Therapy for people-pleasing, codependency and boundaries
You knew, even as you were saying yes, that you meant no. You heard yourself do it. And you did it anyway, because the half-second of discomfort just before disappointing someone was, in that moment, more than you could tolerate. Then you carried that yes around for three weeks and resented everyone involved, yourself most of all.
This is one of the most common things people bring to me, and it's almost never a communication problem. You know the words. You've read the article about the sandwich technique. The words were never the issue.
I'm Dania Uritskiy, LICSW. I offer people-pleasing therapy in person in Edmonds and online throughout Washington. A lot of this work happens with eldest daughters, children of immigrants, mothers, and the person at work everyone leans on. Some people find me by searching for codependency instead. It isn't a diagnosis and I don't use it as a label, but if that's the word that fits how you feel in your relationships, you're in the right place.
Re-wiring your mind is delicate work, and I can help
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I grew up in Maryland in a Salvadoran family, with Spanish at home, and I learned early that "no" works differently depending on which door you've just walked through. In a lot of American settings it's a word you can simply say. In many Latino families, a flat no to your mother or your tía lands much closer to rejection. People decline sideways instead. "Ahorita." "Vamos a ver." A yes that everyone understands probably won't happen.
Most boundary advice is written for the first kind of household. It hands you a calm, direct script ("That doesn't work for me") and tells you their reaction isn't your responsibility. Said in Spanish to a mother who gave up her country so you could have choices, that script can sound like an announcement that you've stopped being her daughter.
Many of the bicultural clients I see have tried it, watched it go badly, and decided they're bad at boundaries. Usually they were skilled at a different kind. The work then isn't learning the blunt version. It's finding a no your family can actually hear, which tends to mean changing what you do and on what terms, while staying inside the relationship. Fewer announcements, more consistency.
That's also my position on estrangement. When someone is being harmed, distance can be necessary, and I'll support it. As a default answer to guilt, I think cutting people off is overprescribed.
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Before graduate school, I worked at the Community Action Council of Howard County, counseling families in financial crisis about housing and building the agency's rental assistance program. One pattern came up often enough that I still think about it. Behind a family close to losing their home there was frequently a relative, often the eldest or the one with the steadiest job, who had already covered more than they could afford.
People-pleasing in families is very often financial, and almost nobody calls it that. The sibling who always lends. The adult child sending money home from a paycheck that doesn't stretch. Some of that is love and duty, and I respect it. Some of it is a yes nobody in the family feels allowed to refuse, and it's worth knowing which is which.
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I want to be careful here, because "stop people-pleasing" too often gets sold as permission to be careless with people. Generosity is real. So is duty, and some family obligations are worth honoring even when they cost you something.
The distinction I use: generosity is chosen, and it leaves you basically intact. People-pleasing is compulsory, and it leaves you depleted and resentful. A rough test is whether you could have said no without hours of guilt, and whether you knew what you wanted before you answered or only what they wanted. If you can't say no, your yes is automatic.
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It usually started as a smart adaptation. Maybe you were the responsible child, parentified early: managing a parent's moods, translating at the doctor's office, looking after younger siblings. If you were the eldest daughter, the role came with a job description nobody ever said out loud. Maybe love came with just enough conditions that approval felt like something to keep maintaining. Maybe conflict at home was frightening, in which case reading the room and heading it off was accurate risk management.
For many of my clients, culture sits at the center: a marianismo-shaped standard of the good woman, a family where putting yourself first reads as a moral failing, expectations handed down by generations who never had the option to say no themselves. My post on intergenerational trauma traces some of that, and immigrant and first-generation therapy speaks to being the one who was supposed to make the sacrifice worth it.
For some people it's fawning, a trauma response, where appeasing was what ended the danger fastest. That has a different feel, and it calls for a slower pace.
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At work, people-pleasing is almost invisible, because it looks so much like excellence. You're the one who gets asked, not always because you're best qualified but because you're the safe bet: you'll say yes and it'll get done well. That load is one nobody else is tracking, including the manager who sees someone who seems fine with it.
