The dialectical behavior therapy (DBT) skill of mindfulness helps people with borderline personality disorder (BPD) practice radical acceptance of reality. Learning to tolerate life, exactly as it is in this moment, is a difficult struggle for any sufferer of BPD. At its core, BPD is fundamentally an attempt to escape intense pain and frantic efforts to avoid real or imagined fears of abandonment. We get ourselves into trouble trying to run away from reality and the uncomfortable feelings associated with living in reality. The DBT skill of mindfulness and radical acceptance work together to help me accept reality.