man with no appetitePeople-pleasing tendencies often arise from a complex interplay of childhood experiences, cultural influences, and family dynamics. While being considerate and accommodating is generally seen as positive, chronic people-pleasing—where individuals prioritize others’ needs at the expense of their own—can contribute to significant mental health challenges. Understanding the roots of people-pleasing and the disorders it is commonly associated with can shed light on why these tendencies develop and how they affect mental health. 

Common Mental Health Disorders in People-Pleasers 

Social Phobia and Anxiety

People-pleasers often experience social phobia or generalized anxiety, driven by a fear of rejection or disapproval. The effort to avoid conflict, gain approval, and ensure others’ happiness can create persistent worry about how they are perceived. These individuals may overanalyze interactions, fear making mistakes in social situations, and feel intense pressure to meet expectations, leading to chronic anxiety and avoidance behaviors. 

Low Self-Esteem

Chronic people-pleasing is closely linked to low self-esteem. These individuals may base their self-worth on how well they meet others’ needs or avoid disappointing others. Over time, neglecting their own desires and sacrificing personal boundaries can deepen feelings of inadequacy, unworthiness, or invisibility. 

Depression

Neglecting personal needs in favor of others’ needs can leave people-pleasers feeling unfulfilled and unseen, contributing to depression. Many internalize feelings of guilt or failure when they cannot meet everyone’s expectations, or they may feel trapped in a cycle of giving without receiving the validation or appreciation they long for. This can lead to feelings of emptiness, hopelessness, and disconnection. 

Perfectionism

People-pleasers often struggle with perfectionism, where they set unrealistically high standards for themselves in their efforts to satisfy others or avoid criticism. This constant drive for flawlessness can lead to emotional exhaustion, self-criticism, and difficulty coping with even minor mistakes, which they may perceive as failures. 

Obsessive-Compulsive Personality Disorder (OCPD)

In some cases, people-pleasers may develop traits of obsessive-compulsive personality disorder. This includes an overwhelming need for control, rigid adherence to routines, or perfectionistic tendencies that align with their desire to avoid mistakes and maintain harmony in relationships. This pattern often stems from a deep fear of disappointing others or losing approval. 

Codependency and Relationship Issues

People-pleasers frequently struggle with codependency, where their sense of self becomes intertwined with their ability to care for or please others. This dynamic can lead to unbalanced relationships, difficulty setting boundaries, and a susceptibility to emotional burnout or manipulation. These patterns often leave people feeling depleted and underappreciated. 

Post-Traumatic Stress Disorder (PTSD) or Complex PTSD (C-PTSD)

For some, people-pleasing behaviors are rooted in trauma. Individuals who grew up in environments where their needs were dismissed or punished may develop hyper-vigilance and people-pleasing tendencies as a survival mechanism. These behaviors persist into adulthood as a response to unresolved fear or conflict, creating difficulty with self-advocacy and boundary setting. 

The Origins of People-Pleasing 

Family Dynamics 

Many people-pleasers grow up in family environments where love or approval was conditional. If caregivers only validated them when they were obedient, accommodating, or high-achieving, they may have learned that their worth depends on meeting others’ expectations. Alternatively, children in chaotic or neglectful households may develop people-pleasing behaviors as a way to maintain harmony or avoid conflict, making it a survival strategy that becomes deeply ingrained. 

Cultural Influences 

Cultural expectations often reinforce people-pleasing tendencies, particularly in societies that emphasize collectivism or traditional gender roles. For instance, women may be socialized to prioritize nurturing and self-sacrifice, while certain cultural backgrounds may emphasize family or community needs over individual desires. These influences often create internalized beliefs that prioritizing oneself is selfish or unacceptable. 

Childhood Experiences 

Childhood trauma, including emotional neglect, abuse, or witnessing conflict, is a common precursor to people-pleasing. Children in these environments may internalize the belief that they must earn love or avoid anger to feel safe or valued. Over time, these survival strategies evolve into patterns of behavior that influence how they relate to others well into adulthood. 

Breaking Free from People-Pleasing 

While people-pleasing can lead to a variety of mental health challenges, it is possible to unlearn these patterns and develop healthier relationships with oneself and others. Therapy can help individuals identify the root causes of their tendencies, build assertiveness skills, overcome self-sabotaging techniques, and practice setting boundaries without guilt. Addressing underlying trauma, reshaping beliefs about self-worth, and learning to tolerate discomfort in relationships are key steps in breaking free from these behaviors. 

The journey toward change may not be easy at first, but it is deeply rewarding. People-pleasers can learn to reclaim their voice, prioritize their own needs, and build lives that reflect their true values and desires. With the right support, they can embrace a more balanced and fulfilling way of relating to themselves and others. The point of improvement is not to care more about the self than others, but it is to develop an equal sense of worthiness to the basic components of life and connection. Once someone feels equally worthy of love, respect, validation, support, and success, they will be able to engage with others more authentically and effortlessly which will not only reduce symptoms of anxiety, but it will also result in relationships and opportunities that flourish. 

A family celebrating new years eve with party hats and sparklers.As the clock strikes midnight on December 31st, many of us embrace the familiar mantra of “New Year, New Me.” It offers optimism, a fresh start, and the promise of transformation. It’s hard to avoid the flood of marketing campaigns that encourage us to buy the latest gym membership or the newest self-help book to kickstart a version of ourselves that we believe we can only achieve through these purchases. But before we get swept up in the hustle and bustle of New Year’s resolutions, it’s important to pause and reflect: is the “New Year, New Me” approach truly the most effective way to set and achieve meaningful goals?  