It often pairs with perfectionism, where the standard is set by what you imagine will keep everyone happy. That's why "just lower your standards" never lands. What helps is getting specific about what you were hired to do, then finding out, by testing it, that a colleague who hears no from you once doesn't reclassify you as unreliable. If the load is wearing you down, these signs you're heading toward burnout are worth checking, and therapy for professionals goes further into the work side.
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Family is harder. The scripts are older and stronger, and it's also often the work most worth doing. You don't have to choose between your family and yourself. We'll go slowly and respect what your family means to you while making room for what you need. There's more on the cultural side on my multicultural therapy page.
For many women the pattern follows them into motherhood, where pleasing everyone becomes trying to be the perfect mother. I wrote about that in how trying to be the perfect parent can backfire.
How to stop people-pleasing, starting with the hour after
Most advice focuses on what to say. In my experience the saying is the easy part. This is the order I usually work in.
Finding the half-second. There's a moment before you say yes when some part of you already knows. Most people can't find it at first. Catching it reliably is the whole foothold.
Buying time. "Let me check and get back to you" is a complete answer, and it gives the part of you that knows a chance to speak.
Surviving the hour afterward. Setting a boundary takes about ten seconds. Sitting with the guilt that follows, without rushing to undo it, is what takes support. Almost everyone who believes they "can't set boundaries" can set them fine. What they can't yet do is get through the sixty minutes afterward, so they quietly walk it back.
Getting accurate about the risk. Some people will be disappointed, and that turns out to be survivable. Others will escalate, and that's real information about the relationship.
Underneath the practical layer, two slower things usually open up. One is grief: anger first, often, and then sadness for the years and for how little anyone noticed the effort it took to be so easy to be around. The other is identity. If your worth has always run through being needed, becoming a little less available raises a real question about who you are when you're not holding everything up. We don't skip past it.
Some common questions
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Because your body learned a long time ago that disappointing people was risky, and it reacts to an ordinary "no" as if it were a real threat. The racing heart, the nausea and the urge to take it back are a stress response, not a sign you did something wrong. That reaction gets weaker each time you hold a small boundary and nothing terrible happens, which is why we work on tolerating it rather than waiting for it to disappear first.
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The people who ask me this are almost never the ones at risk of it. Someone who is truly self-centered doesn't lie awake worrying about it. The goal isn't to make you less generous. It's to make your generosity a choice, because generosity you chose freely is the only kind that doesn't turn into resentment.
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They overlap. "Codependency" usually describes a relationship where your sense of being okay depends on managing someone else, often a partner or a family member who is struggling. People-pleasing is broader and shows up with almost everyone: coworkers, friends, strangers. Neither is a diagnosis. I care less about which word fits and more about what the pattern costs you and where it started.
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Sometimes. For some people, keeping others happy was how they stayed safe around someone frightening, and the pattern is closer to a survival reflex than a habit. For others it grew out of a family where being easy and helpful was simply how you earned your place. We figure out which it is early, because the first calls for a slower, steadier pace.
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No. Most of this work happens through small changes in what you do, not through big conversations. Many people never have a dramatic talk with their parents and still end up with a very different relationship, because they stopped agreeing to everything and kept showing up anyway.
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Some will, at least at first. When you've always been the one who says yes, people are used to that, and a new "no" can feel to them like a rejection. Usually that settles once they see you're still in the relationship. If someone keeps punishing you for having limits, that tells you something important about the relationship, and we'll look at it together.
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Absolutely not. Many of the people who come to me for this are women, especially eldest daughters and mothers, but men struggle with it too. In men it often looks like always being the dependable one at work or the person who never complains, so it goes unnoticed for a long time.
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Most people notice small shifts within the first couple of months: a pause before saying yes, or a request they turned down that would have been impossible before. Changing a pattern that's been in place since childhood takes longer, and I'll be honest with you about where things stand as we go.
What happens next
You pick a time for us to meet directly on my calendar. Fifteen minutes, free, video or phone. You don't have to have the words ready or fill out long forms, I understand the first step can be difficult.
We meet virtually and talk about what's going on. I'll tell you honestly whether I'm the right fit, and if I'm not, I'll point you toward someone in my network who is.
If it feels right, we schedule your first full session, usually within a week. I see clients at my office in Edmonds on the waterfront, or virtually across Washington State.
