
Why Can’t I Relax on Vacation? What’s Actually Happening in Your Nervous System
Clinically reviewed July 2026 by Annie Wright, LMFT · Licensed Marriage & Family Therapist (#95719)
A lot of driven women land on vacation and discover they cannot actually rest, even when nothing is technically wrong. This guide explains why leisure sometimes triggers more anxiety than relief, what the nervous system is doing underneath that response, and what real rest looks like for a body that has forgotten how to downshift.
- Day Two of the Trip, and She Still Hasn’t Exhaled
- What Is Happening When You Can’t Relax on Vacation?
- What Does the Nervous System Actually Do When Work Stops?
- How Does This Show Up in Driven Women?
- Why Does Leisure Sometimes Make You Feel Worse, Not Better?
- Both/And: The Vigilance Made Sense, and Rest Is Still Learnable
- The Systemic Lens: Why Is Rest Treated Like Something You Have to Earn?
- How Do You Actually Learn to Rest on Vacation?
- Frequently Asked Questions
Across more than 15,000 clinical hours, I’ve sat with more driven women than I can count who describe the same specific disappointment: they finally take the trip, and their body simply doesn’t get the memo. Ad Vingerhoets, PhD, the clinical health psychologist who first documented what he termed leisure sickness, has spent decades studying why the transition out of work can produce symptoms rather than relief. What I add from the therapy room is what that transition feels like from the inside, in a hotel room, on a beach chair, three days into a trip that was supposed to fix everything. This guide translates both, the research and what I actually see in session, into language you can sit with before you decide what it means for you.
Day Two of the Trip, and She Still Hasn’t Exhaled
It’s 7:40 in the morning on the second day of a trip she planned for eleven months, and Noa is sitting upright on a lounge chair at the edge of a pool in Tulum, laptop balanced on her knees, sunglasses pushed up into her hair. She is 46, runs a mid-sized consulting firm, and told her team, in writing, that she would be fully offline. Her husband is still asleep in the room upstairs. The water is turquoise and completely empty. Noa has read four Slack messages, drafted a reply to none of them, and refreshed her inbox nine times in the last twenty minutes, not because anything urgent is happening, but because her hands don’t seem to know what else to do with themselves.
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“I don’t understand what’s wrong with me,” she says two weeks later, back in my office, still in her work blazer from a client call that ran long. “I paid for the trip. I blocked the calendar. I told everyone I’d be unreachable. And I spent the whole week feeling like I was waiting for something bad to happen. My shoulders never came down. Not once. My husband finally asked me on day four if I even wanted to be there, and I didn’t have an answer for him.”
Sitting with Noa that afternoon, I felt something I have felt with a striking number of driven women across the years. Not confusion about what was happening to her, I understood it fairly quickly, but a familiar ache at how disorienting it is to plan and pay for rest and then discover your own body won’t cooperate. She wasn’t imagining the tension. Her nervous system had simply never been told that stopping was safe.
What I’ve come to call the unfinished exhale is exactly this: a body that stays braced for the next demand long after the demand has actually stopped, because bracing has kept it safe for so many years that letting go now registers as a risk, not a relief. Of course your shoulders don’t come down on day one. If a beach chair makes you more anxious than your desk does, you are not broken, and this pattern shows up in my caseload more often than most driven women expect. I want to walk through this carefully, because it deserves precision, not a pep talk about mindfulness.
What Is Happening When You Can’t Relax on Vacation?
A pattern, first documented by clinical health psychologist Ad Vingerhoets, PhD, and colleagues at Tilburg University, in which chronically overextended people develop physical symptoms, headaches, fatigue, flu-like illness, specifically during weekends and vacations rather than during working periods. Their 2002 study in Psychotherapy and Psychosomatics linked the pattern to high workload, a strong need for achievement, and difficulty adapting to non-working time.
In plain terms: Some people don’t get sick despite taking a break. They get sick, or anxious, or strangely flat, because they took one. The pause itself is what triggers the crash.