The Problem with “New Year, New Me” 

The allure of “New Year, New Me” is understandable. A fresh year symbolizes a clean slate, a chance to hit reset and leave behind our shortcomings from the previous year. Unfortunately, this mindset often creates a slew of problems, particularly when it comes to setting realistic, sustainable goals. 

For one, it encourages a mindset that is centered around quick fixes. Whether it’s a 30-day weight-loss challenge or strengthening your flexibility, the emphasis is placed on immediate results. But lasting change doesn’t happen overnight. Instead of cultivating habits that will serve us long-term, we often set ourselves up for failure with lofty, unrealistic expectations. After a few weeks of pushing hard to meet these unattainable goals, the motivation wanes, and we’re left feeling discouraged. Many of us return to the old ways, wondering why we couldn’t make that “New Me” stick. 

Another pitfall of this mindset is that it overlooks the importance of the process of change. The truth is, we don’t achieve our greatest potential by buying a new gym membership or indulging in the latest self-help fad. Personal growth, whether physical, mental, or emotional, comes from the lessons learned along the way—from the setbacks, the challenges, and the small victories that accumulate over time. This process requires patience and reflection. 

The Power of Small, Incremental Goals 

How can we approach goal-setting in a way that is both achievable and meaningful? The key is to break down our larger ambitions into smaller, more manageable steps. 

Instead of committing to a grueling daily workout routine, try focusing on a single goal, such as walking for 15 minutes a day. When you achieve these smaller goals, you gain confidence, and this encourages you to gradually take on bigger challenges. Over time, you will have a resilient foundation to achieve the next goal you have set for yourself. 

This principle of setting small, incremental goals is just as effective in other areas of life, such as career, personal development, or financial growth. If you want to save money, for example, start by saving just $50 a month and gradually increase the amount as you build the habit. 

Realistic, Measurable Metrics: The Key to Staying on Track 

To make your goals even more achievable, it’s crucial to set measurable metrics and realistic deadlines. Instead of vague goals like “I want to lose weight” or “I want to get healthier,” specify exactly what that looks like for you. For instance, “I will drink 8 glasses of water a day for the next 30 days.” These clear, specific benchmarks provide direction, and because they are measurable, you can easily track your progress along the way. 

Measurable goals show you the areas that need to be revisited.  This also prevents the individual who moves the goalpost as they achieve their goals. The ambitious person might feel they haven’t achieved enough; having a way to see all you’ve accomplished will put all your hard work into perspective. 

Embracing the Power of Slow and Steady 

One of the most important things to remember when setting goals is that slow and steady wins the race. Success rarely happens as a result of a massive, overnight transformation. Take time to reflect. What is working? What needs more support? Be curious about why things may be happening in a particular way. Real growth happens when we develop the skills needed to stick with small, sustainable changes over time. The tortoise may not win in a race against the hare, but in the long run, the steady, persistent pace leads to lasting results. 

In the context of “New Year, New Me,” this means understanding that self-improvement isn’t a quick fix but rather a gradual process. You don’t need to reinvent yourself in one go. The power lies in embracing the journey and taking one step at a time. 

The Importance of Encouragement and Support 

Finally, achieving success often requires more than just individual effort. It’s essential to have a support system that encourages and motivates you along the way. Whether it’s a friend who holds you accountable, a mentor who offers guidance, or an online community that shares similar aspirations, support can make a world of difference in helping you stay on track. 

At the same time, remember to be kind to yourself. Progress isn’t linear, and setbacks are a natural part of any growth journey. Celebrate each small victory and learn from the challenges. Instead of expecting perfection, focus on what went well and embrace the things that didn’t work. 

Conclusion 

The “New Year, New Me” mantra may sound appealing, but it often encourages unrealistic expectations and quick fixes that fail to bring about lasting change. By setting small, incremental, and realistic goals, we set ourselves up for success. Measuring our progress with specific, attainable metrics helps keep us motivated. Perhaps most importantly, we need encouragement and support from ourselves and from others along the way. 

So, this year, instead of chasing the elusive “New Me,” embrace the idea of a “Growing Me”—the person taking lessons and experiences from previous years to strengthen their chance at achieving success. 

 

woman walking in forest and breathing fresh air“You cannot keep birds from flying over your head, but you can keep them from building a nest in your hair.”~ Martin Luther 

Unpleasant, challenging, and, frankly, bad things happen sometimes. They happen in the world, in our relationships, jobs, bodies, finances, and families. Many of these difficulties we can’t prevent. That said, there is one thing we can do. We can say yes to all the things we don’t want.

It’s a paradoxical solution, but it works. Once we accept that things will not always go the way we wish they would, we can more easily accept the unpleasantness, emotional havoc, and frustrations inherent in everyone’s life.

I don’t like those things any more than you do. And, having been on this earth for more than three score and 10, I have even less patience for them now than I used to; however, I know that my job is to bear everything I can. It’s not fun, but it always changes. My job, and maybe it’s yours too, is to find as much joy as possible amid the chaos of even the most predictable life.

As my friend Betsy Johnson likes to say, life gets lifey. I like it as it’s a shorthand way of acknowledging that we’re not going to like it all.

Sometimes, when life gets a little too lifey for your body, mind, and spirit to assimilate with acceptance, let yourself be in a miserable mood. It won’t last. Let yourself get angry. I wouldn’t suggest taking it out on somebody, but you can make it safe to feel the feeling. Let yourself feel anxious, it’s unpleasant, and can feel scary, but it’s temporary.

Slow down. Don’t try to cross everything off your to-do list. The world will still keep spinning on its axis. Allowing time to be with what is helps you cope with the discomfort that often comes from feeling less in control. Trust me, with time you can shift your relationship to the inevitable bad moods, bad news, and unpleasant interactions that are part of even the best life.

