What is Dialectical Behaviour Therapy (DBT)?

Dialectical Behaviour Therapy (DBT), developed by Dr. Marsha Linehan, is a comprehensive, evidence-based treatment designed to help individuals regulate emotions, tolerate distress, and improve interpersonal relationships. One of the core skills in DBT is “opposite action,” a powerful tool for managing intense emotions and problematic behaviors.

The opposite action technique involves identifying the emotions driving a behavior and then acting in a manner that is contrary to what those emotions dictate. The idea is to engage in behaviors that are aligned with long-term goals and values, rather than those driven by intense, often irrational, emotional responses. For instance, if you feel angry and want to lash out at someone, the opposite action would involve doing something kind or neutral instead.

The process begins with recognising the emotion and understanding its function. Emotions often have specific urges associated with them—anger might prompt confrontation, sadness might lead to withdrawal, and fear could result in avoidance. By acknowledging these urges, individuals can make a conscious decision to act differently.

Implementing an opposite action requires practice and mindfulness. It might feel uncomfortable or counterintuitive at first, but consistently practicing this skill can lead to significant emotional regulation. For example, someone experiencing social anxiety might feel the urge to avoid social interactions. Using an opposite action, they would attend a social gathering, gradually reducing anxiety and building confidence over time.

Opposite actions are not about suppressing or ignoring emotions but about responding to them in a way that promotes healthier outcomes. By choosing actions that align with long-term well-being, individuals can break negative patterns and create more positive experiences in their lives.