Mental Health
Acceptance: how to define it and practice it daily?
Reading time: 9 minutes
Reading time: 9 minutes


Dr Edouard Bougueret
•


Dr Edouard Bougueret
•
This series was born from a simple conviction: the best questions do not come from me... well, not always ;)
"The reader's invitation" is the space I created so you can submit the themes that cross your mind, and for me to answer them with my own perspective.
And I will start with Frédéric who asked me a question that, I believe, many of us ask themselves or have had to ask themselves: "Acceptance: how to define it and practice it on a daily basis in your opinion?"
A word that already says "almost" everything
📚 Even before getting to the heart of the matter, let's look at the word itself, because its etymology is already a program.
Acceptance comes from the Latin acceptatio, derived from the verb acceptare, itself the frequentative* of accipere: ad- (toward) + capere (to take, to seize). Literally: "to take toward oneself", to receive, to welcome.
What is remarkable is that the Latin language already carried within itself the distinction that contemporary psychology strives to make: accepting is an active act. We take, we seize, we receive. It is not about undergoing.
And the frequentative acceptare (which therefore expresses a repeated, habitual action) tells us something else essential: acceptance is not a single act. It is a daily practice. Latin already knew this.
* Frequentative : I had to go look up what it meant, so it is a Latin verbal form that indicates a repeated or habitual action. Acceptare does not mean "to take once", but "to take regularly" — which defines acceptance, from its origin, as a practice and not as a state.
What acceptance is not
Before defining what acceptance is, we must probably say what it is not, because the misunderstanding is immense, and it can be costly. Acceptance is not resignation. It is not surrender, capitulation, nor a form of passivity tinged with bitterness.
Resignation says: "I can't do anything about it, so what's the use." It closes doors. It settles into helplessness. Acceptance, on the other hand, says something radically different: "This is where I am today. It is real. And it is a valid starting point." It opens a window. It is not the same posture, nor the same relationship with oneself.
My vision of this concept
As a psychotherapist, I view acceptance as an act of active courage, and one of the most difficult there is!
Why? Because our brain is wired, I believe, to resist pain, to flee discomfort, to find solutions to what resists us, to control what eludes us. Fighting against a difficult reality gives the illusion of taking action. But this fight consumes a considerable amount of energy, often to the detriment of what really matters. And during this time, we fight against our inner world rather than acting in the outer world.

Acceptance is not an end in itself
It is an internal posture that frees up psychological space to live in accordance with one's deep values. We do not ask patients to like what is happening to them. That would be twisted, as I often say. We invite them to stop fighting against what is already there, so they can finally move toward what matters to them.
On a clinical level, two approaches formalize this with precision.
Dialectical Behavior Therapy (DBT) speaks of radical acceptance: fully accepting the facts of reality, with one's head, body, and heart, without necessarily approving of them. It is not about liking what happened, but about recognizing that "it happened, and I can no longer act as if it didn't."
In Acceptance and Commitment Therapy (ACT), acceptance is one of the six components of psychological flexibility: accepting difficult inner experiences, taking a step back from one's thoughts, staying in touch with the present moment, connecting to an "observing self", clarifying one's values, and engaging in actions consistent with them. Acceptance is therefore not a moral end, it is a skill in service of a more aligned life.
These approaches did not come out of nowhere. They align with insights carried for centuries by very different traditions, which all converge toward the same place.
The Stoics made it the heart of their philosophy: the distinction between what depends on us (our judgments, our intentions, our choices) and what does not depend on us (external events, the body, reputation). This act of acceptance, they were already proposing it: letting go of what is beyond our power to concentrate our energy on our response. Only this distinction can make us truly free.
Spinoza goes even further. For him, freedom does not lie in a magical free will, which according to him is an illusion. It lies in the understanding of necessity. Understanding the causes that determine us allows us to transition from being one who undergoes to one who acts according to the necessity of their own nature. We stop cursing reality and increase our power to act.
Nietzsche called it Amor Fati, "love of one's fate". Not in spite of the pain and trial it contains, but with it. Saying a wholehearted "yes" to life as it is, has been, and will be. A formula for greatness, he said.