Give yourself a break. That might mean wanting less so you can work less, simplifying your social life, doing certain chores less frequently, cooking simpler food, or staring into space. It can be helpful to look at a typical day and ask yourself if everything you spent time on was really necessary, except anything fun or satisfying.

Life is going be how it is, whether we like it or not. And we’re going to get through everything, even if we feel tense, anxious, angry, frustrated, or any other unpleasant emotion. The fact is we managed to live through everything, so far. You don’t have to do it with a great attitude. If you’re not in school anymore, no one is grading you except you, and that brings up another point. A hefty dose of self-compassion goes a long way to helping you be in the moment, however, that moment appears.

Be curious. Curiosity and a willingness to experiment with doing even the littlest thing differently, can save your emotional bacon.

Curiosity and experimentation invite pleasure into your life. What new delight can you discover? How much more can you savor food, music, nature, movement, good company, a book, TV, or anything else that engages your five senses? How much can you savor simply being? I know that’s a tall order in our society that’s hell-bent for leather on doing. You might even get curious and experiment with how it feels to look at the clouds, lie in a relaxing Epsom salt bath, or fully taste whatever food you’re eating.

If you’re paying attention, even the most predictable life is full of ups and downs. Inside you, outside you, and interpersonally. It’s just the way it is. Yes, it would be wonderful if we could roll with those vicissitudes with grace and acceptance, but that’s not always possible. Sometimes, we just react, and it isn’t pretty. By squeezing joy out of as many things as possible, you not only help balance the yin and yang of life but also steal yourself for the times that feel scary or challenging.

If it’s any comfort, know this: none of us came here with a user manual. Living in our little earth suits, interacting with different people, each one whose head is its own world, and facing myriad challenges we never could have imagined as technology complicates our lives, knowledge of world events that gets delivered to us in a nanosecond, and we’re bombarded by choices on a scale never before imagined in the history of humanity can be tough.

Just give yourself a break. It’s not easy being human. Seek out pleasure. Infuse your day with meaning, whether it’s the accomplishment of cleaning the kitchen floor, or doing neurosurgery. Everything is valid, and anything can be as meaningful as you decide it is.

Remember: everyone is just muddling through, no matter what it looks like. You’re living on a spinning blue planet in the middle of trillions of galaxies with 8 billion other people. How could that not be challenging?

Starting today, give yourself a break, take it easy, and enjoy whatever you possibly can.

woman silhouette breathing fresh air on the beach“As you grow older, you will discover that you have two hands, one for helping yourself, the other for helping others.” — Maya Angelou 

Self-care is one of those therapy concepts that we all know about, but is easy to take for granted.  

We all recognize we could benefit for having more “me time” to prioritize our needs and well-being. Yet, it often gets disregarded until we find ourselves overwhelmed, exhausted, or in genuine distress. 

Self-care isn’t just a luxury or something to occasionally do when the time is right—it’s a necessity for maintaining mental, emotional, and physical well-being. The challenge however, lies in moving self-care from an occasional act, to a consistent practice that fits seamlessly into daily life. 

Simply put, make self-care a habit.  

Think of self-care like dental hygiene. We brush and floss daily not because we’re facing an immediate dental crisis, but as a preventative measure we’ve created a habit around.  

Similarly, self-care can be viewed as daily maintenance for our mental health—a practice that keeps us balanced, resilient, and ready to navigate life’s challenges. 

A self-care routine doesn’t have to be elaborate or time-consuming. What matters most is that it’s consistent, balanced, and adaptable to your unique needs and circumstances.  

Here’s how to create a lasting self-care routine that works for you. 

“My friend…care for your psyche…know thyself, for once we know ourselves, we may learn how to care for ourselves.” — Socrates

Understand Your Needs and Priorities

A sustainable self-care routine begins with self-awareness. Understanding what truly matters to you and identifying the areas where you feel depleted can help you create a meaningful and achievable plan. 

How to Start: 

Therapist Tip: Journaling or completing a self-care assessment worksheet can help clarify your starting point. The clearer you are about your needs, the more focused and effective your efforts will be.

Set Realistic and Achievable Goals

“As important as it is to have a plan for doing work, it is perhaps more important to have a plan for rest, relaxation, self-care, and sleep.” ― Akiroq Brost 

Consistency is the cornerstone of building any habit, including self-care. Unrealistic expectations, however, can lead to frustration and burnout. Start small and aim for progress, not perfection. 

For instance, if you want to eat healthier, start by preparing one homemade meal per week rather than overhauling your diet all at once. Gradually increase the frequency as it becomes more of a habit. 

How to Start: 

Therapist Tip: Celebrate every small success, no matter how minor it seems. Small wins build momentum, which in turn creates lasting habits.

Incorporate Self-Care into Your Daily Routine

The most effective self-care routines are those that integrate naturally into your day. Think of self-care as a lifestyle rather than an additional item on your to-do list. 

For instance, if you feel too busy for relaxation, begin with micro-breaks. Take 1–2 minutes between tasks to stretch, breathe deeply, or step outside for fresh air. These moments can help reset your energy and focus. 

How to Start: 

Therapist Tip: Use morning and evening routines as anchors for self-care. Mornings can set a positive tone for the day, while evenings are ideal for winding down and reflecting.

Adapt and Evolve as Needed

“Start where you are. Use what you have. Do what you can.” — Arthur Ashe

Life is dynamic, and your self-care routine should evolve with it. Flexibility ensures that your practices remain relevant and effective, even as your circumstances change. 

For example, if you’ve started journaling but find it repetitive or it is no longer providing nourishment, switch to another idea to reignite your interest, and that aligns better with your need. 

