
On this page, I respond to psychological questions that I commonly hear in therapy, supervision, and professional consultation. These are not quick answers or self-help tips, but reflections drawn from many years of clinical practice working with complexity, adversity, and high-functioning adults.
The questions below are grouped by theme and are intended to help you understand patterns that may sit beneath symptoms, behaviours, or life difficulties. They are offered as general psychological perspectives rather than personalised advice, and are not a substitute for individual therapy.
If these reflections resonate and you would like to explore your own patterns in a confidential, depth-based way, you can read more about working with me through therapy or psychological coaching, or get in touch via the contact page.
Written from the perspective of Dr Kerri Garbutt, Registered Psychologist, drawing on long-term clinical work with trauma, shame, and high-functioning adults.
When people hear the word trauma, they often think of single, identifiable events such as accidents, assaults, or major life-threatening situations. Those experiences can of course be deeply impactful. However, many people are surprised to learn that developmental or relational trauma is often more subtle, more complex, and harder to name.
Developmental or relational trauma refers to experiences that occur within close relationships during childhood, adolescence, and early adulthood, at the very stages when our sense of self, safety, and belonging is forming. Rather than being about one clear event, it is often about patterns over time, particularly what was inconsistent, missing, overwhelming, or emotionally unsafe. These experiences can be difficult to identify as trauma because they are often hidden behind seemingly normal or functional family dynamics. The words may have sounded caring, but the tone, body language, or emotional availability did not match. A child may grow up sensing that something felt wrong, without being able to clearly explain why.
Developmental adversity can take many forms. This might include emotional neglect, inconsistent caregiving, chronic criticism or shaming, being expected to grow up too quickly, or feeling responsible for a parent’s emotional needs. It can also include more subtle experiences such as frequent house or school moves, parental mental health difficulties, high levels of stress in the household, emotional absence due to work or substance use, or environments where vulnerability was not welcomed or responded to. None of these experiences mean that parents were intentionally harmful. Many caregivers were doing the best they could. What matters psychologically is how the child experienced and adapted to their environment.
Because personality, identity, and belief systems are developing throughout childhood and adolescence, these experiences shape how a person comes to understand themselves, other people, and the world around them. Children need to feel safe, unconditionally valued, emotionally seen, and that they belong. When those needs are inconsistently met, children adapt in intelligent ways to survive emotionally. They develop coping strategies, or protective patterns, that help them stay connected, reduce risk, or create a sense of control.
Many high-functioning adults are the result of these adaptations. They may become highly responsible, capable, self-sufficient, emotionally contained, or attuned to the needs of others. These traits are often rewarded in adulthood and can lead to success in work, leadership, or professional roles. From the outside, life may look stable, impressive, or accomplished. This is one reason developmental trauma often goes unrecognised. People frequently say that nothing bad happened, that others had it worse, or that they coped, so it must be fine. For this reason, many high-functioning adults cope well on the outside, yet feel emotionally stuck or exhausted on the inside.
Coping, however, is not the same as being unaffected. The cost of these adaptations often appears later in life. High-functioning adults may struggle with emotional exhaustion, anxiety, shame, burnout, relationship difficulties, or a sense of disconnection from themselves. They may function extremely well externally while feeling emotionally stuck, empty, or unfulfilled internally. Slowing down, resting, or needing support can feel unsafe because the protective system that once kept them safe is still in charge.
It is important to understand that developmental or relational trauma is not about comparing experiences or deciding whether someone had it bad enough. Everyone is shaped by both positive and negative experiences. The real question is how someone’s particular story shaped their beliefs, coping strategies, sense of worth, and capacity for connection. Many people thrive in some areas precisely because of their early adversity, but there is often a cost somewhere else, whether in relationships, emotional wellbeing, or identity.
Depth-based psychological work is often helpful in these situations because these patterns are not just cognitive. They are relational, emotional, and embodied. Understanding them intellectually is rarely enough to create lasting change. Therapy focuses on restoring what was missing, developing internal safety, and helping people relate to themselves and others in ways that are no longer driven by survival strategies formed early in life.