These approaches share a strong intuition: suffering is not so much in the facts themselves but in the friction between "what is" and "what I believe should be". Acceptance is that moment when we stop confusing our preferences with the structure of reality.
Buddhism adds an extra dimension: suffering is born of attachment and resistance to impermanence. Everything changes (body, emotions, relationships, situations) and it is precisely by clinging to the idea that "it should last" or "this should never have happened" that we intensify the pain.
Observing the rise and fall of emotions without clinging to them or rejecting them is precisely what ACT and mindfulness formalize today in clinical practice.
Finally, the great monotheistic traditions also carry this wisdom in other forms: surrender to Providence, trust in a larger order of things, what some works in the psychology of religion describe as spiritual coping resources. Different ways of giving up total control to find peace in trust.
These ancient traditions and contemporary psychology converge toward the same observation: suffering is not the enemy. Resistance to suffering is. But let's be honest: all of this is easier said, or written in this case, than done. That is precisely where the work begins.
How to go about it concretely?
Let's move on to the "how". Acceptance is a concrete practice, not an abstract injunction. Here are a few practices that can be applied both by the general public and by professionals.
Naming without judging
First step: learning to observe what is happening inside oneself. Pause, then put simple words on the experience: "I notice that I am feeling anger", "I note this thought: I am not going to make it". This action creates a slight distance between you and what you are experiencing, which some authors call "cognitive defusion". Rather than "I am worthless", shifting to "I observe that I have the thought that I am worthless" already changes the relationship with that inner phrase: it is no longer a verdict, but just another mental event.
The ACE exercise: Acknowledge, Connect, Engage
A simple protocol used in several adaptations of ACT consists of three steps:Acknowledge: note what is present (emotions, thoughts, sensations) without correcting them right away.
Connect: bring attention back to the body and the breath, feel the contact points, the air going in and out.
Engage: take a small, concrete action toward what matters (replying to an important message, returning to a meaningful task, speaking to someone, etc.). This cycle interrupts the spiral of avoidance and prompts a return to aligned action, even in the presence of discomfort.
Metaphors : particularly speaking images
Several metaphors from acceptance-based approaches illustrate the "self as context"
The Surf:
You cannot control the waves, but you can learn to surf. Difficult emotions work like waves: they rise, peak, and fall back down if we don't feed them constantly through rumination or avoidance.
In therapy, we often invite patients to "surf" an urge, a surge of anxiety, or sadness: stay with the sensations, second after second, like a scientist observing a phenomenon, until the wave subsides on its own. This perspective aligns with data showing that an emotion left unfed generally has a limited duration in time.
The Chessboard :
Thoughts and emotions are the chess pieces (white, black, aggressive, or fearful); you, you are the board that contains them all without getting mixed up with them.
The Sky and the Weather :
The sky and the weather: the sky (your awareness) remains intact, whether the weather is stormy or clear; the clouds pass, the sky remains. These images help people experience that we can welcome sometimes extreme internal states without reducing ourselves to them.
The gratitude journal
Practicing gratitude is not meant to deny difficulties, but to retrain attention, which is spontaneously oriented toward threat and lack. Noting three things each evening, even tiny ones, for which we feel appreciation trains our eyes to also perceive what is already working.
Several studies show that these gratitude practices help increase subjective well-being and decrease certain markers of distress, in addition to other clinical tools.

Practical recommendations for integrating acceptance
To integrate acceptance into your daily life:
Start small: use micro-frustrations (delay in transport, unpleasant email, unexpected event) as a training ground rather than waiting for the next existential earthquake.
Learn to distinguish what is within control, influence, or pure acceptance, in the spirit of the Stoic dichotomy of control: act where you have leverage, let go where you have none, and adjust your efforts in the middle zone.
Formalize your values: clarifying what matters deeply (relationships, contribution, learning, health, etc.) helps give a clear direction to your actions, even in the presence of pain.
Seek support when the pain is too intense (grief, trauma, serious illness): approaches integrating acceptance show significant effects on anxiety, depression, chronic pain, and burnout.
Points of vigilance: 3 major risks deserve to be explicitly named.
Acceptance as a mask for depressive resignation: in some people experiencing depression, saying "I accept" can actually cover up a painful surrender, a belief that "nothing will change." Here, clinical work consists of reopening the possibility of action, not reinforcing passivity.