How to Start: 

Therapist Tip: Keep a “self-care toolbox” of go-to practices for different moods or energy levels. This makes it easier to adapt on challenging days.

Build a Support System

“Self-care for me is about connecting daily with the people I love in my life, and staying in touch.” — Jake Gyllenhaal 

Self-care doesn’t have to be a solo journey. Involving others can provide accountability, encouragement, and even a sense of joy in shared experiences.  

This could be as simple as a group chat or a regular video call with friends or likeminded people you trust and find supportive. 

How to Start: 

Therapist Tip: Consider enlisting an accountability partner to check in with regularly. Shared goals and encouragement can significantly enhance your commitment. 

The Power of Tiny Changes 

Borrowing from James Clear’s philosophy in Atomic Habits, focus on small, incremental changes. A 1% improvement each day may seem insignificant, but over time, it leads to remarkable results. Self-care isn’t about grand gestures; it’s about consistent, meaningful actions that add up to a healthier, happier you. 

“Self-care is really rooted in self-preservation, just like self-love is rooted in honesty. We have to start being more honest with what we need, and what we deserve, and start serving that to ourselves.” — Lizzo

Building a sustainable self-care routine is an ongoing journey of self-discovery and adaptation. By understanding your needs, setting realistic goals, and creating space for self-care in your daily life, you can establish habits that nourish your well-being for the long term.  

Self-care isn’t selfish—it’s essential. 

Start small, stay consistent, and watch how even the simplest practices can transform your quality of life. 

business woman working on computer while sitting in an office.For many people today, the process of finding the right therapist begins online, meaning your GoodTherapy profile is more than just a digital business card — it’s the gateway to your entire practice. With thousands of profiles competing for attention, having an optimized presence can significantly increase your visibility, boost client inquiries, and enhance your credibility. 

In this guide, we’ll show you practical, client-focused ways to shape your profile so that it stands out, resonates with real people, and inspires them to take the next step in their healing journey. Ready to create a profile that truly reflects your expertise and compassion? Let’s get started.

The Key Elements of a Successful Therapist Profile

Building the best therapist profile takes more than merely listing credentials or filling in required fields. To really stand out, you need to create a welcoming, human-centered space that shows potential clients who you are and how you can help. Each section of your profile is an opportunity to convey your approachability, expertise, and professional personality. Here, we’ll cover the essential elements of a standout therapist profile, helping you increase visibility and foster client trust from the very first glance.

Related: 3 Ways to Improve Your Therapist Directory Profile

Make Your Profile Photo Professional & Inviting

A well-composed, professionally taken photo can signal professionalism and compassion, making you appear as approachable and trustworthy as possible. Choose a clear and well-lit photo with a background that doesn’t distract from your face. Opt for natural or soft lighting and a friendly, relaxed expression to create a welcoming appearance. 

Ideally, your headshot should frame just your shoulders and face, and your attire should reflect your practice’s professional tone without being too formal. Avoid wearing busy patterns or harsh colors that may take attention away from your expression. And remember — no selfies. DIY pictures taken with your phone, tablet, or computer camera can make you appear less professional, which might dissuade clients from reaching out. 

Clearly Describe Your Therapy Style and Specialties

When describing your therapeutic approach, consider what would resonate with a potential client and put yourself in their shoes. Avoid technical jargon and instead use clear, client-friendly language that speaks to how your therapy approach can help people achieve their therapy goals. Describe the types of clients you work with and the specific benefits of your approach in terms that are easily understood. 

For example, instead of using complex psychological or academic terms, you might say, “I work with individuals and couples who feel stuck in recurring relationship patterns, helping them to communicate with grace and build stronger, healthier connections.” This makes your profile more relatable, inviting clients to see themselves in your description and understand how you can support them.

Focus on the Client Concerns You Address

Potential clients often scan profiles quickly, looking for therapists who specialize in the issues they’re experiencing. This is why it’s so important to clearly state the client concerns you address, whether they’re anxiety, trauma, addiction, etc. Your wording should be straightforward and easily understandable, as clients may be unfamiliar with clinical terms. 

If you offer support for unique or less common issues, such as grief counseling or support for non-monogamous relationships, feature them prominently, using clear, concise language. This clarity helps clients quickly identify if you’re the right fit for their specific needs and shows that you can meet them where they are.

Highlight the Therapy Types You Offer

Be sure to provide a clear outline of the therapy services you offer, mention any online or telehealth options available, and specify the therapeutic modalities you use. For example, a concise statement like, “I offer individual and couples therapy with a focus on Cognitive Behavioral Therapy (CBT) and Emotionally Focused Therapy (EFT)” is informative and to the point, allowing potential clients to understand your methods quickly.

Embrace SEO to Improve Your Profile’s Reach

The right therapy profile SEO (Search Engine Optimization) within GoodTherapy’s directory and external search engines will push you higher on search engine rankings and enhance your visibility. To do this, naturally weave valuable keywords relevant to your area and specialties into your profile. A balance between primary and secondary keywords can increase the chances of your profile appearing in searches, helping more clients discover your profile organically. To learn more about using SEO to create the best therapist profile, check out our guide on SEO tips for therapists. 

Include a Clear Call to Action (CTA)

An effective call to action is the final push on your page to make clients take that next step. Be clear about how clients can reach out and what action you encourage them to take. Inviting language like “Click the button below to schedule your free 15-minute consultation,” “Book an appointment to start your journey toward better mental health,” or “Contact me today to discuss how I can help you navigate life’s challenges” provides a gentle prompt, helping clients feel comfortable reaching out. Make it as easy as possible for them to connect by providing clear directions and accessible contact details, reducing any uncertainty about how to start the conversation.