Many people who appear to function well externally have, often without realising it, developed strong psychological protectors over the course of their lives. These protectors are shaped through early experiences, social expectations, and periods of adversity. Their purpose is not to harm us, but to help us belong, stay safe, and navigate the demands of the world around us.
From an evolutionary perspective, belonging and acceptance are not optional extras. Historically, exclusion from the group carried real risks to survival. As a result, human beings are highly attuned to what is required to fit in, perform adequately, and be seen as acceptable. Over time, this can lead to the development of versions of ourselves that are organised around coping, managing, pleasing, achieving, or staying in control.
These protective ways of being often function very effectively in the external world. They help people work hard, take responsibility, appear resilient, and meet expectations. However, they can also require significant internal effort. Attention becomes focused outward, on what is needed, expected, or demanded, rather than inward, on emotional experience, needs, or limits.
Gradually, a gap can open up between how someone appears to function and how they actually feel. The inner world may become less attended to, less named, and less integrated. Over time, people may lose a clear sense of what they genuinely feel or need, because so much energy has gone into maintaining the external version of themselves.
As this discrepancy grows, the protective parts can begin to run automatically. Rather than being consciously chosen responses, they become default modes of functioning. At this point, people may feel as though they are performing their lives rather than living them. Externally, things may look stable or even successful. Internally, there may be exhaustion, emotional flatness, loneliness, or a persistent sense that something is not quite right.
Often, this distress remains unseen by others. Equally, people themselves may stop recognising it as a signal, experiencing instead only the consequences. Chronic tiredness, disconnection from others, a sense of emotional distance, or feeling somehow less than or out of place are common indicators that the inner world has been carrying too much without sufficient attention or care.
Depth-based psychological work focuses on gently understanding these protective patterns, not removing them abruptly. The aim is to restore balance, so that external functioning is no longer achieved at the cost of internal wellbeing, and so that people can reconnect with a more integrated and authentic sense of themselves.
Childhood adversity exists on a broad spectrum. For some people, it involves more overt experiences such as physical, sexual, or severe psychological abuse. For many others, it takes quieter, less visible forms that are not always recognised as having a lasting impact.
These can include emotional neglect, where parents are physically present but emotionally unavailable, critical or overly demanding caregiving, inconsistent attention, or a lack of protection and attunement. Some people grow up with parents who are apathetic, distracted, or preoccupied, making emotional connection feel uncertain or hard to reach. Others experience bullying, exclusion, or humiliation from peers, or witness harm, conflict, or distress within the family system. Even subtle experiences, such as parents repeatedly not turning up, minimising distress, or responding with joking, criticism, or busyness at moments of vulnerability, can shape a child’s inner world.
Children adapt intelligently to these environments. Because they are dependent on the adults and systems around them, it often feels safer to assume that the problem lies within themselves rather than with the people or circumstances they rely on. This internalisation creates a sense of control. If the child believes, “If I try harder, behave better, achieve more, or need less, things might improve,” then the world feels more manageable.
From this place, protective strategies begin to form. Some children learn to hide emotions and avoid being needy. Others become highly responsible, attuned to others’ needs, or focused on achievement. Some learn that being quiet, strong, capable, or self-sufficient attracts approval or reduces conflict. These strategies are not conscious choices; they are survival responses shaped from a child’s perspective, not an adult one.
As people grow older, these adaptations often become strengths. Hard work, competence, reliability, emotional restraint, and achievement are frequently praised by families, schools, workplaces, and wider society. Over time, individuals may come to identify almost entirely with these ways of being. The protective strategy becomes the self.
For many adults, this leads to lives that look successful and functional from the outside. However, the same strategies that once provided safety can begin to carry a cost. Living to work rather than working to live, difficulty resting or receiving care, emotional distance from oneself or others, and a sense of emptiness or exhaustion are common experiences. Identity may become tightly tied to performance, productivity, or usefulness, leaving little space for vulnerability, spontaneity, or genuine emotional connection.
