
RELATIONAL TRAUMA
In need of better boundaries with family during the holidays? Read this.
The turkey carcass was still on the counter. Her brother was already asleep on the couch. Her mother had asked — three times — whether Maya had considered moving back home.
- Maya Stood at the Sink Doing the Dishes No One Else Would Do
- What Are Boundaries, Really?
- The Neurobiology of Holiday Homecoming
- How Boundary Struggles Show Up in Driven Women
- When Family Systems Push Back
- The Both/And Reframe
- The Hidden Cost of Chronic Over-Extension
- The Systemic Lens
- How to Build Better Boundaries This Holiday Season
“Tell me, what is it you plan to do / with your one wild and precious life?”
Mary Oliver, poet and Pulitzer Prize winner
Maya Stood at the Sink Doing the Dishes No One Else Would Do
The turkey carcass was still on the counter. Her brother was already asleep on the couch. Her mother had asked — three times — whether Maya had considered moving back home. Her father had made a comment about her job that landed somewhere between a joke and a wound. And Maya stood at the sink at 9 p.m., hands in hot soapy water, doing the dishes no one else would do, because if she didn’t, they wouldn’t get done, and if they didn’t get done, somehow that would be her fault too.
She’d driven four hours to be there. She’d taken four days off work. She’d brought the expensive wine and the good cheese and a handmade pie.
And now she was quietly furious, bone-tired, and already dreading Christmas.
What I see consistently in my work with clients is that driven, ambitious women often arrive at the holidays with the best intentions — and leave feeling hollowed out. Not because the gatherings are always catastrophically bad, but because the accumulated small erosions add up. The unspoken expectations. The old roles that snap back into place the moment you walk through the front door. The constant invisible labor. The questions you’re not allowed to deflect. The limits that get dismissed as though they were suggestions.
Maya’s experience isn’t unusual. It’s emblematic.
The good news is that what Maya was experiencing had a name — and a solution. She wasn’t failing at the holidays. She was missing something that no one had ever really taught her: how to hold her own limits with the people who most expect her not to have any.
What Are Boundaries, Really?
The word “boundaries” gets thrown around so much in wellness culture that it can start to feel either blindingly obvious or impossibly vague. I want to offer you a more precise, clinically grounded definition — and then bring it back to something concrete.
Here’s what’s important to understand: poor limits don’t just make you feel resentful or exhausted in the moment. They compound over time. They teach the people around you what to expect from you. They quietly shape your identity, your relationships, and your sense of what you deserve.
And for women who didn’t grow up in homes where boundaries were modeled — where love felt conditional, where needs were dismissed or punished, where there was always a cost to saying no — learning to hold limits with family is especially complex. Because the very people you most need to hold limits with are the people you learned your original survival strategies around.
That’s not a coincidence. It’s the core of relational trauma.
RELATIONAL TRAUMA
Trauma that occurs within the context of significant relationships — particularly early attachment relationships — where the source of danger and the source of safety are the same person, as described by Judith Herman, MD, psychiatrist and author of Trauma and Recovery.
In plain terms: It’s what happens when the people who were supposed to make you feel safe were also the people who made you feel afraid.
COMPLEX PTSD
A condition resulting from prolonged, repeated interpersonal trauma — particularly in childhood — that includes the core symptoms of PTSD plus disturbances in self-organization: affect dysregulation, negative self-concept, and impaired relationships, as defined by the ICD-11 and researched by Marylene Cloitre, PhD, clinical psychologist and trauma researcher.
In plain terms: It’s what happens when trauma wasn’t a single event but a prolonged environment. The impact goes beyond flashbacks — it shapes how you see yourself, how you connect with others, and how you regulate your own emotions.
The Neurobiology of Holiday Homecoming
Here’s something no one tells you when you’re dreading Thanksgiving: walking back into your childhood home — or any environment loaded with old family dynamics — can literally shift your nervous system into a younger, less resourced state. This isn’t weakness. It isn’t a regression. It’s neurobiology.
Stephen W. Porges, PhD, neuroscientist and professor of psychiatry, developed the Polyvagal Theory, which maps how the autonomic nervous system responds to cues of safety and threat in the environment. Porges describes a process called “neuroception” — your nervous system’s below-conscious scanning of the environment for signals of danger or safety. The critical thing to understand is that neuroception operates faster than thought. Your body decides whether it’s safe before your thinking brain has a chance to weigh in.