Common Mistakes to Avoid in Therapist Profiles

Beyond following the above recommendations, avoiding these common pitfalls can make your profile more effective and engaging: 

When attempting to write the best therapist profile, it’s a must to use accessible and relatable language. Avoid overloading your profile with technical terms that may confuse or alienate potential clients. Remember, clients typically look for comfort and compassion, not a page from a textbook.

Finding the right balance in your profile can be like a tightrope act. A vague profile won’t give potential clients enough information about how you can help them, while being overly specific may limit your audience to a narrow niche. Ensure that your profile speaks directly to your ideal clients without excluding others, offering enough detail to explain your approach but leaving space for clients to ask questions.

Keeping your information current is necessary when building trust and credibility. Profiles that are not updated regularly can lose relevance and may even lead to missed opportunities. Consider reviewing and updating your profile every few months, especially if you add new specialties or expand your services.

Clients should be able to get a sense of who you are and what you offer without feeling overwhelmed. Potential clients don’t need to know every detail of your life or career — keep in mind that including excessive information can dilute the impact of your core message. A concise, focused profile is more likely to resonate and lead to inquiries.

Read More: Land Mines to Avoid When Marketing Your Therapy Practice 

Take a Look at a Great Therapist Profile Example

Want to see what a fully optimized therapist profile looks like? See our example therapist profile to better understand how these tips come together to create a powerful first impression.

Bringing It All Together

A thoughtfully crafted profile helps you connect with real people who need support. Your GoodTherapy profile is your introduction to clients, allowing them to see who you are, how you work, and why you’re the right person to guide them. By optimizing your profile with more clarity, authenticity, and warmth, you’re not only enhancing your practice’s visibility — you’re making a difference for clients who may be struggling to find their perfect fit.

Review and update your profile today, or if you’re new to GoodTherapy, get started building your account in our online directory and watch your practice grow. Together, we can make a difference by creating better mental health outcomes around the globe.  

man watching computer in a dark room Signs and Symptoms of Porn Addiction  

The phrases “porn addiction” and “sex addiction” remain stigmatized in today’s society. 12-step programs — think, AA — are alive and well, and people’s recovery stories about struggles with alcohol and drugs are often openly discussed and praised. And yet, whenever the topics of porn addiction or sex addiction come up in discussion, they are commonly met with silence, discomfort, and even mockery. So, what are some signs for you to recognize that you are “actually” addicted to porn? The similarities are strikingly similar to the criteria for addiction in any other sense of the word: 

These are just a few of the signs and symptoms that can indicate an addiction to porn. As mentioned, there are generally fewer known resources than for other addictions — if and only if because of the overall stigmatization and resulting hesitation to reach out for help. And think about our collective access to it: For the large majority of us, it is a mere grab-and-click away on our cell phones, which are often attached to us. That might be the equivalent of an alcoholic going to bed with a bottle of whiskey under his/her bed, or a drug addict placing a substance of choice on his/her bedside table. A “weak” moment does not necessitate leaving the homes and taking a trip to the liquor store; it might only require reaching into your pocket. 

How Therapy Can Help 

The first thing that therapy symbolizes is reaching out for help — aspects of stigmatization and apprehension are gradually shed, as a safe and judgement-free space and relationship is (hopefully) established. By speaking with someone who has had experience dealing with porn addiction, it can be relieving and reassuring to connect: At the very least, one is no longer dealing with this issue in complete secrecy or isolation. A therapist might provide resources such as relevant 12-step programs (e.g. SA, SAA, SLAA, PAA) that will link them with other (anonymous) individuals experiencing similar problems. 

A personal approach to therapy dealing primarily with porn addiction is to — after establishing a comfortable and trusting rapport — get a sense of the presenting problem so that therapist and client can collaborate on attainable and short-term, tangible goals with measurable progress. We will often ask the question, “What would progress look like by the time we meet next week?” and immediately follow up on how the week went upon the beginning of the second appointment. While employing various “Band-Aid fixes” (e.g. porn blockers on mobile device, sleeping with phone outside of the bedroom, etc.), therapist and client will dig deeper to find the many roots of the issue — it can be helpful to identify recurring patterns and themes throughout one’s life, especially responses to traumatic events. Clients will commonly have been exposed to porn on the younger side, and turned to it as an initially adaptive coping mechanism after experiencing a traumatic event. Over time, individuals will turn to porn with more frequency, until and after the habit has gotten out-of-control, using some of the criteria listed above. 

woman walking in forest with two dogsAmid recent political shifts and a charged cultural climate, many women in America are grappling with uncertainty about their place in society. This sense of unease has fueled interest in South Korea’s 4B movement—a bold stance advocating for no sex, no dating, no marriage, and no children with men. As a collective response, the 4B movement is a powerful challenge to entrenched systems, demanding accountability from men and policymakers alike.  

As a therapist, I would encourage you to consider if this movement can offer something even more profound: an invitation to pause and reflect. Rather than adopting a prescribed set of rules, consider this an opportunity for personal inquiry. What do you truly need? Where do your boundaries begin and end? Which choices bring a sense of meaning, joy, or liberation to your life? By shifting the focus inward, the “4 No’s” evolve from a manifesto into a pathway for self-discovery and autonomy. This is not about rejecting men—it’s about reclaiming yourself. 

What does this look like on a personal level?  

Can you embrace one, two, or even three of these “No’s”? Yes, of course you can. Take a moment of quiet reflection and ask yourself: Would I like to step away from certain dynamics or activities with men? If so, what drives that desire—or resistance?  

