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Riding the Wave of Emotion with DBT Skills

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Emotions are powerful forces that can shape our decisions, relationships, and sense of well-being. At times, they lift us up with joy and excitement; at other times, they weigh us down with anger, sadness, or fear. For many, the challenge is not simply feeling emotions, but learning how to allow them to rise and fall without interference. This process—often described as “riding the wave of emotion”—is at the heart of emotional resilience and is a core principle in Dialectical Behavior Therapy (DBT).

Mindful spectating supports calm focus in DBT practice
Person practicing mindful spectating with DBT balance

Much like a physical wound covered with a bandage, emotions have a natural healing process if we allow them to run their course. Yet, just as some people can’t resist lifting the bandage to check if the wound is healing, many of us can’t resist “peeking” at our emotions, analyzing, resisting, or trying to control them. This constant interference often intensifies suffering. DBT provides practical skills to help us stop interrupting, trust the natural cycle of feelings, and build healthier ways of coping.

The Bandage Metaphor: A Window Into Emotional Healing

Imagine you cut your hand and cover it with a bandage. Some people will leave it alone, trusting the body’s natural healing process, while others lift the bandage every few hours to “check” if the wound is closing. Ironically, the constant checking slows healing.

This metaphor illustrates what happens when we handle emotions with impatience. When a wave of anger, grief, or anxiety arrives, our first instinct may be to push it away, distract ourselves impulsively, or ruminate endlessly about why it happened. But emotions, like wounds, are designed to heal. Research shows that a single emotional wave typically lasts around 90 seconds to two minutes. If we acknowledge it without resistance, the feeling will naturally subside. When we interfere—by overthinking, judging, or suppressing—it lingers and intensifies.

The Natural Cycle of Emotions

Every emotion serves a purpose. Fear alerts us to danger, sadness signals loss, and anger can point to injustice. These responses prepare the body to take action and help us survive.


When we let emotions unfold naturally:

  • The body activates physiological changes (heart rate, breath, muscle tension).
  • The brain processes the stimulus.
  • Within minutes, the intensity subsides, leaving clarity for problem-solving.

When we resist or ruminate:

  • The emotional cycle is prolonged.
  • The brain interprets the interruption as evidence that the emotion was dangerous.
  • We create a loop of suffering instead of resolution.

Understanding this cycle helps us shift from fighting emotions to trusting emotions.

Why We Struggle to Let Go

Despite knowing that emotions are temporary, many of us cling to them. Why?

  1. Fear of loss of control – We believe if we don’t control emotions, they’ll overwhelm us.
  2. Self-judgment – We think certain feelings are “wrong” or “weak,” so we fight them.
  3. Habits of rumination – Our minds replay events endlessly, preventing emotions from resolving.
  4. Attachment to outcomes – We tie emotions to results (“I’ll only feel good if I win”), making it hard to release disappointment.


These struggles highlight the dialectical tension at the heart of DBT: acceptance versus change. As explored in What Is Dialectic in DBT, finding balance between accepting what we feel and working to change how we respond is key to emotional growth.

Riding the Emotional Wave with DBT Skills

DBT offers practical tools to ride emotional waves with awareness and resilience. Instead of resisting or acting impulsively, we can:

  1. Observe emotions mindfully – Notice thoughts, sensations, and urges without judgment.
  2. Name the emotion – Labeling helps create distance between you and the feeling.
  3. Allow the wave – Remind yourself it will peak and pass naturally.
  4. Choose a skillful response – Use DBT coping strategies instead of reacting impulsively.


This shift transforms emotions from enemies to guides.

Wise Mind ACCEPTS: Turning Attention Elsewhere

One of DBT’s core distress tolerance tools is Wise Mind ACCEPTS, an acronym for healthy distractions that help ride emotional waves.

  • Activities – Engage in something enjoyable: cook, walk, read.
  • Contributing – Volunteer, help a friend, do something kind.
  • Comparisons – Recall past challenges you overcame.
  • Emotions – Trigger opposite feelings with comedy, uplifting music, or gratitude.
  • Pushing Away – Create mental distance by setting the problem aside temporarily.
  • Thoughts – Focus on puzzles, crosswords, or memorization exercises.
  • Sensations – Use grounding techniques like holding an ice cube or listening to calming sounds.