What this means practically is that the environment of a family holiday gathering is, for many people, neurologically loaded. The sensory cues — the smell of a particular dish, the sound of a relative’s voice, the layout of the living room — can instantly activate old nervous system patterns, particularly if those patterns were formed during difficult or unsafe experiences.
Nedra Glover Tawwab, licensed therapist and New York Times bestselling author of Set Boundaries, Find Peace and Drama Free: A Guide to Managing Unhealthy Family Relationships, writes: “Boundaries in unhealthy families are a threat to the ecosystem of dysfunction. Changes like new boundaries mean that dysfunctional systems are being challenged.” What Tawwab is describing has a neurological reality: when you change your behavior within an old system, that system pushes back — and your own nervous system registers that pushback as threat.
This is why setting limits with family is so much harder than setting limits with colleagues or acquaintances. The stakes feel existential. Because they once were.
For women with complex trauma histories or difficult family dynamics, this activation can be particularly intense. Your sympathetic nervous system — the one that runs fight-or-flight — may fire in response to a relative’s passive-aggressive comment the same way it fired to real danger in childhood. And when that happens, your capacity for clear communication, firm responses, and healthy self-advocacy drops significantly.
This is why preparation matters. And why what feels like a personality flaw (“I always cave with my mom”) is actually a nervous system response — one you can learn to work with, not against.
How Boundary Struggles Show Up in Driven Women
When Maya first came to therapy, she presented the way many driven, ambitious women do: composed, articulate, and deeply puzzled by her own behavior. (Name and all identifying details have been changed for confidentiality.)
“I negotiate contracts for a living,” she told me. “I handle difficult conversations at work all the time. But the minute I walk into my parents’ house, I turn into someone I don’t recognize.” She described a pattern she found mortifying: she’d make decisions in advance about what she’d and wouldn’t do at family gatherings, only to completely abandon them the moment her mother looked disappointed.
She’d decided not to host Christmas this year. Then her mother cried, and Maya hosted Christmas.
She’d decided not to discuss her relationship status. Then her grandmother asked, and Maya answered — and then answered more follow-up questions — and then spent 40 minutes defending decisions she hadn’t wanted to explain in the first place.
She’d decided to leave by 7 p.m. She left at 10:30, apologizing the whole way out the door.
What Maya was experiencing wasn’t a lack of willpower. It was the collision between her adult-self’s intentions and her childhood nervous system’s survival strategies. In her family of origin, disappointing her mother had real consequences. The emotional climate shifted. Love felt temporarily withdrawn. The path back to connection required compliance.
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Take the Free QuizShe’d learned, early and well, that her limits had a cost. And her nervous system hadn’t forgotten — even though the cost, at age thirty-four, was entirely different than it had been at age eight.
What I see consistently with driven, ambitious women is that their professional competence often coexists with a specific relational vulnerability: the ability to be firmed, clear, and self-directed at work — and then completely destabilized by the family member who still knows exactly which button to push. This isn’t a contradiction. It makes perfect sense, neurobiologically. The stakes in the family system registered earlier, deeper, and more viscerally.
The signs that limits are eroding in a family context are often subtle at first. You might notice you’re quieter than usual. That you agree with things you don’t actually agree with. That you feel a creeping resentment that builds through the visit and peaks in the car ride home. That you’re exhausted in a particular way — not the good tired of a full day, but the depleted tired of having held yourself too small for too long.
If that sounds familiar, it’s worth reading more about how limits affect every area of your life — because the pattern you’re running with your family rarely stays contained there.
When Family Systems Push Back
Let’s talk about something that doesn’t get said enough: setting limits with family often makes things worse before it makes things better. Not always. But often enough that you should know to expect it.
Murray Bowen, MD, the psychiatrist who founded Family Systems Theory, identified what he called “differentiation of self” — the capacity to define your own beliefs, values, and choices while remaining in emotional contact with your family. The higher your differentiation, the more able you are to hold your limits even when the system pressures you to drop them.
Most people raised in difficult family systems have lower differentiation — not as a character flaw, but as a survival adaptation. When staying close to your family required agreement, conformity, and self-erasure, you learned to merge rather than differentiate. The work of setting limits is, in many ways, the work of differentiation: learning to be genuinely yourself, in your family’s presence, without needing them to agree.