I often ask my clients to explore the motivations behind their choices. Now, I invite you to do the same. If you feel drawn to pause or abstain from particular engagements with men, consider the deeper “why.” An internal motivation—one rooted in self-discovery rather than external validation—is far more likely to guide you toward meaningful change. Picture someone saying: “I’m choosing the 4B approach for now, to reconnect with myself, to consciously shift my focus away from men, and to prioritize a passion I’ve long sidelined in relationships.” This decision is deliberate, grounded, and entirely within their control. It’s not about deprivation; it’s about intention. And it opens the door to growth, curiosity, and possibility. 

On the other hand, if the motivation is external—“If I withhold sex, my partner (or men) will behave better,” or “I want my partner (or men) to finally understand how I feel”—we may be on shaky ground. Relying on others to respond or react in the way we wish is unpredictable at best. We have little control over what another person will think, feel, or learn from our choices. True empowerment often begins by looking inward, defining our own needs, and setting a course for personal fulfillment that doesn’t hinge on anyone else’s understanding or validation. Let’s explore some considerations for each of the “No’s.” 

No Sex 

In my practice, I have heard more stories of unwanted advances, inappropriate comments, and assaults than I can count. I also frequently hear real-life accounts of the “orgasm gap”—a stark disparity in sexual satisfaction, often at women’s expense. This gap refers to the difference in orgasm frequency between men and women, and it’s not difficult to understand why many women are reevaluating or even abstaining from sex with men. For some, they may have yet to fully understand their own bodies or how to achieve pleasure on their own terms. Others carry cultural narratives about sex that position it as an act oriented around male pleasure. I can’t tell you how many times I’ve heard clients ask, “Isn’t sex over when he’s finished?” 

For some women, a time of exploration—whether through masturbation, watching erotic films, engaging with women, or attending live performances—can become a space to learn what they truly desire. For others, a period of celibacy may be a valuable path to regain agency over their sexuality. Whatever form this self-exploration takes, it’s essential to step back and ask, “What role does sex play in my life? How do I want my relationship with sex to feel moving forward?” 

This process may lead to boundaries around sex that truly honor your needs—perhaps deciding to wait until the 7th, 10th, or even 30th date, or holding off until after marriage. Or perhaps it’s exploring sexual compatibility very early on. Maybe it’s reestablishing intimacy with your current partner in new, creative, and connected ways. Whatever you choose, let it be a choice rooted in your values and needs, not a reaction to the desires of others. This is what it means to claim your own empowerment. 

No Dating and No Marriage (Dating and marriage are explorations of a partnership on a continuum and for that reason we will address them together. ) 

In my practice, single women frequently tell me they are content with their lives, and if a man is to join, he must enhance it in a meaningful way. A neutral presence simply won’t suffice, and anyone who detracts from their well-being is out of the question. Increasingly, women find it challenging to meet extraordinary men, leading many to choose remaining single as the more rewarding option. 

By delaying or abstaining from serious relationships, women have a unique window to be fully attuned to their desires, with no pressure to consider the wants, needs, or feelings of others. A solo period can allow a woman to delve into the core of who they are and envision a life shaped solely by their own values, aspirations, and passions. It is a period of freedom and self-affirmation, a choice to cultivate the self before becoming involved with others. 

As women age, they have often had the experience of serious partnerships or marriage and they may choose to pause or abstain from new relationships for numerous reasons. Their life experience has given them a clearer sense of what they truly want in a partner, yet post-partnership, staying single often becomes a powerful period of healing and self-discovery. Free from relational demands, they are embracing new hobbies and pursuits—dance, tennis, ceramics, or self-defense classes. Without a partner, they find themselves with more time and space to explore deeply fulfilling interests. 

Midlife and beyond (earlier if you are lucky!) financial stability and social connections often reinforce a woman’s independence. The idea of a male partner becomes a consideration only if he adds exceptional value. This solo space is, for many, an opportunity to nurture fulfilling friendships, family bonds, and roles like auntie or godmother, creating a rich life anchored in relationships that truly matter. 

No Children with Men 

Women’s desire to have children is often heavily rooted in culture, whether that’s family culture or the pressures of the larger society in which they reside. When embracing this “No” women may be rejecting the role of mother in order to distance themselves from the disrespect that they perceive men have for the role. In patriarchal societies, such as South Korea where the 4B movement came to be, women’s roles are clearly defined and not in the most pleasant of ways—subservience, domestic labor and exclusion from power are some of the common expectations. In the United States, this experience is more subtle, and though some of those expectations exist, women have decidedly more freedom as of this writing.  

Choosing to delay or even forgo motherhood in the U.S. can open the door to uninterrupted professional growth, providing a unique advantage in a workforce still largely shaped around male career trajectories. The time and space freed up by not having children allows women to prioritize advanced education, career development, and personal ambitions—paths that can be challenging to pursue while managing the demands of family life.  

In essence, this choice means you are your priority—not your children, not your partner, just you. For many women, this is not only a path to success but also a profound act of self-investment and agency. 

I already have a partner and children. How do I participate? 

Many women ask me, “How can I stand in solidarity while living a life that already includes a partner and children?” Their question reflects a deep desire—to connect with other women, to honor their own growth, and to explore new possibilities without unraveling the lives they’ve built. 

The truth is, solidarity doesn’t have to mean starting over. It can mean carving out space for yourself within the life you already have. Ask yourself: What do I need to feel more connected to my own aspirations? How can I cultivate a sense of belonging with other women, while nurturing my personal evolution? 

When you have a male partner or children at home, your participation in this movement may look markedly different. You may not have the space or desire to end a partnership or fundamentally alter how you participate as a parent, but you may not be entirely happy with the way dynamics currently play out in your home. At its core, the 4B movement is about setting boundaries.  