These skills don’t suppress emotions; they prevent rumination so the natural cycle can finish.

IMPROVE the Moment: Shifting Perspective Mindfully

Another DBT tool is IMPROVE the Moment, designed to help reframe experiences and reduce emotional intensity.

  • Imagery – Visualize a safe, calm place.
  • Meaning – Find lessons or growth in challenges.
  • Prayer/Spirituality – Connect with something greater than yourself.
  • Relaxation – Practice deep breathing, yoga, or meditation.
  • One thing in the moment – Focus fully on a single activity.
  • Vacation – Take a short, intentional break (even 10 minutes).
  • Encouragement – Use positive self-talk: “I’ve survived hard days before, and I can again.


By applying these tools, we create space between the wave of emotion and our reaction, allowing us to choose responses that align with our values.

Radical Acceptance: The Key to Healing

Sometimes, the hardest step is simply accepting reality. Radical Acceptance—acknowledging what is without resistance—helps us stop wasting energy on denial or “what ifs.”

For example:

  • Instead of wishing a breakup didn’t happen, accept that it did.
  • Instead of resenting emotions, accept that they are part of being human.


Acceptance doesn’t mean approval; it means letting go of the fight against reality. This shift creates space for healing.

Real-Life Applications: Practicing Emotional Surfing

Imagine you had an argument at work. The wave of anger rises, your body tenses, and your mind replays the conversation. At this moment, you have two choices:

  • Peek under the bandage – keep replaying the fight, intensifying anger.
  • Ride the wave – acknowledge “I feel angry,” breathe, and use ACCEPTS to redirect attention until the wave passes.


By practicing daily, these small choices add up to greater resilience and healthier emotional regulation.

Why Trusting the Process Matters

Person riding emotional waves using DBT coping skills
Riding the wave of emotion with DBT builds resilience

Learning to trust the natural rise and fall of emotions builds:

  • Resilience – You gain confidence in managing difficult feelings.
  • Clarity – With less rumination, you think more clearly.
  • Peace of mind – Accepting impermanence reduces suffering.
  • Stronger relationships – You respond thoughtfully rather than impulsively.


At the Oakland DBT Center, we teach clients that emotional healing, like physical healing, takes time and trust. You don’t need to constantly check or interfere—you need to allow.

Building Skills Through Practice and Support

Reading about DBT skills is a start, but practicing them in real time makes the difference. Through structured DBT Skills Classes, individuals learn how to apply ACCEPTS, IMPROVE, and Radical Acceptance in everyday situations. With guidance and community, these practices become habits that transform how you handle life’s ups and downs.

Conclusion 

Emotions, like waves, rise and fall naturally. They are not permanent, nor are they dangerous. The challenge is resisting the urge to “peek under the bandage” by overthinking, denying, or controlling feelings. By riding the emotional wave with DBT skills—observing mindfully, using ACCEPTS and IMPROVE, and practicing Radical Acceptance—you give yourself permission to heal and grow.

The next time you feel overwhelmed, remember: emotions are temporary, and you have the tools to ride them skillfully. Healing happens when we allow the process to unfold with patience, trust, and compassion.

FAQs (Ferquently Asked Questions)

What does “riding the wave of emotion” mean in DBT?

Riding the wave of emotion means allowing feelings to rise and fall naturally without interfering or trying to control them. In DBT, this practice helps reduce suffering by trusting the body’s natural emotional cycle. It encourages awareness, patience, and skillful coping instead of resistance.

How long does an emotion usually last if left alone?

Research shows that the lifespan of a single emotional wave is typically 90 seconds to two minutes. Emotions last longer when we ruminate, deny, or resist them. By observing and allowing them, they pass more quickly and leave space for clarity.

Which DBT skills help with managing overwhelming emotions?

Key DBT skills include Wise Mind ACCEPTS for healthy distraction and IMPROVE the Moment for reframing experiences. These techniques reduce intensity while emotions run their natural course. They help people cope effectively without acting impulsively.