I want to be precise here, because precision is a form of respect for what’s actually happening in your body. The inability to relax on vacation isn’t laziness, and it isn’t a character flaw, and it definitely isn’t proof that you don’t know how to have fun. It’s a physiological pattern with a documented name and a real research base. Vingerhoets and his co-authors surveyed nearly two thousand people and found that a specific subset felt consistently well during demanding workweeks and then developed headaches, muscle pain, or flu-like symptoms almost exactly when the demands stopped. The risk factors they identified weren’t personality quirks. They were high workload, an outsized sense of responsibility, and a body that had never practiced the transition into non-working time.
In my practice, I hear a version of this from close to every driven woman who describes taking a real vacation, not a working vacation, but an actual one. Not every client has full-blown leisure sickness in the clinical sense Vingerhoets described. But the milder version, tension that refuses to lift, a low hum of dread on day one and two, a strange irritability that has nowhere obvious to land, shows up often enough that I now ask about it directly whenever a client mentions an upcoming trip.
Here’s what I think is actually happening underneath the tension. Vacation removes the specific stimuli your nervous system has organized itself around for months, the deadlines, the inbox, the constant low-grade scanning for what might go wrong next. Think of it like a smoke detector that has been sounding quietly in the background for so long that the silence, once you finally get somewhere without one, feels louder than the alarm did. Which means, in practice, that a beach chair with nothing scheduled can produce more internal noise than a Tuesday full of back-to-back meetings, because your body has forgotten what it’s supposed to do when nothing is actively demanding a response from it.
What Does the Nervous System Actually Do When Work Stops?
A paradoxical phenomenon, first documented by psychologists Frederick J. Heide and Thomas D. Borkovec, PhD, in their 1983 study in the Journal of Consulting and Clinical Psychology, in which formal relaxation itself, rather than reducing anxiety, produces a measurable spike in anxious feeling, muscle tension, or intrusive thought. Their follow-up 1984 paper in Behaviour Research and Therapy found the effect in roughly a third to over half of chronically tense participants attempting progressive relaxation or meditation.
In plain terms: For some people, the act of trying to relax is itself what triggers anxiety, because slowing down means noticing sensations and thoughts that busyness had been quietly drowning out.
I recently reread Heide and Borkovec’s original 1983 paper, and I haven’t been able to stop thinking about one specific detail. In their sample, more than half of the participants who tried mantra meditation, and close to a third who tried progressive muscle relaxation, reported a real, measurable increase in anxiety during the exercise meant to calm them. That number reframes something I hear from clients constantly. They think their inability to relax on vacation means something is uniquely wrong with them. What it actually means, per Heide and Borkovec’s research, is that they’re having a well-documented physiological response that happens to a lot of chronically tense people when the tension is finally asked to leave the room.
Stephen Porges, PhD, the neuroscientist whose polyvagal theory has reshaped how clinicians understand the autonomic nervous system, describes the body as constantly running a background process called neuroception, an unconscious scanning for cues of safety or danger that happens well beneath conscious awareness. What Porges’s framework helps explain is why a body that has spent months in a state of watchful productivity doesn’t simply switch into a calm, socially engaged state the moment a flight lands. The nervous system doesn’t take instructions from a calendar. It takes cues from repeated, felt experience, and if the felt experience of the last year has been near-constant low-grade vigilance, a week by a pool isn’t enough evidence, on its own, to convince the body that the coast is clear.
Think of your nervous system like a guard dog that’s been on duty at a warehouse for years, trained to respond to every sound. You can drive that dog to a quiet farm and open the gate and tell it to relax, and it will pace the fence line anyway, because pacing is the only skill it has ever been rewarded for. It doesn’t know the farm is safe. It only knows what kept it employed. Which is why so many driven women spend the first two or three days of a vacation still scanning, still bracing, still unable to metabolize the fact that nothing is currently on fire, and why the relaxation sometimes doesn’t arrive until day four or five, if it arrives at all before the trip ends.
I’ve come to think of this as the delayed-arrival problem. The rest you paid for exists on day one of the itinerary. The nervous system’s willingness to actually receive it often doesn’t show up until several days later, and a lot of shorter vacations end before that handoff ever happens, which is part of why so many driven women come home saying they need a vacation from their vacation.