For women with male partners or children, participating in this movement will likely start by defining and asserting those boundaries within their existing relationships. Is your sex life mutually satisfying? Do you evenly split child and home responsibilities? How about the simple act of claiming time for yourself. Or recalibrating the emotional labor of your relationship or the mental load of your home. It’s not about rejecting what you’ve created—it’s about expanding within it, finding room for the you that is still unfolding. 

How do I maximize my personal growth? 

The 4B movement is about reclaiming agency—decentering men from one’s life, not out of rejection, but as an empowering choice to cultivate autonomy, fulfillment, and self-determination.  

As you explore which “No’s” serve you, and which do not, I would encourage you to explore timelines—how long might you embrace your “No”? After a major breakup, for example, it might feel right to abstain from dating, sex, or relationships for a full year. Or perhaps a few months is enough to rediscover yourself. Perhaps you’ve been single for a while and you want to stay in that space with more intention. Whatever your circumstance, the right timeline for you is deeply personal. 

Consider using some tenants of the SMART framework—Specific, Measurable, Achievable, Realistic, and Timely—to guide your approach. Select one, two, or more “No’s” that truly speak to you. Define what each means to you and how it will serve you, keeping it both intentional and realistic. Then, set a timeline that feels right—knowing you can adjust it as you go. In the most positive iteration, your engagement with the 4B movement will allow you to create space, honor your needs and reclaim your narrative on your own terms. Honor yourself and channel your rage into creating your most fulfilling life.  

Please remember to honor your female friends in whatever choices they make—whether it’s embracing all four “No’s,” just one, or none at all. Supporting each other is essential and regardless of our differing paths, let’s not turn on one another. Standing together—in support, in connection, in love—is the most powerful thing we can do. 

  

 

 Woman journaling in bedEmbodied Visual Journaling is a powerful practice that integrates art-making with mindfulness, movement, and sensory awareness. It is a way of bringing your whole body and being into the creative process, using visual expression to connect more deeply with emotions, physical sensations, and the present moment. The idea is to bypass the usual logical, cognitive thinking that dominates our everyday life and instead tap into the deeper, embodied knowledge we carry in our muscles, our senses, and our intuition. 

In an Embodied Visual Journaling practice, the focus isn’t just on the artwork you create but on the process of making it. The act of journaling becomes a tool for self-exploration and personal insight—an embodiment of your thoughts, feelings, and sensations.  

Embodied Visual Journaling is a creative process that integrates mindfulness, movement, and sensory engagement to facilitate emotional and physical expression through art. Here are a series of directives to guide you through an embodied visual journaling session: 

Prepare Your Space: Create an Intention-Aligned Environment 

Tune Into Your Body: Conduct a Body Scan 

Set Your Intention: Direct Your Creative Flow 

Choose Materials Based on Sensory Feedback 

Engage with Movement and Rhythm 

Observe and Respond: Observe Your Image 

Engage with the Page: Add Layers or Adjust 

Reflection and Integration: End with Awareness 

Close Your Practice: Gentle Closure 

Additional Tips: 

Through these directives, the goal is to create a practice that invites creativity and mindfulness, guiding you toward emotional release, insight, and healing through the rhythm of your own body and art. 

 

 

 parents supporting child with lessonGiving children choices, even when they have to do something, can empower them and reduce resistance. This approach fosters independence and decision-making skills while maintaining the necessary structure. Here’s how you can effectively offer choices to your child: 

  1. Offer Limited Choices

Provide options that are acceptable to you, ensuring that either choice meets the desired outcome. For example, if a child needs to clean up toys, you might say, “Would you like to start with the blocks or the cars?” This approach gives them a sense of control within set boundaries. 

  1. Be Clear About Non-Negotiables

Start by clarifying what is non-negotiable, then present choices within that framework. For example, “We need to leave for school in 10 minutes. Would you like to put on your shoes now or in five minutes?” This communicates that leaving is not optional, but how they prepare can be their decision. 

  1. Use Positive Framing

Frame choices positively encourage cooperation. Instead of focusing on what they cannot do, highlight the options they can choose from. For instance, instead of saying, “You can’t play until your homework is done,” try, “Would you prefer to do your homework before or after a snack?” 

  1. Respect Their Preferences

When possible, respect your child’s preferences to show that their opinions matter. This can build trust and make them more willing to comply with necessary tasks. If they choose an option, follow through with it to reinforce that their choice is valued. 

  1. Keep Choices Age-Appropriate

Tailor the choices to your child’s age and developmental stage. Younger children might handle simpler options, like choosing between two shirts, while older children can manage more complex decisions, such as planning their weekend activities within set parameters. 

  1. Encourage Responsibility and Consequences

Explain the consequences of their choices to help them understand responsibility. For example, “If you choose to play before doing homework, you might have less time to play later.” This helps them learn to weigh options and outcomes. 

  1. Remain Consistent and Follow Through

Consistency is key in reinforcing the value of choices. If you offer choices, be prepared to honor them, unless a safety or ethical issue arises. This consistency builds trust and teaches them that their choices have real consequences. 

  1. Encourage Problem-Solving

Involve your child in problem-solving when they resist both options. Ask, “Is there another way we can solve this problem?” This encourages creative thinking and reinforces that while some things are necessary, there might be flexibility in how they are approached. 

  1. Provide Praise and Positive Reinforcement

Acknowledge and praise your child when they make a good choice. Positive reinforcement encourages them to continue making thoughtful decisions in the future. 

  1. Use Choices as a Teaching Tool

Use these moments as opportunities to teach about decision-making, consequences, and personal responsibility. Discuss why certain choices are better in specific situations to help them develop critical thinking skills. 

By offering choices within a structured environment, you give your child a sense of autonomy and control, which can reduce power struggles and enhance their cooperation. This approach helps children feel respected and valued, laying a foundation for healthy decision-making skills. 