How does Radical Acceptance support emotional healing?

Radical Acceptance is the practice of acknowledging reality without judgment or resistance. It doesn’t mean agreeing with or liking what happened—it means releasing the struggle against what cannot be changed. This acceptance reduces emotional suffering and creates room for healing.

Can DBT skills help with everyday stress, not just major crises?

Yes, DBT skills are practical tools for both daily stress and intense emotional situations. They can be applied to work challenges, relationship struggles, or even small frustrations. Consistent practice builds resilience and strengthens emotional regulation over time.

Rajesh Jagannathan

Rajesh Jagannathan

Rajesh Jagannathan was born in India and earned a B.Tech in Computer Science from IIT, Madras. After spending a few youthful years in the Masters/Ph.D. program at the Ohio State University moved to the Bay Area for work. Since then he has stayed in the Bay Area and worked in tech for the better part of 20+ years. He has been with the center since its inception playing a key advisory role on tech related matters.

He enjoys living in the bay area with his family, exploring the outdoors in California and the world at large. While interests change over time some constants through the years have been travel, cooking, painting and board games. Lately all his spare time has been consumed by pickleball.

David Pepper

David Pepper, MD (Retired)

Dr. Pepper was born in San Francisco and attended UC Berkeley and then Medical and Graduate School in Iowa. Returning to California, he practiced and taught full spectrum Family Medicine with UCSF for 30+ years, working in Fresno, San Francisco and Contra Costa Counties. 1,000 births and 1,000 deaths one could say – with thousands of Families in between… in the ER, Hospital and Outpatient Clinics – always with a focus on Family and Community.
 
He has a long interest in Psychedelics and completed the CPTR program through CIIS in 2023. He is passionate about helping people think about how to craft their second half of life with meaning, including planning for a natural End of Life process that is not over medicalized.  He believes that a well planned End of Life allows people to live well.  More about his work can be found here.  
 
He brings his expertise in clinical assessment, and the tools that support this to working with the Team at Oakland DBT and Mindfulness Center to develop best practices for working with clients seeking expanded state treatment.  He collaborates with his wife who also works with clients in Expanded States.  He enjoys his 4 children, gardening, hiking, and community.
Rochelle

Rochelle Frank, PsyD

Rochelle Frank, PhD is a clinical psychologist in Oakland, CA with over 30 years of experience in both the public and private sectors. Dr. Frank earned her doctorate in clinical psychology at Syracuse University and completed her clinical training at Yale Psychiatric Institute. She specializes in evidence-based transdiagnostic treatment of  complex and co-occurring mood, anxiety, and trauma disorders in adults and adolescents, and related  problems in high-conflict couples and families. 

In addition to her private practice Dr.  Frank is an assistant clinical professor of psychology at the University of California, Berkeley, and also  holds faculty and supervisory appointments at The Wright Institute and the University of California San  Francisco School of Medicine.  She is co-author of The transdiagnostic road map to case formulation and  treatment planning: Practical guidance for clinical decision making (Frank & Davidson, 2014; New Harbinger),  a contributing author to S. G. Hofmann & S. C. Hayes (Eds.), Beyond the DSM (2020, New Harbinger), and  currently serves on the board of directors for the Institute for Better Health.

Dr. Frank has been involved with Oakland DBT and Mindfulness Center since 2012.  She has served as a clinical consultant and focuses on helping the Team bring a transdiagnostic process-based perspective to case formulation and treatment planning, as well as integrating methods from other third-wave cognitive behavioral therapies into the DBT model.  

In addition to enjoying time with her family, Dr.  Frank is an avid golfer, home chef, and a frequent beta-tester of her clinical skills while skiing and mountain biking.

Michael Stanger

Michael Stanger, MD

I am a board-certified psychiatrist practicing in California and Colorado across a range of settings – inpatient, outpatient, emergency and partial hospital, with current affiliations at Contra Costa Regional Medical Center and Boulder Community Health.