The pushback might look like guilt-tripping (“After everything I’ve done for you”), crying, withdrawal, increased pressure, or rallying other family members. It might look like your own internal alarm system firing — the guilt, the anxiety, the desperate urge to take it back and just smooth things over. Both are forms of the system recalibrating.
This is why the work isn’t just about learning what to say. It’s about building the internal capacity to hold your position when the system pushes back. That takes practice, support, and sometimes professional help — because you’re essentially asking your nervous system to tolerate the discomfort of disrupting patterns it was specifically trained to maintain.
The Both/And Reframe
One of the most liberating — and most disorienting — shifts in therapeutic work around family limits is learning to hold what I call the Both/And frame. Our culture tends toward either/or thinking in family relationships: either you love your family or you have limits with them. Either you’re a good daughter or you’re selfish. Either you attend every gathering or you’re abandoning the people who raised you.
The Both/And truth is more complicated, and truer.
You can love your family and need limits with them. Both/And.
You can be grateful for what they gave you and be hurt by what they didn’t. Both/And.
You can want connection and need to protect yourself from certain kinds of contact. Both/And.
You can show up with warmth and still have lines you won’t cross. Both/And.
Elena came to understand this only after years of operating from either/or. (Name and all identifying details have been changed for confidentiality.) For her, limits with her family had always felt like a form of rejection — of them, and of herself. She’d grown up in a loud, enmeshed household where closeness was expressed through total access. There were no locked doors, no private conversations, no personal decisions that didn’t become family property. She loved her family fiercely. She also felt, by the holidays, like she was being consumed alive.
“If I set a limit,” she told me, “I feel like I’m saying I don’t love them. And I do love them. So I just… don’t set limits.”
The work for Elena was helping her see that the opposite of enmeshment isn’t coldness — it’s differentiation. That she could be close and boundaried. That a limit wasn’t a withdrawal of love; it was a condition for her own continued presence. That in fact, the limits she held would make her more genuinely available to her family — not less.
“I can say no to the Christmas-to-New-Year’s visit,” she eventually told me, “and still love them completely. These aren’t opposites.”
They weren’t. They aren’t.
Brené Brown, PhD, research professor and bestselling author, has written extensively on the relationship between limits and compassion. Her research found, counterintuitively, that the most compassionate people she studied were also the most boundaried — not despite their empathy, but because of it. When you’re clear about what you can and can’t give, you give more freely within those limits. When you’re unclear, you give resentfully — and resentment corrodes connection.
The Hidden Cost of Chronic Over-Extension
Here’s what Maya’s story — and Elena’s, and probably yours — has in common: the cost of not having limits rarely arrives in a single dramatic moment. It accumulates quietly, invisibly, in the background of life.
The cost shows up as a low-grade resentment that you can’t quite name. As an exhaustion that sleep doesn’t fix. As a creeping sense that you’re living according to someone else’s rules — rules you never agreed to and can’t quite break free from. As a relationship with your family that feels obligatory rather than chosen, performance rather than connection.
For driven, ambitious women, this hidden cost tends to play out in particular ways. You might notice that your professional life is where you feel most like yourself — because at work, you’ve claimed more agency, clearer limits, more predictable cause-and-effect. The family system is the one domain where the old rules still run.
You might notice that you need days of recovery after holiday visits — not because you’re tired, but because you’ve spent the entire gathering managing other people’s emotions, anticipating conflict, monitoring the room, and performing a version of yourself that fits the family’s expectations but doesn’t match who you’ve become.
You might notice that the gap between your professional identity and your family identity produces a particular kind of dissonance — a feeling of being known nowhere, or of having to be radically different people in different rooms.
These aren’t signs of failure. They’re data. They’re your internal guidance system telling you that something’s off. That the limits you’ve been operating without are costing you more than you’ve acknowledged.
And the good news — genuinely — is that this is workable. The patterns that developed in childhood didn’t arrive in a day, and they won’t resolve in a day. But they can change. With awareness, with practice, and sometimes with support.
The Systemic Lens
It’s worth stepping back and naming something clearly: the difficulty many women experience around limits and self-advocacy in family systems is not only personal. It’s structural.
Women — and particularly daughters — are socialized to function as emotional regulators in family systems. The research on this is consistent and sobering: women perform the majority of what sociologist Arlie Hochschild called “emotional labor” — the management of feeling and emotional atmosphere within relationships and households. In family systems, this often means daughters absorb the emotional temperature of gatherings, smooth over conflict, facilitate connection between family members, and ensure that everyone else’s experience is positive — often at significant cost to their own.