Importantly, this does not mean these strategies were wrong. They were necessary and often lifesaving in their original context. Difficulties tend to arise when these patterns remain rigid, automatic, and unquestioned long after the environment has changed.
Depth-based psychological therapy focuses on understanding how early adversity shaped these adaptations, recognising their protective role, and gradually restoring flexibility. The aim is not to take away what has helped someone succeed, but to ensure that success no longer comes at the expense of emotional wellbeing, connection, or a fuller sense of self.
Shame is one of the most powerful and least visible emotional processes underlying psychological distress. It is often confused with guilt, but the two are fundamentally different. Guilt relates to behaviour: the recognition that something one has done may have caused harm and can be held alongside responsibility, repair, and growth. Shame, by contrast, is about the self. It involves a felt sense that something is wrong, defective, or unacceptable about who a person is.
Shame commonly develops in early relational environments where emotional needs were unmet, criticised, dismissed, or responded to inconsistently. In these contexts, children are more likely to internalise distress as evidence of personal failure rather than as a response to circumstances beyond their control. Over time, this can consolidate into a deeply held belief of being inadequate, unworthy, or fundamentally flawed.
Anxiety often develops as a way of managing shame. If someone carries an underlying sense of defectiveness, they may become highly vigilant to threat, rejection, or criticism. Worry, overthinking, perfectionism, people-pleasing, or control can function as attempts to prevent shame from being exposed or confirmed. In this sense, anxiety is frequently a protective response organised around avoiding shame rather than a standalone problem.
Burnout can emerge when shame-based strategies are sustained over long periods. Many people driven by shame feel compelled to prove their worth through productivity, competence, or responsibility. Rest, care, or limitation may feel undeserved or unsafe. Over time, this relentless internal pressure can lead to emotional exhaustion, disengagement, and a sense of emptiness, particularly when achievement fails to bring lasting self-acceptance.
Importantly, shame does not only lead to withdrawal or harm directed towards the self. It can also increase the likelihood of avoidance, defensiveness, blame, and harm directed towards others. When shame feels overwhelming or intolerable, people may externalise it through anger, passive-aggression, criticism, or controlling behaviour. Others may use substances, work, or compulsive activity to dampen or escape the painful internal experience. In relationships, shame can contribute to cycles of conflict, distancing, or reactivity, particularly when vulnerability feels too risky.
Because shame is deeply uncomfortable and often outside conscious awareness, it is rarely named directly. Instead, people tend to seek help for anxiety, burnout, relationship difficulties, or patterns of behaviour that feel confusing or out of character, without recognising the role shame may be playing beneath the surface.
Depth-based psychological therapy focuses on understanding how shame developed, how it is currently being managed or defended against, and how it continues to shape patterns of thinking, feeling, and relating. By approaching shame with clarity, compassion, and accountability rather than avoidance or self-attack, it becomes possible to reduce its influence and to address anxiety, burnout, and relational difficulties at a deeper and more sustainable level.
Short-term therapy typically focuses on a specific issue or recent event and aims to reduce distress in the here and now. It often works at a more surface or symptom-focused level, helping people manage anxiety, process a single incident, or stabilise during an acute period. This approach can be particularly effective for one-off traumatic events, such as accidents or isolated incidents, where the difficulty is clearly linked to a specific experience and does not connect into wider, long-standing patterns.
In these situations, working directly with the incident itself may be sufficient. The emphasis is on helping the nervous system settle, reducing immediate symptoms, and supporting a return to everyday functioning.
Depth-based psychological work, by contrast, is broader and more flexible in its focus. For some people, it involves exploring how earlier experiences have shaped emotional vulnerabilities, relational patterns, and ways of coping that continue to influence present-day life. This can be particularly important when difficulties feel repetitive, long-standing, or difficult to resolve through symptom-focused approaches alone.
For others, depth-based work is not about digging into the past at all, but about being supported through complex, demanding, or prolonged life events. This might include bereavement, illness, relationship breakdown, career transitions, or cumulative stress over time. In these contexts, therapy functions as a steady, containing space and a secure psychological base, offering continuity, reflection, and emotional support while someone navigates challenging circumstances.