I have a particular interest in the therapeutic utility of ketamine to support psychotherapy. I began working with ketamine in 2016, initially in my California private practice where I administered oral and intramuscular doses. I have since continued to support therapist access and to develop understanding around the most effective use of these modality. In related work, I have mentored with the CIIS Center for Psychedelic Therapies and Research and taught sessions with the Polaris Insight Center on ketamine.

My background includes childhood immigration from South Africa to New York, working in the technology industry for several years and then traveling in an unscripted manner to arrive at the awareness that medicine, and ultimately psychiatry would be the path to be helpful to others in an applied way.

Chrysanthe

Chrysanthe Christodoulou

Operations Manager

Chrysanthe is our Operations Manager and one of our in-house Mindfulness Experts. She connects with new clients as they come into the Center, oversees day to day operations and runs special projects.  She is instrumental in supporting the Team by bringing joy, flow and ease.

Chrysanthe studied Meditation, Yoga, and Mindfulness with some of the most respected teachers of our time. She also holds a BS in Economics.  This combination of skills ensures our Center runs efficiently behind the scenes and lends wisdom to our budding Mindfulness Program.

Her local teaching career has spanned the Bay Area and beyond: overseas in Spain, Chile, Greece, and Amsterdam; and locally in San Francisco, Marin, Berkeley, Oakland, and Walnut Creek. Chrysanthe honors the magic in both movement and stillness, stirring energy and witnessing what emerges as everything settles into place. 

When Chrysanthe isn’t handling the business end of the Center or running mindfulness programming, you can find her exploring trails with her wolf pup, finding connection in community, and enjoying the sun and the sea.

Priya Jogia

Priya Jogia

Licensed Clinical Social Worker (LCSW)

​​Priya Jogia is a licensed clinical social worker (LCSW). Since 2013, she has worked in various clinical settings including: community mental health, hospital, and outpatient programs. Priya’s also spent time in Vietnam studying international social work and the relationship between culture, ethnicity, and mental health.

Priya is an active practitioner of mindfulness-based behavioral therapies including DBT and ACT, and has extensive training in CBT. As a DBT therapist, she’s seen the positive impact of using DBT skills in her own life, and is strongly committed to helping clients live meaningful lives that are aligned with their values.

Priya has an interest in perinatal mental health and working with BIPOC populations, and she strives to integrate a social and racial justice lens into her work. While being a therapist has brought a lot of meaning to Priya’s life, she tries not to take herself too seriously, and gets much joy from being a mum, being in nature, and cuddling with her dog.

Jay Indik

Jay Indik

Licensed Clinical Social Worker (LCSW)

Jay brings his compassion, creativity, and equanimity to support each person who seeks therapy.. He believes that what makes each person happy is connected to their deepest sense of what is important. Jay listens for how each client can idiosyncratically transform their suffering into a happier life. As a result of working with Jay folks’ learn to address unwanted behavior, regulate their emotions, recover from individual or cultural trauma, repair relationships, and organize their behavior consistent with their values Jay has intensive training and has practiced the following modalities for decades: DBT, Narrative Therapy, Somatic Experiencing, Sensory Modulation, Psychodynamic Treatment and Expressive Arts Therapies. Jay specializes in working with couples, parents, parent child dyads and young adults, as well as with individuals from mid-life through retirement. Jay’s experience as a theater director, parent, teacher, and executive combined with his knowledge of research validated treatments allows him to best relate and serve each individual.

Jay has two adult children (one daughter, one non-binary), a “Real Dads Love Trans kids” t-shirt, and one amazing grandchild he watches one day a week.

Ari Tavano

Ariana Tavano

Licensed Clinical Social Worker (LCSW)

Ari Tavano is a licensed clinical social worker (LCSW). She has worked in an array of clinical settings for over ten years, and utilizes the diversity of her experience to foster a therapeutic frame rooted in curiosity and empathic regard. She specializes in working with those looking to cultivate self-growth, increase interpersonal efficacy, and develop an affirming relationship with their internal worlds.

Ari extends a humanistic approach to her work by nourishing the whole self – according to one’s intersectionality and inherent wisdom. She is trained in DBT and other treatment modalities, including CBT, Existentialism, and Trauma Theory. She harmonizes the concepts of behaviorism and intuitiveness of relational healing, with opportunities to explore psychedelics and expanded-state work.

