of their distress. Opposite Action would entail confronting the anxiety-inducing situation, gradually exposing themselves to it, and thereby reducing the power of the anxiety over time.
  4. Guilt/Shame: Feelings of guilt or shame can lead to self-imposed isolation. Opposite Action calls for connecting with others, seeking support, and engaging in acts of self-compassion to counterbalance these negative emotions.

The Science Behind Opposite Action:

Neuroscientific research supports the efficacy of Opposite Action. Engaging in behaviors that oppose a distressing emotion can actually influence brain activity and alter emotional responses. This phenomenon is based on the concept of neuroplasticity—the brain’s ability to reorganize itself by forming new neural connections. By repeatedly choosing opposite actions, individuals can reshape their brain’s automatic response patterns and gradually mitigate the intensity of distressing emotions.

Challenges and Benefits:

While implementing Opposite Action might initially feel counterintuitive or challenging, its long-term benefits are substantial. By consciously choosing behaviors that run counter to distressing emotions, individuals can break the cycle of emotional turmoil and pave the way for more constructive responses. This can lead to improved emotional regulation, enhanced interpersonal relationships, and an overall higher quality of life.

However, like any skill, practicing Opposite Action requires patience, consistency, and self-awareness. It’s essential to recognize that embracing opposite behaviors might not immediately eradicate the distressing emotion, but it will help manage and reduce its impact over time.

Opposite Action is a powerful DBT skill that empowers individuals to take control of their emotional responses and lead more fulfilling lives. By intentionally engaging in behaviors that oppose their distressing emotions, people can rewire their brains and cultivate healthier ways of managing and regulating their feelings. This skill underscores the importance of recognizing the link between emotions and actions, and the potential for positive change that lies within our own choices.

As with any therapeutic technique, it’s recommended to work with a qualified mental health professional when learning and applying Opposite Action, especially in complex or severe emotional situations. Over time, this skill can become a valuable tool in one’s emotional toolkit, helping to navigate the complexities of the human experience with greater resilience and self-mastery.

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Radical Acceptance is a Skill Taught in our DBT Groups

If you are someone who is highly sensitive and struggles with emotion regulation, this group might be a good fit.  Also, if you have frequent interpersonal conflicts or simply want to be better at managing your relationships, DBT would be very helpful.

Wendy Douglas, LCSW, MSPH

Wendy Douglas, LCSW, MSPH

Wendy Douglas, LCSW, MSPH has been practicing DBT for 14 years. She was intensively trained in DBT at Harbor UCLA in 2006 while she worked at L.A. County's Edelman Westside Mental Health Clinic providing DBT services for more than seven years. She completed her Advanced DBT Training under Shari Manning and Kate Comtois in 2017. She holds a Master of Social Work from UCLA and a Master of Science in Public Health from Tulane University in New Orleans. Wendy founded Idaho DBT in 2012. She currently has private practice locations in Beverly Hills, Sherman Oaks, and Woodland Hills where she specializes in seeing teens and adults with emotion regulation disorders. Wendy is also a certified Anger Management Therapist. She currently sits on a DBT Team with a number of other experienced therapists and offers DBT trainings for therapists all over L.A.
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