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People Pleasing as a Trauma Response: How It Starts and How to Change It

  • Writer: Matthew Kelley
    Matthew Kelley
  • Feb 12
  • 4 min read
Neon sign saying "Yes yes" in a blog written by a Hamilton, ON based psychotherapist about people pleasing and how therapy can help people pleasing.

Many people think of people-pleasing as simply being "too nice" or avoiding conflict. However for many adults, people pleasing is not a personality trait, but instead it’s a learned survival strategy.


If you often find yourself saying yes when you want to say no, worrying about disappointing others, or feeling responsible for other people’s emotions, you’re not alone and you’re not broken. People pleasing can sometimes be a trauma response that develops in childhood, especially in environments where love, safety, or approval felt conditional.


Understanding where people pleasing comes from is often the first step toward changing it.



What Is People Pleasing?


People pleasing is a pattern of prioritizing others’ needs, feelings, and expectations over your own often at the expense of your wellbeing. It can look like:


  • Difficulty saying no

  • Avoiding conflict at all costs

  • Over-apologizing

  • Feeling responsible for others’ moods

  • Fear of being disliked or rejected

  • Agreeing to things you don’t want to do

  • Suppressing your own needs or opinions


On the surface, people pleasers may seem generous, easygoing, or highly considerate. Internally, they often feel anxious, resentful, or exhausted.



Is People Pleasing a Trauma Response?


It definitely can be - in many cases people-pleasing is a trauma response. When children grow up in environments where conflict, criticism, unpredictability, or emotional neglect are present, they learn to adapt. One powerful adaptation is becoming highly attuned to others’ emotions and needs.


Instead of fighting or fleeing danger, the nervous system learns, "If I keep others happy, I’ll stay safe." This pattern can carry into adulthood long after the original environment is gone.



How Childhood Experiences Shape People Pleasing


People pleasing often develops in childhood environments where:


  • Love or approval felt conditional

  • Caregivers were emotionally unpredictable

  • Conflict felt unsafe

  • A child had to be "the good one"

  • Emotional needs were minimized or ignored

  • The child took on a caregiving or mediator role


In these situations, children learn to monitor others closely and adjust themselves to maintain connection and safety. As adults, this can show up as chronic self-silencing or over-accommodation. Importantly, this doesn’t mean blaming parents - many caregivers did the best they could. But patterns learned early can still affect us later.



Signs Your People Pleasing May Be Trauma-Based


Not all people-pleasing is trauma-based, but some signs point in that direction:


  • You feel intense guilt when setting boundaries

  • Conflict feels deeply threatening, not just uncomfortable

  • You fear being "too much" or "difficult"

  • You struggle to identify your own needs

  • You feel responsible for keeping relationships stable

  • You experience anxiety when someone is upset with you

  • Your self-worth is tied to being helpful or liked


If these resonate, your nervous system may have learned that safety and acceptance comes from pleasing others.



Why People Pleasing Persists in Adulthood


People pleasing works - at least in the short term. It can reduce conflict, gain approval, and maintain relationships. Your brain remembers this as effective. The problem is that over time too much people pleasing can lead to:


  • Burnout

  • Resentment

  • Low self-esteem

  • One-sided relationships

  • Loss of self identity

  • Anxiety and depression


What once protected you can start to cost you.



How to Stop People Pleasing (Gently and Realistically)


Change doesn’t happen by forcing yourself to "just say no". People pleasing is often rooted in the nervous system rather than willpower. Although psychotherapy can be extremely helpful for people pleasing and trauma, here are realistic steps that can help you start the process on your own:



1. Build Awareness First


Notice when you people please without judging yourself. Ask:


  • What am I feeling right now?

  • What am I afraid might happen if I say no?


Awareness creates choice. As the great psychologist, Carl Rogers, once said, "The curious paradox is that when I accept myself just as I am, then I can change."



2. Start With Low-Stakes Boundaries


You don’t need to start with the hardest relationship in your life. Practice with small preferences and minor requests in low-risk situations. Confidence builds gradually.



3. Learn to Tolerate Discomfort


Discomfort doesn’t always mean danger. Your nervous system may react strongly at first. This is normal when changing old survival patterns. Your brain remembers that past and is saying "Stop, Danger ahead!" However, as our stronger, wiser, and older self today, it is our job to remind our brain that the circumstances are different now and you are safe. ACT-based skills learned in therapy like acceptance and cognitive defusion can help here.



4. Reconnect With Your Needs and Values


Many chronic people pleasers lose touch with their own needs. Try asking:


  • What do I want here?

  • What matters to me long-term?


Values-based decision making can be a powerful shift.



5. Practice Self-Compassion


People pleasing developed for a reason. You adapted to survive and maintain connection. That deserves compassion, not criticism.



How Psychotherapy Can Help With People Pleasing


Because people pleasing often has deep roots, therapy can be incredibly helpful. Therapy offers a space to:


  • Explore where these patterns began

  • Build healthier boundaries

  • Strengthen self-worth

  • Learn emotional regulation skills

  • Develop secure relationship patterns

  • Reduce anxiety around conflict and rejection


Approaches like Emotionally Focused Therapy (EFT), CBT, and ACT can all support this work.



You Don’t Have to Stop Caring; Just Stop Abandoning Yourself


The goal isn’t to become less kind or less caring, it’s to include yourself in the equation.


Healthy relationships involve mutual care, not self-sacrifice.



Looking for Therapy in Hamilton?


If you recognize yourself in this pattern, you’re not alone, and change is possible. At Blue Hen Psychotherapy, I work with adults who grew up feeling responsible for others’ emotions and are ready to build healthier, more balanced relationships with themselves and others. Therapy can help you develop boundaries, self-trust, and a stronger sense of identity without losing your compassion.


If you’re considering therapy in Hamilton, ON, I'd love to meet with you for a free 15min consultation to learn more. Click here to get started!

 
 
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