Emily Nagoski, PhD, and Amelia Nagoski, DMA, make a distinction in their book Burnout: The Secret to Unlocking the Stress Cycle that I return to constantly with clients describing this exact frustration. They separate the stressor, the deadline, the client, the inbox, from the stress itself, the physiological activation cycle the body needs to complete before it registers safety again. Removing the stressor by getting on a plane does not automatically complete the cycle. Completing the cycle takes specific, embodied signals, movement, deep breathing, physical affection, laughter, tears, the kinds of things a packed itinerary rarely makes room for. That’s the piece most vacations miss. They remove the stressor beautifully. They rarely help the body finish the stress.
How Does This Show Up in Driven Women?
Irena is 41, a hospital administrator, the kind of woman whose team texts her on her day off because they’ve learned she’ll actually answer. She comes into session in June describing a trip to Lake Como that she now refers to, flatly, as “the vacation where I cried in the bathroom of a very beautiful hotel for no reason I could name.” She had not cried in front of anyone in years. “I kept thinking, you have everything you wanted right now, the view, the quiet, your husband asleep next to you, and you feel like you’re going to come out of your skin. What is actually wrong with me.”
I felt a particular kind of recognition sitting with Irena that day, the recognition of a pattern I’ve now sat across from dozens of times. She wasn’t ungrateful, and she wasn’t broken. Her body had simply never learned what safety felt like without a task attached to it, and the absence of a task, rather than feeling like relief, felt like free fall.
What I’ve come to think of as task-free free fall is something I see specifically in women who grew up believing their value was tied to what they produced. Irena left a country as a teenager where, she told me, “nobody rested until the work was actually finished, and the work was never actually finished.” She built an entire career on that same principle, and it served her professionally for two decades. But it also means her nervous system genuinely does not have a template for unstructured time that isn’t laced with an undercurrent of danger. Lake Como didn’t fail her. Her body simply didn’t yet have the muscle memory the trip was asking it to use.
This is not unique to Irena. In my practice, I’d estimate that at least six or seven out of every ten driven women I work with will describe some version of this, tension that doesn’t lift on schedule, guilt that arrives the moment they stop, a strange restlessness that shows up specifically once the itinerary goes quiet. The exception tends to be women whose family systems modeled unstructured rest as normal, which, in this line of work, is a smaller group than you might hope.
Why Does Leisure Sometimes Make You Feel Worse, Not Better?
“Addiction begins when a woman loses her handmade and meaningful life, made up of her own rituals and rhythms.”
Clarissa Pinkola Estés, Women Who Run With the Wolves
I think about that Estés line constantly with clients who describe leisure as the hardest part of their year, not the easiest. Underneath the exhaustion, there’s usually a quieter question: when did rest stop feeling like your own rhythm and start feeling like a foreign country you don’t have a map for?
Sabine Sonnentag, PhD, and Charlotte Fritz, PhD, developed what they call the Recovery Experience Questionnaire, published in the Journal of Occupational Health Psychology in 2007, identifying four components necessary for real psychological recovery from work: psychological detachment, relaxation, mastery experiences, and control over how you spend your time. What their research helped me see clinically is that most vacations only reliably deliver one of those four, a change of scenery, without the psychological detachment that actually has to happen inside the mind, not just outside the office. A woman can be lying on a beach in Portofino and still be one hundred percent psychologically attached to a slide deck due the following Monday. The geography changed. The nervous system didn’t get the memo.
Sitting with Noa in a later session, I asked what happened in her body the one afternoon on that Tulum trip when she actually did put the laptop away for a few hours. She described it as a strange kind of grief, not happiness, arriving alongside the quiet. “It felt like the first time in years I could hear myself think, and what I heard was exhausted. I think I’d been running so I wouldn’t have to listen to that.” That is often what leisure sickness and relaxation-induced anxiety are actually protecting against. Not the absence of stimulation, but the presence of everything the busyness had been drowning out.
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Both/And: The Vigilance Made Sense, and Rest Is Still Learnable
Here’s the truth I want you to leave this section holding. The vigilance that follows you onto a beach chair is a brilliant, understandable adaptation to years spent needing to notice everything, AND it is not a permanent sentence that means you’re incapable of rest.
