Commentary: Regret affects our mental and physical health but overcoming it is hard
Remorse, sorrow, helplessness and stress all come with regret which can last for years and in some cases, a lifetime, says a clinical psychologist.
CHARLOTTESVILLE, Virginia: A friend of mine – we will call him “Jay” – was working for IBM in New York City in the early ‘90s. He was a computer programmer and made a good salary.
Occasionally, competitors and startups approached Jay to join their companies. He had an offer from an interesting but small organisation in Seattle, but the salary was paltry and most of the offer package was in company shares.
After consulting with friends and his parents, Jay declined the offer and stayed with IBM. He has regretted it ever since. That small company was Microsoft.
Regret is a very real reaction to a disappointing event in your life, a choice you made that can’t be changed, something you said that you can’t take back.
It’s one of those feelings you can’t seem to shake, a heavy and intrusive negative emotion that can last for minutes, days, years or even a lifetime.
Imaging studies reveal that feelings of regret show increased activity in an area of the brain called the medial orbitofrontal cortex.
Dealing with regret is even more difficult because of the other negative emotions connected to it: Remorse, sorrow and helplessness.
Regret can increase our stress, negatively affect physical health and throw off the balance of hormone and immune systems. Regret is not only unpleasant. It is unhealthy.
As a licensed clinical psychologist at the University of Virginia School of Medicine, I conduct research on stressful emotions.
Through this work, I help patients overcome regret, move on with their lives and grow. And that is the good news: Regret can be overcome through interventions like therapy and evidence-based strategies.
A ‘SENSE OF STUCKNESS’
There are basically two ways to experience regret: One is what researchers refer to as the action path and the other is the inaction path. That is, we can regret the things we did – or we can regret the things we did not do.
Research suggests that action-related regrets, although painful, spur people to learn from their mistakes and move on. But regret related to the inaction path – the things undone, the opportunities lost – is harder to fix.
This kind of regret is more likely to lead to depression, anxiety, a sense of “stuckness” and a feeling of longing over not knowing what could have been.
As with other negative emotions, it doesn’t work to avoid, deny or try to squash regret. In the long run, these tactics only increase negative feelings and prolong the time you suffer with them.
Rather than stay stuck, people can manage these emotions in four steps: First, accept the fact that you are feeling them; determine why you are feeling them; allow yourself to learn from them; and finally, release them and move forward.
You can help release these feelings of regret by practising self-compassion. This means reminding yourself that you are human, you are doing the best you can, and you can learn from past decisions and grow.
Showing this compassion to yourself can help you accept and move past the regret.
Accepting that you have feelings of regret does not mean that you like these feelings. It just means you know they are there. It also helps to identify the specific emotion you’re feeling.
Instead of telling yourself, “I feel bad,” say “This is me, feeling regret.” Simple as it sounds, the semantic difference has a big emotional impact.
ACCEPT, ACKNOWLEDGE AND FORGIVE YOURSELF
Acknowledging your thoughts and feelings can bring relief from strong negative emotions. In Jay’s case, he could remind himself that he had no crystal ball.
Instead, he made the best decision he could, given the information he had at the time, and given the same circumstances, most of his contemporaries would have made the same decision.
This method of noticing and then restructuring your thoughts is sometimes called cognitive reappraisal. Seeing the situation in a different way may help reduce regret and help you make future decisions.
Forgiving yourself for actions taken or not taken is a powerful step toward overcoming regret.
This has been formalised into a commonly used cognitive psychological model called REACH, which asks people to recall the hurt (face it), empathise (be kind and compassionate), altruistically offer forgiveness (to oneself), commit publicly (share it) and then hold on to that forgiveness and stay true to the decision.
Research shows that six hours of work with a trained professional using this model can have a positive impact.
MORE KNOWLEDGE = LESS REGRET
At first, Jay pushed away his feelings of regret. He continued to struggle with thoughts of what he missed. He did not change until he approached and explored his feelings of regret, first with a friend and ultimately with a therapist.
Eventually, he accepted the pain of not knowing what might have happened, but also reminded himself of his rationale at the time, which was actually quite reasonable.
He demonstrated compassion towards himself, and spoke to himself kindly, the way he would when talking to a loved one or close friend.
Practising this self-compassion allowed him to build resilience, move on from the negative emotions and ultimately forgive himself.
On making future decisions, Jay recognised the importance of obtaining as much information about opportunities as possible. He challenged himself to learn about the big players in the field.
Doing so allowed him to overcome his regret and move forward. New opportunities came along.
Jay, currently employed by another giant computer engineering company, is doing quite well for himself, and has been able to move beyond the regret of his past decision.
J Kim Penberthy is a Professor of Psychiatry and Neurobehavioral Sciences at the University of Virginia. This commentary first appeared on The Conversation.