Opposite action dbt ashley m allen psyd denver colorado therapist
By 5.2 min read

If you’ve ever felt stuck in an emotion that just won’t shift, you’re not alone. Opposite action DBT is one of the most effective skills for changing emotions that feel too strong or hard to manage.

You might notice:

  • You feel anxious and avoid things, even when you know they’re safe
  • You feel angry and want to lash out, even when it makes things worse
  • You feel ashamed and want to hide, even when you need support

And even when you understand what’s happening, it doesn’t change how you feel.

That’s where opposite action comes in.

What Is Opposite Action DBT?

Opposite action is a DBT emotion regulation skill that helps you change emotions by changing what you do.

The idea is simple and powerful:

  • Every emotion has an action urge
  • If you act opposite to that urge, you can change the emotion itself

For example:

  • Fear → urge to avoid → opposite action is to approach
  • Anger → urge to attack → opposite action is to be gentle or step back
  • Sadness → urge to withdraw → opposite action is to get active

This works because emotions are not just thoughts. They are full-body systems that include urges, behaviors, and physical responses .

When you change one part of the system, you can shift the whole experience.

When Should You Use Opposite Action?

Opposite action is not something you use all the time.

According to DBT, you use it when:

  • Your emotion does not fit the facts, or
  • Acting on the emotion is not effective for your goals

This is really important.

  • The goal is not to get rid of emotions
  • The goal is to change emotions that are not helping you

Why This Skill Is So Hard

Let’s be honest. Opposite action can feel… awful at first.

Because you are doing the exact opposite of what your body is telling you to do.

If you feel:

  • anxious → your body says “leave”
  • ashamed → your body says “hide”
  • angry → your body says “attack”

Opposite action asks you to:

  • stay
  • show up
  • soften

Of course that feels unnatural.

There’s also something deeper happening here.

Many people have been told their emotions are “too much” or “wrong.” So when they hear “do the opposite,” it can feel invalidating.

But that’s not what this skill is saying.

Your emotions make sense

AND you can choose how to respond to them

Both things are true.

Step-by-Step: How to Use Opposite Action DBT

Here’s how to actually do this skill in real life:

1. Identify the emotion

Name what you’re feeling as specifically as possible.

Not just “bad” or “overwhelmed,” but:

  • anxiety
  • shame
  • anger
  • sadness

Even naming the emotion can help regulate it.

2. Check the facts

Ask yourself:

  • Does this emotion fit the situation?
  • Is the intensity justified?

If you haven’t read it yet, this builds directly on check the facts.

3. Identify your action urges

What does the emotion want you to do?

Examples:

  • Avoid
  • Isolate
  • Yell
  • Shut down
  • Seek reassurance

4. Ask: Is acting on this helpful?

Even if the emotion makes sense, acting on it might not be effective.

This is where a lot of people get stuck.

5. Choose the opposite action

Do the opposite of the urge.

Not halfway.

All the way

6. Repeat

Opposite action is not one-and-done.

You often have to repeat it until the emotion shifts.

Real-Life Examples (the part that actually matters)

Example 1: Anxiety and Avoidance

You want to cancel plans because you feel anxious.

Your urge:

  • stay home
  • avoid
  • cancel

Opposite action:

  • go anyway
  • stay longer than feels comfortable
  • engage with people

Over time, your brain learns:
“This is safe”

Example 2: Shame and Hiding

You made a mistake at work and feel embarrassed.

Your urge:

  • hide
  • avoid people
  • over-apologize

Opposite action:

  • talk to someone you trust
  • show up anyway
  • maintain eye contact

This directly targets shame, which pushes you to hide .

Example 3: Anger and Reactivity

Someone says something that feels hurtful.

Your urge:

  • snap back
  • escalate
  • prove your point

Opposite action:

  • soften your tone
  • take a step back
  • respond with curiosity instead of attack

This doesn’t mean suppressing anger. It means responding in a way that actually helps.

Example 4: Sadness and Withdrawal

You feel low and want to stay in bed all day.

Your urge:

  • isolate
  • disengage
  • avoid everything

Opposite action:

  • get up
  • do something small
  • engage in an activity

This is similar to behavioral activation, which is strongly supported in treating depression .

What If Opposite Action Isn’t Working?

This is where a lot of people get stuck.

If opposite action isn’t working, it’s usually because:

1. You’re too dysregulated

If your emotional intensity is too high, you may be past your skills breakdown point .

At that point, you need:

  • distress tolerance first
  • then come back to opposite action

2. The emotion actually fits the facts

If the emotion is justified, the goal may not be to change it.

Instead, you might need:

  • problem solving
  • validation
  • support

3. You’re not going “all the way”

Doing opposite action halfway often doesn’t work.

Example:

  • going to the event but staying on your phone
  • talking to someone but avoiding eye contact

Your body still reads that as avoidance.

Why Opposite Action DBT Works

Opposite action works because it targets one of the most powerful parts of emotions:

action urges

Emotions evolved to push us into behavior quickly and automatically .

When you change the behavior:

  • you interrupt the emotional cycle
  • you create new learning
  • you reduce avoidance

Over time, this builds:

  • confidence
  • flexibility
  • emotional regulation

If You’re Struggling With Opposite Action DBT

If this feels hard, you’re not doing it wrong.

This is one of the most challenging DBT skills because it asks you to go directly against your instincts.

It also requires:

  • awareness
  • timing
  • willingness

And those things take practice.

If your emotions feel intense, confusing, or hard to manage, you don’t have to figure this out alone.

I use a structured, skills-based approach grounded in DBT to help you understand your emotions and build practical tools that actually work in your daily life.

If you’re ready to feel more stable, confident, and in control, you can reach out through my website to get started.

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Ashley Allen, PsyD, Virtual Therapist

Ashley M. Allen, PsyD is a Colorado-based licensed clinical psychologist who sees clients virtually nationwide through PSYPACT. Dr. Allen specializes in LGBTQ+, alternative lifestyles, emotional disorders, ADHD, BPD and chronic illness. Stay tuned to her blog for tips on mental wellness.

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