The vigilance was smart, in the precise sense that it solved a real problem for a long time. If you built a career, or raised a family, or survived a difficult chapter by staying alert to what might go wrong next, then your nervous system learned that alertness kept you safe. I won’t argue you out of that logic. It’s sound logic, built by a body trying to protect you the only way it knew how.
AND, that same vigilance, carried unmodified onto an actual vacation, keeps your shoulders up around your ears while the ocean is right there in front of you. Noa told me, months into our work, “I don’t want to need three days to unclench anymore. I want to be able to just arrive.” That sentence holds the whole Both/And. She wasn’t wrong to have built the vigilance. She wasn’t required to keep living entirely inside it either.
Both can be true at once. The part of you that stays braced kept you functioning through years that demanded exactly that, AND you’re allowed to start building a nervous system that can register safety faster than it currently does. You don’t have to choose between honoring how you survived and changing how you rest now. You get to hold both, and let the second one grow slowly, the way most real change grows, usually slower than a single trip.
The Systemic Lens: Why Is Rest Treated Like Something You Have to Earn?
The pattern I’ve named above, a nervous system that can’t easily downshift, is not personal. It’s patterned, and the pattern has a structural address.
Driven women are building careers inside an economy that has, for decades, quietly equated a person’s worth with their measurable output. Nobody sends you a memo saying rest is dangerous to your value. The economy doesn’t need to. It rewards visible productivity so consistently, and rewards visible rest so rarely, that most of us absorb the lesson by osmosis, the way Irena absorbed it watching a household where nobody stopped until the work was finished, and the work was never finished.
The mechanism is fairly direct. Workplaces that treat constant availability as a proxy for commitment train employees, especially women who are already fighting to be taken seriously, to treat rest itself as something that has to be justified. Paid time off exists on paper. Whether you’re actually permitted, internally, to use it without guilt is a separate and much less official policy, one written by every performance review that quietly rewarded the person who answered email from the beach.
I think often about how few workplace cultures build in any structured re-entry between hard work and rest, and how that absence puts the entire burden of “switching off” onto an individual nervous system that was never given the tools or the time to practice it. Vingerhoets’s research on leisure sickness found that the people most affected were often the ones with the highest sense of responsibility and the hardest time psychologically adapting to non-working time, which is another way of saying the system rewards exactly the traits that make rest hardest to access.
You’re not broken for having internalized this. You were trained by every all-nighter that got praised, every culture that celebrated the person who worked through a vacation, every family system that modeled care as something you earned through output rather than something freely given. This is a structural inheritance, not a personal failing.
Here’s how that inheritance lives in an ordinary week, and an ordinary trip. It’s checking email “just once” on day one of a vacation because a full day of silence feels irresponsible. It’s coming home from a week away more exhausted than when you left, because the itinerary was as demanding as the job it was supposed to be a break from. It’s the way you describe needing “a vacation from your vacation” as a joke, when it’s actually a precise description of a body that never got the chance to complete its own stress cycle. The system was never built with your rest in mind. Of course your nervous system doesn’t trust it yet.
How Do You Actually Learn to Rest on Vacation?
Here’s the most honest guidance I can offer, after many years of sitting with driven women trying to find their way out of the delayed-arrival problem and into something that actually feels like rest. You do not need a longer trip. You need practice building the specific skill of downshifting, and that skill develops in small, repeatable doses, not in one annual attempt under pressure.
The first practice is expecting the lag rather than panicking about it. If your body typically needs two or three days to register safety, plan for that instead of treating day one’s tension as evidence the trip is failing. Noa’s version of this was telling her husband, plainly, before their next trip, “I probably won’t be relaxed until Wednesday, and that’s not a reflection of how much I want to be here.” Naming the lag out loud, she told me, took a real amount of pressure off both of them.
The second practice is building what I call a completion ritual, a specific, repeatable way of helping your body finish the stress cycle rather than just removing the stressor. For some clients this looks like twenty minutes of real movement on the first full day, a run, a swim, anything that uses the body the way Nagoski and Nagoski’s research describes as necessary for signaling safety. For Irena, it started smaller. Ten minutes of sitting outside in direct sunlight with her phone in another room, no agenda, before she opened a single suitcase or touched her luggage.
