Regret is unique among negative emotions because it requires two things at the same time: a mental comparison to a life that never happened and the recognition that our own actionsâor inactionsâcaused the outcome.
In short: you compare yourself to a future-you that doesnât exist and then blame your present-you for not doing better.
Without this combinationâimagining what could have been and accepting personal responsibilityâthe emotion turns into something else, like disappointment or frustration, but it isnât regret, according to Daniel Pinkâs The Power of Regret.
Usually, regret is retrospective. It shows up after we didâor didnât doâsomething. But a survey conducted by the Duke University Libraries shows that we can also anticipate regret.
The library wanted feedback from its community and asked students to complete a questionnaire. Hardly anyone did. So they redesigned the setup.
They split roughly six thousand undergraduates into two groups.
- Group 1 would receive a $75 gift card if they completed the questionnaire and entered a raffle.
- Group 2 was entered into the raffle by defaultâbut anyone who failed to complete the questionnaire would be excluded from the chance to win the gift card.
The result was striking: about one third of Group 1 completed the survey, while two thirds of Group 2 did.
Why? Because Group 1 had little emotional investment. If you did nothing, you got nothing. If you did something, you might get something. Not exactly compelling.
Group 2, however, could imagine a future where they wonâand then lost that opportunity simply because they hadnât done the bare minimum. That loss, even though hypothetical, felt like regret. They had mentally âownedâ the reward alreadyâand giving it up stung.
Reading this made me wonder how anticipated regret might be used in practiceâspecifically in my work as a physiotherapist.
Not as manipulation. Not as pressure.
But as a gentle nudge.
Here are a few ways this can work in real life:
1. Make the desired future the default đ§
Instead of framing exercises as something patients might gain, frame progress as something theyâre already on track for.
For example:
âYouâre currently on a path toward being pain-free enough to hike again.â
Then add the condition:
âThe main thing that could slow this down is not doing the exercises regularly.â
Success is assumed. Loss comes from inaction. Just like in the Duke study.
2. Invite patients to imagine future regretâbriefly and safely đź
This isnât about fear. Itâs about clarity.
You can ask questions like:
âImagine itâs six months from now and nothing has changed. What do you think youâd wish you had done differently?â
You can also flip the script using a technique from psychotherapy called the Wonder Question:
âImagine your problem was solved overnight. What would you do tomorrow morning?â
Both approaches gently contrast futuresâwithout dwelling on worst-case scenarios.
3. Frame exercises as protecting, not improving đĄïž
Anticipated regret is stronger when itâs about losing something, not gaining something.
Instead of saying:
âThis will make you stronger.â
Try:
âSkipping this is one of the main reasons people donât regain full function.â
People donât fear effort. They fear avoidable loss.
4. Tie regret to values, not compliance â€ïž
People arenât dogs. They donât need commandsâthey already know what they should do.
James Clear writes in Atomic Habits that lasting change comes from identity, not outcomes. The same applies here.
You might say:
âYou told me being active with your kids matters to you.â
âNot doing these exercises doesnât just affect your kneeâit affects your identity as a runner.â
Now regret isnât about obedience. Itâs about values.
5. Keep it light and reversible đȘ¶
Anticipated regret works best when:
- the cost of action is low
- the mistake feels avoidable
- the tone stays compassionate
The message is simple: âI donât want future-you to feel disappointed about something present-you could handle.â
Anticipated regret can be a powerful motivator when people feel ownership over a positive futureâand realize they could lose it through inaction. Used gently, it doesnât push people forward through fear, but pulls them forward through care for their future selves.
đ§Ș Letâs Experiment
Use anticipated regret as a gentle nudgeâ
not to scare yourself into action, but to care for your future self.
You donât need a big life decision to try this. A small, low-stakes experiment is enough.
đŻ Try This:
Pick one habit youâve been postponingâhealth-related or not.
Ask yourself: âIf nothing changes, what will future-me quietly regret not doing?â
You can even use a version of the examples above on yourself, whether youâre a patient or not.
Then do the smallest possible action todayâfive minutes is enough.
đ§ Final Thought:
Regret doesnât have to point backward. Used well, it becomes a compass for what matters next.
Keep it simple, stay curious, and keep learningâyouâve got this.
Take care,
Carina đŠ