Ari invites you to build capacity for both processing and playfulness. She prioritizes humor and is often found in the ocean, on the dance floor, and imagining her next adventure. Ari has also worked as a licensed public school teacher in Hawai’i and documentary photographer in South Africa. She is committed to equity, inclusion, and the pursuit of social justice.

Alyson Barry

Alyson Barry, PhD

Licensed Clinical Psychologist

Alyson Barry is a licensed clinical psychologist (PhD). Since 2005, she’s gained experience in diverse areas of practice, including inpatient hospitals, intensive outpatient programs, community mental health, and private practice. Alyson came to DBT in 2013 through her own yoga and meditation practice, which led her to seek additional training in mindfulness-based therapies. Drawn to work with people who’ve experienced developmental trauma, she begins by addressing what’s happening in the present, helping her clients develop practical skills that fundamentally improve how they interact with themselves and the world around them. As a result of this work, this can over time, set the stage for healing the older wounds. She believes in a collaborative and consent-based treatment approach, working to ensure that clients understand and are in agreement with any diagnosis or therapeutic technique. She hopes that this transparency can help to create an environment of respect for her clients’ choice, autonomy, and knowledge of themselves. She is also a big believer in bringing humor and irreverence into therapy. In her free time, Alyson enjoys snorkeling, hanging out with her cat, and spending time with friends. Alyson is available to work via telehealth with clients in California, Colorado, and Florida.
Heather Macbeth

Heather Macbeth

Licensed Marriage & Family Therapist (MFT)

Heather co-founded the Oakland DBT & Mindfulness Center in 2012. She is a licensed MFT. She offers a relational, somatic, experiential and humanistic approach to her work and is committed to relieving psychological suffering. Her style is both compassionate and gentle as well as directive and aims to be supportive of each person’s unique needs. Her work focuses on emotion regulation, changing persistent cycles of self-blame, listening more closely to intuitive knowing and increasing self compassion. She is committed and dedicated to helping her clients have a life where they can find themselves thrive vs. just survive. Working as a therapist, clinical supervisor, skills group and workshop facilitator has brought her a lot of joy. In addition to a private practice setting she has worked in community mental health organizations with disenfranchised youth and families and in public schools as a Behavioral Specialist. Heather works with adults and teens. She is intensively trained in DBT and other treatment modalities such as; Gestalt, Psychodynamic, MBSR, ands Expressive Arts. She is certified in EAP (Equine-assisted psychotherapy) and offers equine-facilitated learning workshops in the Bay Area. Additionally, she has received her training in Ketamine Assisted Psychotherapy through the Polaris Insight Center in San Francisco and is inspired by the potential healing benefits of expanded states of consciousness work.

In her free time, and in ideal worlds, she is exploring jungles, hot springs, beaches, hanging out with animals (large and small), enjoying good food, travel and most importantly time with loved ones.

Christine Benvenuto

Christine Benvenuto

Licensed Marriage & Family Therapist (MFT)

Christine is a Licensed Marriage and Family Therapist and the co-founder and Executive Director of the Oakland DBT and Mindfulness Center. She brings over 25 years of experience in mental health to her work, with a background in working with people in all walks of life in residential, outpatient and home based settings. A systems thinker, valuing sustaining relationships, she works with individuals, couples and groups, with a strong belief that small shifts can create dynamic changes.

She blends a lifetime of interest and practice in somatics, meditation, embodiment, psychedelics and the arts with a passion for social justice, nature and thriving ecosystems. Her mentors are psychologically savvy, center co-existence, value differences and maintain a sense of humor.

Her professional training spans from depth oriented, expanded state and attachment based to behavioral styles of treatment. She co-creates a therapeutic container that feels collaborative, warm, dynamic, thoughtful and deeply resonant.

She works with individuals, couples and groups, offering ongoing weekly therapy, Ketamine-Assisted Psychotherapy and Consultation.

Along side of her professional life, Christine is grateful for her extended web of relationships as daughter, sister, wife, friend, step-mom and community connector.

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