 

A couple talking on the couch According to the Deconstructing Anxiety model, anxiety–aka “fear”–is at the heart of literally every problem we face in life. That might sound like a sweeping statement, but in the model, this idea is easily demonstrated by a simple process. Using what we call the “digging for gold” exercise, you can trace any issue back to a single core fear. Whether it’s relationship struggles, depression, procrastination, or even unhealthy habits like overeating, one’s core fear lies at the root. Anyone can discover this for themselves by picking a problem and following the steps of the “digging for gold” process, to uncover their core fear. Do it with multiple problems, and you’ll see that the same fear is behind all of them. 

This approach simplifies things in a rather extraordinary way. Many of us feel overwhelmed by the complexity of our issues, but recognizing that there’s a single underlying fear changes the game. Once you identify it, you know where to focus your efforts. Unfortunately, fear is tricky—it hides itself behind layers of defenses and distractions. This is what makes it so hard to overcome. But by applying the principles of the Deconstructing Anxiety method, we can cut through these defenses and find a clarity that is transformative. 

Let’s take a closer look at how this applies to relationship anxiety. 

What Is Relationship Anxiety? 

Relationship anxiety is, simply put, the stress or fear we feel in connection with others. This could mean worrying about rejection, feeling insecure in a relationship, or struggling with jealousy. Relationship anxiety isn’t limited to romantic partnerships; it can show up in friendships, family dynamics, or workplace interactions. 

Some common signs of relationship anxiety include: 

These feelings arise only because of the deeper core fear that is driving them. To truly address relationship anxiety, we need to uncover this core fear hidden beneath the surface. 

The Core Fears Behind Relationship Anxiety 

In the Deconstructing Anxiety model, all anxiety is linked to one of five core fears: 

  1. Fear of losing love 
  1. Fear of losing identity 
  1. Fear of losing meaning 
  1. Fear of losing purpose 
  1. Fear of death 

Each of these fears plays a major role in our relationships, shaping how we connect with others and respond to challenges. Let’s break them down. 

Fear of Losing Love 

This fear is often at the heart of relationship anxiety. People with this fear might worry about being abandoned, rejected, or unloved. They may seek constant reassurance or feel devastated by even small signs of disapproval. At its root, this fear stems from the belief that our happiness and self-worth depend on being loved by others. 

Fear of Losing Identity 

Our sense of self is closely tied to how others respond to us. From a young age, we learn who we are through feedback from caregivers, friends, and our environment. When this feedback is positive, it reinforces our identity. But if others criticize, reject, or try to control us, it can feel like our sense of self is under attack. This fear often shows up in relationships where one partner feels “lost” or overly influenced by the other. 

Fear of Losing Meaning 

Meaning refers to the sense that life—and our relationships—has value and importance. When relationships are fulfilling, they bring deep meaning to our lives. But when conflicts arise or connections break down, it can feel like life loses some of its richness. This fear may also appear when we feel responsible for the well-being of those we care about. If loved ones are suffering, we may question the meaning of our own happiness. 

Fear of Losing Purpose 

Purpose is about having goals that create a better future. In relationships, this often means striving to improve love, trust, and connection. When we lose sight of these goals—or feel that achieving them is impossible—we may experience a sense of hopelessness. This fear can leave us feeling stuck, unsure of how to move forward or make things better. 

Fear of Death 

This might seem unrelated to relationships at first, but on a most basic level, humans rely on social connections for survival. From forming families to building societies, relationships help protect us from threats and provide resources. When relationships feel unstable, it can trigger a primal fear of being left vulnerable or unsafe. 

How to Address Relationship Anxiety 

If all relationship anxiety is rooted in a core fear, the solution is to uncover and challenge that fear. The Deconstructing Anxiety model provides tools for doing exactly that. Through techniques like the “digging for gold” exercise, you can trace your feelings back to their source and expose the fear for what it truly is—an illusion. 

Here’s why this matters: much of our behavior in relationships is automatic. We react out of habit, often without understanding why. But when you recognize your core fear, you gain the ability to step back and respond differently. Instead of being driven by fear, you can choose actions that align with your true values and goals. 

A Proven Approach for Couples 

For those struggling with relationship anxiety in a partnership, there’s a program called Deconstructing Relationships, based on the Deconstructing Anxiety model. One of its key techniques is a communication method that helps couples uncover the fears behind their conflicts. 

Here’s how it works: instead of focusing on surface-level issues like arguments or misunderstandings, couples explore the deeper anxieties driving their behavior. Often, they realize that both partners are acting out of fear—whether it’s fear of rejection, fear of being controlled, or something else entirely. This realization creates empathy, helping partners see each other in a new light. 

I’ve seen this technique transform relationships time and again. Couples who once felt stuck in patterns of blame and frustration discover a renewed sense of compassion and love. By addressing the root causes of their struggles, they create space for healing and growth. 

The Path Forward 

Relationship anxiety can feel overwhelming, but it doesn’t have to control your life. By understanding the role of core fears and using the tools of the Deconstructing Anxiety method, you can build healthier, more fulfilling relationships. Whether you’re addressing your own fears or working through challenges with a partner, the key is to approach the process with honesty, curiosity, and compassion. 

To learn more about Dr. Pressman’s approach to creating healthy, vibrant relationships, visit www.makemarriagebetter.com or see his profile on Goodtherapy.org. 

Important Notice

GoodTherapy is not intended to be a substitute for professional advice, diagnosis, medical treatment, or therapy. Always seek the advice of your physician or qualified mental health provider with any questions you may have regarding any mental health symptom or medical condition. Never disregard professional psychological or medical advice nor delay in seeking professional advice or treatment because of something you have read on GoodTherapy.