Acceptance as a rationalization of an intolerable situation: in contexts of violence, abuse, or acute injustice, it is dangerous to present acceptance as a virtue that consists of "enduring" the unbearable. Genuine acceptance must always open, or at least not close, the door to protective action (leaving, speaking out, getting to safety).
The linear vision: we do not accept once and for all. Acceptance is often cyclical, with returns of anger, refusal, and sadness. These returns are not failures, but opportunities to practice the skill again. For professionals, this implies a careful assessment of the function of the "acceptance" discourse in the patient: does it open doors or close them? Does it allow for action or for self-anesthetizing?
Its real utility
On an empirical level, acceptance-based therapies, particularly ACT, now have a solid body of research. Meta-analyses show that ACT improves psychological flexibility and significantly reduces anxiety, depression, distress associated with chronic pain, and certain indicators of burnout.
On a clinical level, an effect I regularly observe is the recovery of energy that had long been mobilized to fight against the unchangeable. When the inner war stops, even a little, resources are freed up for concrete commitments: resuming an activity, opening a dialogue, creating, connecting. The person shifts from feeling like a victim of circumstances to being the author of their path, within the limits of what can actually be changed.
In my eyes, this is the deepest utility of acceptance: it does not directly change external reality; it transforms our way of inhabiting it. And that is often where something shifts, subtly but lastingly.
Acceptance is one of the great paradoxes of human psychology:
it is by ceasing to fight against what is
that we find the power to change what can be changed.
What is the thing you are resisting right now, and that you know, deep down, you cannot change? I leave you with this question, without necessarily trying to answer it right away. And if it stirs something in you, I would be genuinely curious to read it in the comments.
I'll start:
🛜 I know that the Wi-Fi is bad on the Paris-Rennes TGV. I've known it for years. YEARS.
But I still grumble on every trip. My impatience: I see it, I understand it, and it is still there.
Because acceptance is not knowing. It is consenting... again, and again.
🚄 And right now at 7:57 AM between Paris and Rennes, I am only moderately consenting ;)
This series was born from a simple conviction: the best questions do not come from me... well, not always ;)
"The reader's invitation" is the space I created so you can submit the themes that cross your mind, and for me to answer them with my own perspective.
And I will start with Frédéric who asked me a question that, I believe, many of us ask themselves or have had to ask themselves: "Acceptance: how to define it and practice it on a daily basis in your opinion?"
A word that already says "almost" everything
📚 Even before getting to the heart of the matter, let's look at the word itself, because its etymology is already a program.
Acceptance comes from the Latin acceptatio, derived from the verb acceptare, itself the frequentative* of accipere: ad- (toward) + capere (to take, to seize). Literally: "to take toward oneself", to receive, to welcome.
What is remarkable is that the Latin language already carried within itself the distinction that contemporary psychology strives to make: accepting is an active act. We take, we seize, we receive. It is not about undergoing.
And the frequentative acceptare (which therefore expresses a repeated, habitual action) tells us something else essential: acceptance is not a single act. It is a daily practice. Latin already knew this.
* Frequentative : I had to go look up what it meant, so it is a Latin verbal form that indicates a repeated or habitual action. Acceptare does not mean "to take once", but "to take regularly" — which defines acceptance, from its origin, as a practice and not as a state.
What acceptance is not
Before defining what acceptance is, we must probably say what it is not, because the misunderstanding is immense, and it can be costly. Acceptance is not resignation. It is not surrender, capitulation, nor a form of passivity tinged with bitterness.
Resignation says: "I can't do anything about it, so what's the use." It closes doors. It settles into helplessness. Acceptance, on the other hand, says something radically different: "This is where I am today. It is real. And it is a valid starting point." It opens a window. It is not the same posture, nor the same relationship with oneself.
My vision of this concept
As a psychotherapist, I view acceptance as an act of active courage, and one of the most difficult there is!
Why? Because our brain is wired, I believe, to resist pain, to flee discomfort, to find solutions to what resists us, to control what eludes us. Fighting against a difficult reality gives the illusion of taking action. But this fight consumes a considerable amount of energy, often to the detriment of what really matters. And during this time, we fight against our inner world rather than acting in the outer world.