In both cases, the defining feature of depth-based work is that it is not rushed or narrowly problem-focused. Whether the emphasis is on understanding underlying patterns or on being accompanied through difficult life experiences, the work prioritises emotional safety, continuity, and integration over quick solutions.
Short-term therapy may help reduce the immediate impact of distress. Depth-based psychological work aims to support longer-term emotional regulation, understanding, and resilience, either by addressing the roots of distress or by providing a stable, supportive presence during periods of complexity and change.
The difference is therefore not only about techniques or timeframes, but about the role therapy plays. Short-term work focuses on immediate relief. Depth-based work offers either deeper understanding, sustained support through life events, or both, depending on what the individual needs.
Early relational experiences play a significant role in shaping how people understand themselves, other people, and the world around them. From childhood onwards, we are not only learning what happens in relationships, but what those experiences mean. Over time, these meanings often consolidate into deeply held assumptions about safety, worth, power, closeness, and belonging.
From an attachment and schema-based perspective, early environments help form internal working models or belief systems such as: Am I fundamentally acceptable or flawed? Are other people reliable or dangerous? Is the world supportive or hostile? These beliefs are rarely conscious, yet they strongly influence how people behave, what they expect, and what they tolerate in adulthood.
Children adapt to their environments in ways that maximise safety and connection. If caregivers are critical, jealous, emotionally unavailable, or unpredictable, a child may learn to make themselves smaller, hide their needs, or avoid standing out. In other contexts, a child may learn that control, confidence, or achievement offers protection. These strategies are not chosen deliberately; they are intelligent adaptations to the emotional realities of early life.
In adulthood, these same strategies often continue to operate, even when the original environment no longer exists. This is why patterns can feel repetitive or puzzling. In relationships, people may find themselves drawn to familiar dynamics, sometimes replicating what they witnessed, sometimes taking up the opposite role, and sometimes oscillating between the two. For example, someone who grew up around imbalance of power may unconsciously accept controlling relationships, avoid intimacy altogether, or overcompensate by needing to stay in control.
Similar patterns frequently appear in work and professional life. People who carry a sense of being “less than” may choose roles that feel safe rather than fulfilling, avoid promotion, minimise their abilities, or stay invisible. Others may overcompensate by taking on roles that are driven by approval or status rather than genuine fit, leading to stress, dissatisfaction, or eventual burnout. In some cases, people avoid pursuing what they truly want altogether, fearing failure or exposure. In others, they persist rigidly in paths that no longer serve them, because letting go would feel like confirming a deeper belief of inadequacy.
Schema processes help explain why these patterns tend to repeat in predictable ways. People may surrender to early beliefs by recreating familiar dynamics, avoid situations that could challenge those beliefs, or overcompensate by acting in ways that appear confident or successful but remain internally driven by fear. Each strategy offers a sense of safety, yet often at the cost of flexibility, satisfaction, or authentic connection.
What is striking is that these patterns often feel compelling rather than chosen. They can give the impression of fate or bad luck, when in fact they reflect deeply ingrained ways of protecting against emotional pain. Without awareness, people may find themselves living variations of the same story across different relationships, workplaces, or life stages.
Depth-based psychological therapy focuses on making these patterns visible and understandable. By exploring how early experiences shaped core beliefs and coping strategies, individuals can begin to recognise when old adaptations are being replayed rather than consciously chosen. Over time, this creates space for new ways of relating, working, and living that are guided by present-day values and needs rather than by past survival strategies.
Readiness for deeper psychological therapy is often misunderstood as something fixed or absolute. In practice, it is usually more gradual and relational, and many people move into depth-based work over time rather than at a single, clearly defined moment.
For some people, short-term or skills-based approaches such as CBT can be a helpful starting point, particularly when difficulties are recent or specific. These approaches can support symptom management, provide structure, and help people feel more grounded during challenging periods. When this leads to lasting change, deeper work may not be necessary at that stage.