The third practice is addressing the underlying belief directly, usually in trauma-informed therapy, that rest has to be earned through exhaustion or crisis. This is slower work, and it’s the work I do with clients in individual therapy and in Fixing the Foundations, my signature course for relational trauma recovery. The waitlist for the fall cohort is open now, and the cart opens September 8. The belief rarely traces back to your travel calendar. It traces further back, to a childhood where care was conditional, to an attachment pattern per John Bowlby’s foundational research that equated stillness with risk, to a family system where everyone’s worth was measured by what they produced.
Noa is, as of this writing, a few months into the work. On a recent long weekend, she told me, half-laughing, that her shoulders came down by the second afternoon instead of the fourth. “It’s not instant,” she said. “But it’s faster than it used to be, and I noticed it happening instead of just noticing, three days later, that it finally had.” Irena, for her part, still checks email on the first morning of a trip sometimes. She’s stopped calling herself broken for it. She calls it a nervous system that’s still learning a new rhythm, one trip at a time.
If any part of this piece named something you’re carrying and you’d like support working through it directly, individual therapy and executive coaching are both spaces built for exactly this kind of untangling. And for the ongoing, related work on overachievement as a trauma response and complex PTSD, the archive here has more.
Warmly, Annie.
- The inability to relax on vacation has a documented clinical basis, including leisure sickness, per Ad Vingerhoets’s research, and relaxation-induced anxiety, per Heide and Borkovec’s research, and neither is a character flaw.
- The nervous system often needs several days to register safety after chronic vigilance, per Stephen Porges’s polyvagal framework, which is why relaxation frequently arrives late in a trip, if it arrives at all.
- The vigilance made sense as an adaptation AND it is not a permanent sentence. Both can be true, and the second one is learnable.
- A structural, not personal, inheritance is doing a lot of this work. Economies that reward visible output train people to treat rest itself as something requiring justification.
- Small, repeatable practices, expecting a lag, building a completion ritual, and addressing the underlying belief in therapy, build the capacity to rest faster than any single vacation can.
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Q: Why can’t I relax even on a real vacation?
A: This is often related to documented patterns like leisure sickness and relaxation-induced anxiety, in which the nervous system, accustomed to chronic vigilance, treats the absence of demands as unfamiliar rather than safe. It typically reflects a body that hasn’t yet learned to downshift, not a personal failing.
Q: Is it normal to feel worse, not better, right after work stops?
A: Yes, for a specific subset of chronically overextended people. Research on leisure sickness found that symptoms like headaches, fatigue, and flu-like illness often appear specifically during weekends and vacations rather than during demanding workweeks.
Q: How long does it usually take to actually relax on a trip?
A: In my practice, many driven women describe needing two to four days before their body registers real safety. Shorter trips sometimes end before that transition happens, which is part of why longer or more repeated rest practice matters.
Q: Does this mean something is wrong with my nervous system?
A: Not in a pathological sense. It usually means your nervous system adapted well to a demanding environment and hasn’t yet had enough repeated, felt experience of safety to shift its baseline. That capacity can be rebuilt with practice and, often, therapy.
Q: Can therapy actually help with this pattern?
A: Yes. Trauma-informed therapy addresses the underlying belief that rest must be earned through exhaustion or crisis, often tracing it to childhood and attachment patterns, and helps build the nervous system’s capacity to register safety more quickly.
Q: Is checking email on vacation always a bad sign?
A: Not necessarily. Occasional checking is common and not automatically evidence of a deeper pattern. It’s worth attention when it’s compulsive, driven by anxiety rather than choice, or when it consistently prevents any real psychological detachment from work.
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Annie Wright, LMFT
LMFT · Relational Trauma Specialist · W.W. Norton Author
Helping driven women finally feel as good as their résumé looks.
Annie Wright is a licensed psychotherapist (LMFT #95719) and trauma-informed executive coach with over 15,000 clinical hours. She works with driven 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.


