Remember, it was always an attempt to help yourself…
LAST UPDATED: APRIL 2026
This work can take some time – remember, it took a while to form the other habit/behaviors – but it is worth it.
And through this process of cultivating different choices and taking steps to tolerate more emotional discomfort, it’s critical we recall, again and again, that those former habits, the ones we’d prefer no one ever knew about, were always attempts to take care of ourselves.
I actually do think we’re naturally driven to feel good and to try and take care of ourselves, it’s just that sometimes we do so in ways that aren’t quite that effective.
But that’s okay! It simply says you’re driven to take care of yourself and now we just have to find other ways you can do this.
“For me, vulnerability led to anxiety, which led to shame, which led to disconnection, which led to Bud Light.” – Brené Brown, Ph.D.
“When clients self-harm, for example, these days, we understand their actions to be instinctive, rather than thought out—an effort to regulate or relieve, rather than punish.” ― Janina Fisher, Ph.D. (PMID: 16530597)
“Self-compassion is key because when we’re able to be gentle with ourselves in the midst of shame, we’re more likely to reach out, connect, and experience empathy.” – Brené Brown, Ph.D.
When you sit across from your therapist, ashamed about the wine bottle you empty nightly or the credit cards you’ve maxed out, they see something different than moral failure. They recognize these behaviors as brilliant survival strategies that became outdated software still running in your adult life.
Your therapist helps you understand that what are the tools in your emotional first aid kit began developing long before you had conscious choice. That eating disorder wasn’t rebellion—it was the only way a powerless child could feel control. The toxic relationships weren’t stupidity—they were attempts to find love using the only template you knew.
Together, you explore what each behavior provided: did binging numb unbearable loneliness? Did shopping create momentary feelings of abundance when life felt scarce? Did staying with harmful partners at least mean not being alone? Understanding the function helps identify what needs must be met differently.
Your therapist introduces the paradoxical theory of change—how fighting against these parts of yourself actually keeps them stuck. Instead of shame-based willpower attempts, you practice radical self-compassion, recognizing that younger you did the absolute best with extremely limited resources.
The work involves expanding your window of tolerance for difficult emotions that these behaviors helped you avoid. Your therapist helps you slowly build capacity to sit with anxiety without wine, to feel loneliness without Netflix numbing, to experience vulnerability without destructive relationships.
Most importantly, you develop choice where there was only compulsion. Instead of defaulting to familiar patterns, you practice pausing, recognizing the urge, and choosing from an expanded menu of responses. Not perfectly, not always, but increasingly—transforming survival into conscious living.
I’d love to hear from you in the comments here on the blog:
Does this reframe – that any self-destructive behavior and habit you’ve had/have was always, at some level, an attempt to support yourself – feel helpful to bear in mind? Can you understand how, when you accept this part of you and this part of your past, it will actually allow for change to take place in your life? What comes up for you as I share this with you?
Leave me a message in the comments below. I’d love to hear from you.
Here’s to healing relational trauma and creating thriving lives on solid foundations.
Warmly,
Annie
If what you’ve read here resonates, I want you to know that individual therapy and executive coaching are available for driven women ready to do this work. You can also explore my self-paced recovery courses or schedule a complimentary consultation to find the right fit.
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Yes, many driven, ambitious women feel overwhelmed despite external success because internal stress or unresolved trauma can create emotional tension. A trauma-informed approach can help you understand these feelings and develop healthier coping strategies.
Therapy provides a safe space to explore your behaviors and uncover the reasons behind them, especially how they relate to past trauma or survival strategies. This insight allows you to replace unhelpful coping mechanisms with healthier, more supportive ones.
Struggling to ask for help often stems from past experiences where vulnerability felt unsafe or unsupported. Understanding this pattern through therapy can empower you to build trust and learn to reach out in ways that feel secure and nurturing.
Explore Annie’s clinical writing on relational trauma recovery.
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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.
I want to sit with the both/and of self-destructive habits for a moment, because I think it’s the most clinically important thing I can offer on this topic.
The habit was helping. And the habit is now hurting. Both are true. Neither cancels out the other.
This framing matters because most of us approach our self-destructive habits from one of two inadequate positions. Either we minimize them (“everyone drinks too much sometimes, it’s fine”) or we catastrophize them (“I am fundamentally broken for doing this”). Neither position allows for actual change. Minimizing removes the urgency. Catastrophizing removes the self-compassion that change requires.
The both/and position holds something more accurate: this behavior served a real function, it was a legitimate response to a real need, and it is also costing you more than it’s giving you now. You deserve to understand why you have it, and you deserve support in finding something that works better.
Megan had been a smoker since she was sixteen — the age when her parents’ marriage dissolved in a way that nobody in the family was allowed to talk about. She knew, intellectually, that smoking was bad for her. She’d quit several times. What she hadn’t done was connect the smoking to the function it served: a reliable, solitary ritual that belonged entirely to her. Something she could do alone, in a moment of pressure, that sent a clear signal to herself and others that she needed a pause.
When we explored what the cigarette was doing rather than just the fact that it was “bad,” she could start to grieve the loss of it while also looking for better alternatives. The grief was important. You can’t fully commit to changing something you haven’t been allowed to appreciate. The smoking had kept her company through some of the loneliest years of her life. It deserved acknowledgment before she walked away.
One of the things I notice in wellness spaces — and in some therapy spaces — is how quickly conversations about self-destructive habits become purely individual. What are you doing? Why are you doing it? What do you need to change?
These are valid questions. But they miss something important about the context in which coping behaviors develop and persist.
The driven, ambitious women I work with developed many of their self-destructive habits in response to real environmental conditions. Working in cultures that rewarded overperformance and punished rest. Growing up in homes where emotional needs were treated as weakness or inconvenience. Navigating professional and social environments where the cost of appearing vulnerable was very, very high. These aren’t background factors. They’re the soil from which the coping strategies grew.
Gabor Maté, MD, physician, addiction expert, and author of In the Realm of Hungry Ghosts, has written extensively about how addiction and self-destructive habits are rarely about personal weakness or poor choices. They’re about pain — specifically, about the attempt to manage pain that has nowhere else to go. And that pain, Maté argues, is almost always shaped by the relational and social environments that produced it.
This doesn’t absolve anyone of responsibility for their behavior. But it does reframe the work. If you’re trying to stop a self-destructive habit without also addressing the conditions — internal and external — that are still generating the need for it, you’re working against yourself. You’re trying to remove the smoke alarm without addressing the fire.
True healing often requires both: the internal work of understanding and processing the underlying need, and the external work of changing what can be changed about the conditions that keep that need so urgent. Sometimes that means changing work environments. Changing relationships. Changing what you say yes to and what you protect yourself from. The habits didn’t develop in isolation. The healing doesn’t have to either.
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