This isn’t a flaw in individual women. It’s a pattern trained in from early childhood, reinforced by cultural messaging, and maintained by the expectations of family systems that have come to depend on it.
What this means, practically, is that when you set a limit in your family system — when you say “I won’t be making the drive this year” or “I’m not going to discuss that” or “I need to leave by 7” — you may encounter resistance not just from the family members directly affected, but from the system’s implicit expectation that you’ll manage, absorb, and smooth. That expectation is old and deeply embedded. And disrupting it can feel, to everyone involved, like a much larger rupture than the limit itself warrants.
Understanding this helps, I find, for a couple of reasons. First, it depersonalizes the pushback. Your mother’s hurt response to your limit isn’t only about you; it’s also about a role she expected you to continue occupying. Second, it legitimizes the work. The difficulty of setting limits in family systems isn’t a sign of psychological weakness — it’s a sign that you’re up against something genuinely structural, something that took years to install and will take genuine effort to renegotiate.
Women from relational trauma backgrounds are often navigating a double layer here: the systemic expectation that they’ll manage the emotional field, and the personal survival strategies they developed in response to unpredictable or unsafe early environments. Both are real. Both matter. Both can change.
And both are worth taking seriously — not just for the sake of more peaceful holidays, but for the sake of who you’re becoming on the other side of this work.
How to Build Better Boundaries This Holiday Season
Let’s get specific. The clinically supported strategies below aren’t about managing or surviving family gatherings — they’re about genuinely showing up as yourself in them, or deciding on your own terms when that’s not possible.
1. Decide before you arrive.
What will you and won’t you discuss? What time will you arrive and leave? What will you do if a particular topic comes up? Make these decisions when you’re regulated and resourced — not in the moment when your nervous system is already activated. Write them down. Tell a trusted friend. Having a plan before you walk in the door reduces the cognitive and emotional load of making real-time decisions in a neurologically challenging environment.
2. Prepare your language in advance.
You don’t have to wing it. “I’m not going to talk about that today” is a complete sentence. “I need to head out at 7” requires no justification. “Let’s talk about something else” is a redirect, not a confrontation. Practice saying these phrases out loud before the gathering — it sounds overly simple, but rehearsal genuinely reduces the hesitation in the moment. Your nervous system has muscle memory for capitulation; you’re building new muscle.
3. Know the difference between a limit and a demand.
A limit is about your behavior. “I won’t stay past 7” is a limit. “You have to be kinder to me” is a demand — and demands on other people’s behavior are notoriously hard to enforce. You can only control what you do. When you frame limits as your own choices rather than requirements placed on others, they become both easier to maintain and less likely to trigger defensive reactions.
4. Regulate your nervous system actively.
Based on Polyvagal Theory, even small interventions can shift your nervous system state: slow exhalation (extending the out-breath to twice the length of the in-breath), a brief walk outside, a private moment in a bathroom, humming or singing, or physical contact with a trusted person. These aren’t coping mechanisms in the dismissive sense — they’re physiologically grounding, and they give you more access to your prefrontal cortex (your thinking, decision-making, language brain) when it’s most needed.
5. Give yourself explicit permission to leave.
For many women from difficult family backgrounds, the possibility of leaving early — or not attending — genuinely doesn’t feel like an option. I want to name it explicitly: it is an option. Staying when a gathering is genuinely harmful to you isn’t loyalty. It’s self-abandonment. You’re allowed to assess the cost of attendance and make a decision accordingly. This doesn’t require a dramatic announcement or a permanent break. Sometimes it’s as simple as “I’m not going to make it this year.”
6. Care for yourself after.
Build in decompression deliberately. Not numbing — actual restoration. Something that brings you back to yourself: a long walk, a quiet evening, time with people who know you fully. If possible, debrief with a therapist or a trusted friend. Family gatherings that activate old patterns can leave you feeling fragmented and unsettled in ways that linger, and intentional integration helps.
7. Consider working with a therapist.
I say this not as a sales pitch but as a clinical reality: if you’ve been trying to set limits with your family for years and finding yourself consistently unable to hold them — especially if those limits touch on relational trauma history — this is exactly the kind of work that benefits from professional support. Limits don’t get easier just by knowing about them cognitively. They get easier when the nervous system that was trained to abandon them gets enough safety to try something different.