However, some people notice that short-term approaches do not bring the relief they hoped for, or that improvements are temporary and difficulties keep returning in familiar ways. Others find that techniques and strategies do not reach what is happening internally, particularly when strong protective patterns are in place. In these situations, it is not a lack of effort or motivation, but rather an indication that a different kind of therapeutic approach may be needed.
Readiness for deeper work does not require feeling confident, brave, or fully prepared. Some people know they want to understand themselves at a deeper level but feel anxious or uncertain about what that might involve. Others begin therapy with only a vague sense that something is not quite right in their lives, even if they cannot yet articulate what needs attention. In these cases, therapy often begins by establishing a sense of safety, trust, and continuity, rather than by immediately exploring deeper material.
It is also important to recognise that there is rarely a “wrong” time to begin deeper psychological therapy. What matters more than timing is openness. Being willing to notice repeated patterns, persistent emotional difficulties, or a sense that life is being lived in a way that feels constrained or misaligned, and being open to exploring this over time, is often enough to begin.
Depth-based psychological therapy is a process rather than a quick intervention. It involves developing a safe therapeutic relationship, allowing understanding to unfold at a pace that feels tolerable, and recognising that meaningful change often happens gradually. For some people, beginning earlier means the work develops slowly as trust builds. For others, starting later can lead to quicker shifts because awareness and readiness have already grown.
Ultimately, readiness is less about being fully prepared and more about being willing to engage in a process with the right therapist. When there is openness, curiosity, and an understanding that therapy is not a quick fix but a relational journey, deeper psychological work can begin, whether someone feels completely ready or not.
Many adults who grew up in emotionally inconsistent, critical, or simply unsupported environments develop a habit of minimising what they experienced. This often happens gradually and without conscious intent. Telling ourselves that things “weren’t that bad” can become a way of keeping life feeling stable and understandable.
As children, we rely on our caregivers not only for practical support, but for emotional understanding and reassurance. When something feels confusing, lonely, or hurtful, yet there is no space to name it, it can feel safer to downplay it. Acknowledging that something was missing or painful may once have felt too threatening, especially if we still depended on the people involved.
Over time, this protective reframing can become part of how someone understands their history. People may compare themselves to others who experienced more visible adversity and conclude that they have no reason to struggle. They may focus on what was provided materially or practically, while overlooking the emotional atmosphere in which they grew up.
However, minimising does not prevent impact. Early relational experiences shape how we relate to ourselves and others. They can show up later as persistent self-criticism, difficulty asking for help, feeling responsible for everyone else’s emotions, or believing that our own needs are excessive or inconvenient.
Depth-based psychological work does not aim to exaggerate the past or assign blame. Instead, it offers a space to look at early experiences with greater honesty and compassion. Recognising that something had an impact does not mean it was catastrophic. It simply allows the parts of us that adapted quietly to be understood, rather than dismissed.
Written from the perspective of Dr Kerri Garbutt, Registered Psychologist, drawing on long-term clinical work with trauma, shame, and high-functioning adults.
The term narcissist is often used loosely, but clinically it has a specific meaning. Narcissistic Personality Disorder is a diagnostic category with defined criteria and describes a relatively stable and pervasive pattern of functioning. While change is possible with specialist, long-term psychological work, it is not what is being referred to in most everyday discussions about difficult or emotionally harmful relationships.
When we talk about narcissistic dynamics, we are not talking about a fixed identity or label. We are describing patterns of relating that can emerge when certain psychological protectors dominate within relationships. These dynamics can occur in families, romantic partnerships, friendships, and workplaces, and they exist on a spectrum rather than as an all-or-nothing category.
All human beings develop protective strategies as they grow up. In childhood, being valued, seen, and important is not a luxury; it is closely linked to safety, care, and survival. When children experience environments where attention, affection, or protection feel uncertain, they often develop ways of safeguarding their self-worth and sense of mattering. For some individuals, one of these strategies takes a narcissistic form.
A narcissistic protector is organised around preserving self-esteem, importance, and safety by prioritising the self. When this protector is active, the focus becomes “me first” as a way of avoiding vulnerability, shame, or feelings of being less than. This can happen consistently, or only at certain moments when the person feels threatened, criticised, or exposed.