Acceptance is not an end in itself
It is an internal posture that frees up psychological space to live in accordance with one's deep values. We do not ask patients to like what is happening to them. That would be twisted, as I often say. We invite them to stop fighting against what is already there, so they can finally move toward what matters to them.
On a clinical level, two approaches formalize this with precision.
Dialectical Behavior Therapy (DBT) speaks of radical acceptance: fully accepting the facts of reality, with one's head, body, and heart, without necessarily approving of them. It is not about liking what happened, but about recognizing that "it happened, and I can no longer act as if it didn't."
In Acceptance and Commitment Therapy (ACT), acceptance is one of the six components of psychological flexibility: accepting difficult inner experiences, taking a step back from one's thoughts, staying in touch with the present moment, connecting to an "observing self", clarifying one's values, and engaging in actions consistent with them. Acceptance is therefore not a moral end, it is a skill in service of a more aligned life.
These approaches did not come out of nowhere. They align with insights carried for centuries by very different traditions, which all converge toward the same place.
The Stoics made it the heart of their philosophy: the distinction between what depends on us (our judgments, our intentions, our choices) and what does not depend on us (external events, the body, reputation). This act of acceptance, they were already proposing it: letting go of what is beyond our power to concentrate our energy on our response. Only this distinction can make us truly free.
Spinoza goes even further. For him, freedom does not lie in a magical free will, which according to him is an illusion. It lies in the understanding of necessity. Understanding the causes that determine us allows us to transition from being one who undergoes to one who acts according to the necessity of their own nature. We stop cursing reality and increase our power to act.
Nietzsche called it Amor Fati, "love of one's fate". Not in spite of the pain and trial it contains, but with it. Saying a wholehearted "yes" to life as it is, has been, and will be. A formula for greatness, he said.
These approaches share a strong intuition: suffering is not so much in the facts themselves but in the friction between "what is" and "what I believe should be". Acceptance is that moment when we stop confusing our preferences with the structure of reality.
Buddhism adds an extra dimension: suffering is born of attachment and resistance to impermanence. Everything changes (body, emotions, relationships, situations) and it is precisely by clinging to the idea that "it should last" or "this should never have happened" that we intensify the pain.
Observing the rise and fall of emotions without clinging to them or rejecting them is precisely what ACT and mindfulness formalize today in clinical practice.
Finally, the great monotheistic traditions also carry this wisdom in other forms: surrender to Providence, trust in a larger order of things, what some works in the psychology of religion describe as spiritual coping resources. Different ways of giving up total control to find peace in trust.
These ancient traditions and contemporary psychology converge toward the same observation: suffering is not the enemy. Resistance to suffering is. But let's be honest: all of this is easier said, or written in this case, than done. That is precisely where the work begins.
How to go about it concretely?
Let's move on to the "how". Acceptance is a concrete practice, not an abstract injunction. Here are a few practices that can be applied both by the general public and by professionals.
Naming without judging
First step: learning to observe what is happening inside oneself. Pause, then put simple words on the experience: "I notice that I am feeling anger", "I note this thought: I am not going to make it". This action creates a slight distance between you and what you are experiencing, which some authors call "cognitive defusion". Rather than "I am worthless", shifting to "I observe that I have the thought that I am worthless" already changes the relationship with that inner phrase: it is no longer a verdict, but just another mental event.
The ACE exercise: Acknowledge, Connect, Engage
A simple protocol used in several adaptations of ACT consists of three steps:Acknowledge: note what is present (emotions, thoughts, sensations) without correcting them right away.
Connect: bring attention back to the body and the breath, feel the contact points, the air going in and out.
Engage: take a small, concrete action toward what matters (replying to an important message, returning to a meaningful task, speaking to someone, etc.). This cycle interrupts the spiral of avoidance and prompts a return to aligned action, even in the presence of discomfort.
Metaphors : particularly speaking images
Several metaphors from acceptance-based approaches illustrate the "self as context"
The Surf:
You cannot control the waves, but you can learn to surf. Difficult emotions work like waves: they rise, peak, and fall back down if we don't feed them constantly through rumination or avoidance.