That’s what trauma-informed therapy offers: not just insight, but the relational safety to practice being differently.
Maya, by the way, did eventually leave at a reasonable hour. Not every visit — not the first one after we started working on this. But eventually, consistently, she started making choices that matched her actual values rather than her family’s expectations. It wasn’t painless. Her mother noticed, and said so. But Maya noticed something too: the resentment she’d been carrying for years slowly began to lift. And in its place came something she hadn’t expected.
Actual connection. On her own terms.
That, I’d argue, is the deeper purpose of all of this. Not limits for their own sake. Not self-protection as a life philosophy. But the possibility of genuine relationship — the kind that can only exist when both people are actually present, actually honest, and actually free.
You deserve that. Not just at the holidays. All the time.
If you’re ready to do the deeper work beneath the holiday dynamics — the relational patterns, the nervous system habits, the childhood survival strategies that are still running your adult life — I’d love to support you. Reach out here, or take the free quiz to identify the core wound beneath your relationship patterns. You don’t have to keep white-knuckling it through every gathering. Healing is possible. And it’s closer than you think.
Related reading: 15 Signs That Your Boundaries Need Work, How Boundaries Impact Every Area of Your Life, What Does It Mean to Be an Ambitious Woman From a Relational Trauma Background?
Q: How do I know if what I’m experiencing warrants therapy?
A: If you’re asking the question, it’s worth exploring. Driven women tend to set the bar for ‘bad enough’ impossibly high. You don’t need a crisis to benefit from therapy. Persistent anxiety, relational patterns that keep repeating, a gap between how your life looks and how it feels — these are all legitimate reasons to seek support.
Q: What type of therapy is best for driven women?
A: Trauma-informed approaches — including EMDR, somatic experiencing, and relational psychodynamic therapy — tend to be most effective because they address the nervous system and attachment patterns underneath the symptoms. Cognitive-behavioral approaches can help with specific behaviors, but for deep-rooted patterns, the work needs to go deeper.
Q: Will therapy change my personality or make me less motivated?
A: This fear is nearly universal among driven women — and nearly universally unfounded. Therapy doesn’t diminish your drive. It changes the fuel source. When the anxiety driving your achievement is addressed, most women find they’re still highly motivated — just without the constant internal suffering.
Q: How long does therapy usually take?
A: For driven women with relational trauma, meaningful shifts typically emerge within 3-6 months. Deeper structural changes usually unfold over 1-2 years. The timeline depends on the complexity of your history and your willingness to sit with discomfort.
Q: Can I do therapy while maintaining a demanding career?
A: Yes — most of the women I work with are physicians, executives, attorneys, and founders. Therapy is designed to integrate into your life, not compete with it. It does require commitment: consistent weekly sessions and the recognition that your career cannot be your reason for avoiding the work.
Related Reading
- Tawwab, N. G. (2021). Set Boundaries, Find Peace: A Guide to Reclaiming Yourself. TarcherPerigee.
- Tawwab, N. G. (2023). Drama Free: A Guide to Managing Unhealthy Family Relationships. TarcherPerigee.
- Porges, S. W. (2011). The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-Regulation. W. W. Norton.
- Bowen, M. (1978). Family Therapy in Clinical Practice. Jason Aronson.
- Minuchin, S. (1974). Families and Family Therapy. Harvard University Press.
- Brown, B. (2010). The Gifts of Imperfection. Hazelden Publishing.
- Linehan, M. M. (2015). DBT Skills Training Manual. Guilford Press.
- Hochschild, A. R. (1989). The Second Shift: Working Families and the Revolution at Home. Viking Penguin.
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Helping ambitious women finally feel as good as their résumé looks.
As a licensed psychotherapist (LMFT #95719), trauma-informed executive coach, and relational trauma specialist with over 15,000 clinical hours, she guides ambitious women — including Silicon Valley leaders, physicians, and entrepreneurs — in repairing the psychological foundations beneath their impressive lives. Annie is the founder and former CEO of Evergreen Counseling, a multimillion-dollar trauma-informed therapy center she built, scaled, and successfully exited. A regular contributor to Psychology Today, her expert commentary has appeared in Forbes, Business Insider, Inc., NBC, and The Information. She is currently writing her first book with W.W. Norton.
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