How to Use the DBT Skill Opposite Action  

DBT
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Opposite action is one of those DBT skills that sounds almost too simple: do the opposite of what your emotion is telling you to do. That description is accurate as far as it goes, but it leaves out the parts that make the skill helpful such as when to use it, what doing it fully really means, and why it produces the changes it does. 

The logic behind it 

Every emotion comes with an action urge (a behavioral impulse the emotion is pushing you toward). Fear urges avoidance or escape. Shame urges hiding. Sadness urges withdrawal. Anger urges confrontation or attack. These urges evolved as reasonable responses to threats. But they’re not always appropriate to the actual situation, and acting on them consistently tends to strengthen the emotion rather than resolve it. 

This is the key insight: emotions are maintained and reinforced by the behaviors they produce. Avoid the thing that frightens you and the fear grows. Withdraw when you’re sad and the sadness deepens. Opposite action interrupts this cycle. 

When opposite action applies and when it doesn’t 

Opposite action is appropriate when the emotion doesn’t fit the facts of the situation, or when acting on the emotion’s urge won’t actually help. It is not a general instruction to override your feelings. If you’re afraid of something genuinely dangerous, avoidance may be exactly right. The question to ask is: does acting on this urge fit the situation, and will it be effective? 

What it looks like in practice 

Depression and withdrawal 

Depression’s action urge is to withdraw such as canceling plans, staying in bed, and avoiding people. Opposite action means doing the reverse: showing up, making contact, engaging. Not because you feel like it, but because the withdrawal is maintaining the depression. The action needs to be genuine and full, not reluctant compliance. 

Anxiety and avoidance 

Anxiety urges avoidance of whatever is feared. Opposite action means approaching rather than retreating. The approach should be deliberate and at a manageable pace. Each time you approach and discover the feared outcome doesn’t materialize, you provide the nervous system with evidence that contradicts the anxiety’s prediction. 

Shame and hiding 

Shame urges concealment. Opposite action means holding your head up, making eye contact, sharing with a safe person, treating yourself with the dignity the shame says you don’t deserve. This is often the most difficult application of the skill, and one of the most powerful. 

Anger and attack 

When anger urges confrontation in a situation where that won’t be effective, opposite action means responding gently, creating temporary distance, or doing something kind for the person the anger is directed at. This feels deeply counterintuitive, but it’s also one of the fastest ways to reduce anger that’s fueled by a story rather than something that actually needs a response. 

The “all the way” requirement 

Dialectical Behavior Therapy emphasizes that opposite action needs to be done completely, not halfheartedly.  Going through the motions while internally feeding the original emotion doesn’t produce the same result. But working to be fully present in the moment while participating in opposite action can lead to a powerful shift in emotion.  Reach out if you would like to talk about whether DBT is the right fit for you.

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