Why Self-Care Sometimes Feels Impossible: A Therapist's Perspective

Thursday, January 29, 2026

All articles

You know self-care matters. You've read the articles, maybe even bought the planner. But when it comes time to actually rest, set a boundary, or slow down, something inside you resists.

Many people understand that self-care is important, yet still struggle to practice it consistently. Self-care is often difficult because of how we learned to survive, relate, and meet expectations. This post explores why self-care feels so hard.

Many People Learn Early to Put Themselves Last

Difficulty with self-care often begins early in life. Family environments, cultural expectations, and early responsibilities teach people to prioritize others' needs over their own.

This happens in families where:

  • children were expected to be responsible or emotionally mature beyond their years
  • needs were minimized or discouraged
  • care flowed in one direction
  • rest or vulnerability felt unsafe or unavailable

Learning to be helpful, strong, or low-maintenance supported survival and belonging. These patterns are adaptations. Over time, they can make self-care feel uncomfortable, guilt-inducing, or unfamiliar.

Self-Care Often Brings Up Difficult Emotions

Self-care brings emotions that have been pushed aside during busy periods.

When you finally sit down to rest, you might notice:

  • sadness or grief that's been waiting for attention
  • anger or resentment about imbalanced relationships
  • exhaustion that goes deeper than just being tired
  • unmet needs that feel overwhelming to acknowledge
  • awareness of how much you've been carrying alone

Staying busy or focused on others helps keep these feelings at a distance. When self-care invites you to turn inward, your system resists. Whenever you feel resistance, it’s an important signal to pay attention to, it often means something important is underneath that needs to be felt and processed.

Your Nervous System Plays a Key Role

Self-care feels impossible when it conflicts with your nervous system's current state. When stress levels are high, the body shifts into protective responses such as fight, flight, freeze, or fawn.

In these activated states:

  • slowing down may feel unsafe or anxiety-provoking
  • resting may increase worry about productivity or worth
  • setting boundaries may feel threatening to relationships
  • focusing on yourself may trigger discomfort or guilt

Your nervous system is prioritizing protection over comfort. Self-care works when it's gentle, consistent, and paired with support.

Why Self-Care Can Feel Selfish

Many people carry internal messages that self-care is selfish, indulgent, or undeserved. These beliefs show up emotionally and create internal conflict.

You may notice thoughts such as:

  • "Other people need me more than I need this"
  • "I should be able to handle this on my own"
  • "I can rest later when everything is finished"
  • "This isn't a big enough problem to warrant attention"
  • "Taking time for myself means I'm being lazy"

These beliefs are learned from early experiences, cultural messages, or family dynamics where self-sacrifice was valued over self-awareness.

Why Trying Harder Usually Doesn't Help

When self-care feels difficult, many people try to be more disciplined or strict with themselves. They create elaborate routines, set rigid schedules, or push through resistance with willpower. This approach can often increase shame which leads to burnout, and the new practice is out the window.

Self-care is about building safety, trust, and responsiveness with yourself over time. Sustainable self-care often involves doing less with more intention.

How Therapy Supports Sustainable Self-Care

In therapy, self-care is a relationship you are building with yourself.

At Takoma Therapy, we use trauma-informed and somatic approaches to help clients in the DC metro area understand their unique patterns around self-care. Therapy can help you:

  • understand why self-care feels hard based on your specific history and nervous system
  • recognize patterns shaped by early experiences and family dynamics
  • notice how your body responds to stress and what it needs to feel safe
  • practice meeting needs without perfection or rigid expectations
  • develop self-care strategies that fit your real life
  • respond to yourself with compassion when things feel difficult or overwhelming
  • work to help you uncover what “resistance” is protecting you from

Instead of 'Why can't I just do this?' therapy asks 'How does this make sense given everything you've experienced?' This honors your survival strategies as wisdom, and encourages curiosity and gentleness.

Self-Care Anxiety Is Real

The thought of self-care itself creates anxiety for some people. You might worry that if you slow down, everything will fall apart. Or that taking time for yourself means you're being irresponsible.

When self-care feels overwhelming, it helps to start very small: noticing your breath for thirty seconds, or drinking a glass of water mindfully. The goal is building trust with yourself in tiny, manageable ways.

If self-care feels confusing, frustrating, or out of reach this often means there's something important to understand about your unique history and nervous system. Professional support can make that process easier.

If you're in the Takoma Park, Silver Spring, or DC area and struggling with self-care, therapy can help you understand what's getting in the way and develop sustainable practices that work for your life. Contact Takoma Therapy to learn more about our approach.

Simone Jacobs, LCSW-C​​, LICSW (she/her/hers)

Founder & Director, Takoma Therapy

More from the blog