In therapy, we often invite patients to "surf" an urge, a surge of anxiety, or sadness: stay with the sensations, second after second, like a scientist observing a phenomenon, until the wave subsides on its own. This perspective aligns with data showing that an emotion left unfed generally has a limited duration in time.
The Chessboard :
Thoughts and emotions are the chess pieces (white, black, aggressive, or fearful); you, you are the board that contains them all without getting mixed up with them.
The Sky and the Weather :
The sky and the weather: the sky (your awareness) remains intact, whether the weather is stormy or clear; the clouds pass, the sky remains. These images help people experience that we can welcome sometimes extreme internal states without reducing ourselves to them.
The gratitude journal
Practicing gratitude is not meant to deny difficulties, but to retrain attention, which is spontaneously oriented toward threat and lack. Noting three things each evening, even tiny ones, for which we feel appreciation trains our eyes to also perceive what is already working.
Several studies show that these gratitude practices help increase subjective well-being and decrease certain markers of distress, in addition to other clinical tools.

Practical recommendations for integrating acceptance
To integrate acceptance into your daily life:
Start small: use micro-frustrations (delay in transport, unpleasant email, unexpected event) as a training ground rather than waiting for the next existential earthquake.
Learn to distinguish what is within control, influence, or pure acceptance, in the spirit of the Stoic dichotomy of control: act where you have leverage, let go where you have none, and adjust your efforts in the middle zone.
Formalize your values: clarifying what matters deeply (relationships, contribution, learning, health, etc.) helps give a clear direction to your actions, even in the presence of pain.
Seek support when the pain is too intense (grief, trauma, serious illness): approaches integrating acceptance show significant effects on anxiety, depression, chronic pain, and burnout.
Points of vigilance: 3 major risks deserve to be explicitly named.
Acceptance as a mask for depressive resignation: in some people experiencing depression, saying "I accept" can actually cover up a painful surrender, a belief that "nothing will change." Here, clinical work consists of reopening the possibility of action, not reinforcing passivity.
Acceptance as a rationalization of an intolerable situation: in contexts of violence, abuse, or acute injustice, it is dangerous to present acceptance as a virtue that consists of "enduring" the unbearable. Genuine acceptance must always open, or at least not close, the door to protective action (leaving, speaking out, getting to safety).
The linear vision: we do not accept once and for all. Acceptance is often cyclical, with returns of anger, refusal, and sadness. These returns are not failures, but opportunities to practice the skill again. For professionals, this implies a careful assessment of the function of the "acceptance" discourse in the patient: does it open doors or close them? Does it allow for action or for self-anesthetizing?
Its real utility
On an empirical level, acceptance-based therapies, particularly ACT, now have a solid body of research. Meta-analyses show that ACT improves psychological flexibility and significantly reduces anxiety, depression, distress associated with chronic pain, and certain indicators of burnout.
On a clinical level, an effect I regularly observe is the recovery of energy that had long been mobilized to fight against the unchangeable. When the inner war stops, even a little, resources are freed up for concrete commitments: resuming an activity, opening a dialogue, creating, connecting. The person shifts from feeling like a victim of circumstances to being the author of their path, within the limits of what can actually be changed.
In my eyes, this is the deepest utility of acceptance: it does not directly change external reality; it transforms our way of inhabiting it. And that is often where something shifts, subtly but lastingly.
Acceptance is one of the great paradoxes of human psychology:
it is by ceasing to fight against what is
that we find the power to change what can be changed.
What is the thing you are resisting right now, and that you know, deep down, you cannot change? I leave you with this question, without necessarily trying to answer it right away. And if it stirs something in you, I would be genuinely curious to read it in the comments.
I'll start:
🛜 I know that the Wi-Fi is bad on the Paris-Rennes TGV. I've known it for years. YEARS.
But I still grumble on every trip. My impatience: I see it, I understand it, and it is still there.
Because acceptance is not knowing. It is consenting... again, and again.
🚄 And right now at 7:57 AM between Paris and Rennes, I am only moderately consenting ;)

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New publications, kit updates, curated resources. Sent occasionally, without spam.

Stay informed about new publications
New publications, kit updates, curated resources. Sent occasionally, without spam.