Marsha Linehan, the founder of dialectical behavior therapy, created an acronym to guide us through moments of distress—or “terrible, horrible, very bad” circumstances. The goal behind the acronym is to develop a skill set for tolerating events and challenging emotions when you cannot immediately change the fact that, for example … your boss continually reprimanded you in front of your colleagues during your morning meeting, your teenage daughter screamed at you through that closed door again, or you just discovered that your dear friend from college is struggling with an addiction.

When I first read Linehan’s claim that someone can “distract” herself through a series of options couched within a model called “ACCEPTS,” I remember smirking. Accept by distracting … oh really?! Yet a large part of the day-to-day human struggle, for me anyway, intensifies in my vigorous resistance to difficult situations, conflicts, and uncomfortable emotions that can feel overwhelming in a given moment.

Distracting with other constructive and worthwhile options is a step toward acceptance and tolerance. If I choose to occupy my mind and body with other activities, it doesn’t mean that I necessarily approve of the event that is making me so angry, sad, or fearful, but it is an opportunity to redirect my energies in a more productive and meaningful way because this thing [this divorce, this job toxicity, this disease my friend is battling] is a reality that I must inevitably bear. It IS, and so are the other possibilities below:

Distract with ACCEPTS*

1.    “With Activities – Engage in exercise or hobbies … call or visit a friend”
What are your go-to activities? Do you have a repertoire of options? Can you throw on your running shoes and take a quick jog? Pick up those knitting needles? Do you enjoy tending those plants on your balcony or window sill? Is it time for a Netflix night or a game night with the kids?

2.    “With Contributing – Contribute to someone; do volunteer work; give something to someone else”

Do you have a “cause”? Is there a way that you give back to your community or neighborhood beyond your traditional work day? In her famous TED Talk, Stanford psychologist Kelly McGonigal cites research indicating that people who manage stress best and have greater longevity are individuals who reach out, connect, and extend care to others.

3.    “With Comparisons – Compare yourself to people coping the same as you or less well than you”

Instead of the dangers of some social comparisons, which can lead to lowered levels of self-esteem, this form of comparison has the opposite effect. “This is not my worst moment. I’ve managed much more difficult circumstances than this.” The popular refrain, “This is a first-world problem” often helps me to put my minor frustrations in perspective as well.

4.    “With opposite Emotions – Be sure the event creates different emotions. Ideas: scary movies, joke books, comedies…”

What makes you laugh? Your goofy, slobbery dog? Your toddling two-year-old? An impromptu family dance party? A favorite TV show or stand-up comic? (Parks and Recreation is a favorite TV sitcom in my household!) What makes you joyful?

5.    “With Pushing away – Push the situation away by leaving it for a while”

This is a simple exercise in refraining from further rumination. Some suggest that designating a specified time for worrying (e.g., 30 minutes a day) is a better option. Otherwise, immerse yourself in other activities.

6.    “With other Thoughts” – Count to 10; count colors in a painting or tree … work puzzles”

Sometimes easier said than done, but there are multiple tools and methods for cognitive reappraisal (ways to practice re-framing and replacing thoughts) that can also be very beneficial.

7.    “With intense other Sensations – Hold ice in hand; squeeze a rubber ball very hard”

Lots of healthy and appealing options here, right? Sexual activity, loud music, an invigorating CrossFit workout, a super-hot shower.

All of these strategies offer alternatives to feeling bowled over by that “terrible, horrible, no good, very bad day.”

*See Marsha Linehan’s website at for additional resources related to dialectical behavioral therapy.

About Amy L Eva

One Response to “Seven Strategies for Managing a “Terrible, Horrible, No Good, Very Bad Day””

  1. Jeffry Gindhart

    Hey! Would you mind if I share your blog with my facebook group? There’s a lot of folks that I think would really appreciate your content. Please let me know. Cheers


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