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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.

Wrapping This Up…

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

Additional Resources:

RESOURCES & REFERENCES

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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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Warmly, Annie

I know what I’m doing when I do it. I watch myself do it. And I still do it. Why can’t I stop self-sabotaging even after all the work I’ve done?

Self-sabotage often happens because your mind is trying to protect you from perceived threats or pain, even if it hurts your progress. It’s important to recognize these patterns as attempts to help yourself, and gently work through the underlying fears or trauma with compassion.

I can extend grace to everyone else when they make mistakes. Myself? Not even close. How do I learn to treat myself the way I treat the people I love?

Remember that making mistakes is a natural part of growth, and harsh self-criticism often comes from internalized trauma or high expectations. Practicing self-compassion and reframing your inner dialogue can help you be kinder to yourself over time.

Is it normal to feel overwhelmed even when things seem to be going well?

Yes, many driven 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.

How can therapy help me understand my coping mechanisms?

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.

Why do I struggle to ask for help even when I know I need it?

Struggling to ask for help often stems from past experiences where vulnerability felt unsafe or unsupported. Understanding this pattern through therapy can support you to build trust and learn to reach out in ways that feel secure and nurturing.

Further Reading on Relational Trauma

Explore Annie’s clinical writing on relational trauma recovery.

References

Peer-Reviewed Research (Vancouver)

  1. Payne P, Levine PA, Crane-Godreau MA. Somatic experiencing: using interoception and proprioception as core elements of trauma therapy. PMID: 25699005.

Books & Cultural Sources (Chicago Author-Date)

  • Maté, Gabor. When the Body Says No. A.A. Knopf Canada, 2003.
  • Brown, Brené. Daring Greatly. Penguin Audio, 2012.
  • Fisher, Janina. Healing the fragmented selves of trauma survivors. Taylor & Francis Group, 2017.
  • Woodman, Marion. Addiction to perfection. Inner City books, 1982.
  • Angelou, Maya. I Know Why the Caged Bird Sings. Random House, 1969.
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About the Author

Annie Wright, LMFT

LMFT #95719  ·  Relational Trauma Specialist  ·  W.W. Norton Author

Helping driven 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 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 USA Today, Forbes, Business Insider, NBC News, and The Information. She is currently writing her first book with W.W. Norton.

Work With Annie

Both/And: These Habits Were Helping You and They Are Now Hurting You

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.

The Systemic Lens: Self-Destructive Habits Don’t Develop in a Vacuum

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 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 Field 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.

Credentials & Licensure

License

Licensed Marriage and Family Therapist (LMFT #95719)

Clinical Experience

15,000+ direct clinical hours

Licensed in 14 U.S. Jurisdictions, including Colorado (telehealth only), and Registered for Telehealth in Florida

CA LMFT95719 · CO MFT.0003236 (telehealth only) · CT 003806 · DC LMFT200001447 · FL TPMF356 (out-of-state telehealth registration) · IL 166.012270 · ME MF8600 · MD LCM1206 · NH 1030 · NJ 37FI00254800 · NY 002805 · TX 206391 · UT 14300323-3902 · VA 0717002589 · WA MFT.LF.70098096

Signature Frameworks

Creator of House of Life and Fixing the Foundations

Forthcoming Book

The Everything Years (W.W. Norton)

Past Leadership

Founder & former CEO, Evergreen Counseling


Featured Expert Commentary

Regular contributor to Psychology Today. Expert commentary has appeared in USA Today, Forbes, Business Insider, NBC News, and The Information.

Medical Disclaimer

Frequently Asked Questions

These behaviors likely started as effective coping mechanisms during times when you had limited resources or options. They become compulsive because they once worked to provide relief, numbness, or connection, even though they now create more problems than they solve.

The paradoxical theory of change states that trying to be something you're not keeps you stuck. When you accept that these behaviors were attempts at self-care rather than character flaws, you reduce shame and create psychological space for genuine transformation.

No. While these patterns may have deep roots, you now have more resources, options, and capacity than you did as a child. Therapy helps you develop new, more adaptive ways to meet the same emotional needs the destructive behavior was trying to address.

Yes. Whether it's addiction, self-harm, toxic relationships, or compulsive behaviors, each represents an attempt to manage emotional pain, find relief, feel connection, or survive difficult circumstances with whatever tools were available at the time.

Begin by identifying what the behavior gives you (relief, numbness, connection), then explore other ways to meet those needs. This often requires professional support to expand your emotional tolerance and develop new coping strategies while maintaining compassion for yourself.

What's Running Your Life?

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