The concept is very similar in AA. Total surrender means that I just can't do this anymore. My problems are bigger than me. I need to accept things exactly as they are and turn over my suffering to a power greater than myself. I am powerless on my own. This depends on a persons spiritual beliefs. It could just mean turning it over to the universe of people that may be able to help me. Maybe it means turning it over to the DBT group. Anything outside of yourself that will help. Paradoxically that power lies within us but we need help tapping into it.

I am very spiritual and have turned it all over to my concept of God many times. God has never seen fit to relieve me of depression so I don't understand it. It has helped me make peace with my suffering though. Maybe I am meant to suffer and die and there is much more to the picture than I can understand. I believe that. My two cents on it anyway.