The difficulty is that when this protector dominates, it does so at a cost. Other people’s needs, perspectives, and emotional experiences may be minimised, overlooked, or engaged with only insofar as they serve the protector’s goal of maintaining status, control, or emotional safety. Empathy and mutuality may fluctuate depending on whether the person feels secure or under threat in that moment.
In close relationships, this can lead to imbalances of power, emotional confusion, and harm. A person operating from a strong narcissistic protector may struggle to relate in a way that feels fair, reciprocal, or emotionally attuned while that part of them is in control. They may rely on strategies such as devaluing others, withdrawing, controlling narratives, or disengaging when their sense of adequacy, specialness, or superiority feels challenged.
For those on the receiving end of these dynamics, it is important to understand that the emotional harm they experience is not caused by their inadequacy, sensitivity, or failure to meet someone else’s needs. Narcissistic dynamics are organised around protecting the person using them from vulnerability, shame, or loss of status, rather than around mutual care or emotional reciprocity. While understanding this can help reduce self-blame and confusion, recovery is not about fixing or managing the other person. It is often about restoring trust in one’s own perceptions, rebuilding a sense of self, and developing clear emotional and relational boundaries, whether or not the other person is willing or able to change.
When focusing on the person who uses narcissistic strategies, understanding these dynamics serves a different purpose. It allows narcissistic protectors to be recognised as defensive patterns that developed for understandable reasons, often early in life, but which now create harm to both the individual and those around them. Depth-based psychological work with narcissistic dynamics focuses on increasing awareness, accountability, and emotional capacity, rather than reinforcing blame or avoidance. The aim is not to label or excuse behaviour, but to reduce the dominance of these protective patterns so that relationships can become more reciprocal, emotionally safe, and humane.
Narcissistic patterns develop in a range of ways, but at their core they function as psychological protectors designed to keep a person safe from vulnerability, shame, and emotional threat. These patterns are not innate traits, but adaptive responses shaped by early relational experiences and reinforced over time.
For some people, narcissistic strategies are learned through observation. Growing up in families where power, confidence, status, or emotional dominance are associated with safety and respect can teach a child that vulnerability is dangerous and that being admired or untouchable is protective. When parents are valued, deferred to, or shielded from challenge because of these traits, children may internalise the belief that strength, superiority, or self-focus are necessary for survival.
In other cases, narcissistic protectors develop in response to feeling diminished, criticised, overlooked, or made to feel “less than” in early life. Experiences such as being shamed, compared unfavourably, excluded, or made to feel inadequate can leave a child with a deep sense of vulnerability. For some individuals, the most effective way to avoid ever feeling that pain again is to build and fiercely defend a self-image that is strong, exceptional, or untouchable. Holding a powerful version of the self can feel far safer than risking exposure to feelings of inadequacy or worthlessness.
Often, beneath a strong narcissistic protector sits a much younger, vulnerable part of the self that carries shame, fear, or a sense of not being enough. The protector’s role is to ensure that this vulnerability is never accessed. This can lead to intense reactions when the person feels questioned, criticised, or ordinary, because these moments threaten to reactivate the very feelings the protector exists to prevent.
Social and cultural factors can also reinforce narcissistic strategies. In societies that reward status, wealth, achievement, appearance, and confidence, narcissistic protectors are often externally validated. Praise, admiration, and material success can strengthen these patterns, making them feel not only protective but necessary and justified. Over time, a person may build a life organised around maintaining a sense of specialness, importance, or superiority, because the alternative feels emotionally unsafe.
As these strategies become more entrenched, they can begin to operate automatically rather than consciously. The individual may come to rely on self-enhancement, control, or emotional distancing as default ways of relating, even when these behaviours cause harm to relationships or lead to internal emptiness or instability. When these protectors become rigid, the individual’s need to regulate their own emotional state can increasingly override awareness of how their behaviour affects others.
Understanding narcissistic patterns as psychological protectors does not excuse the impact they have on others. Instead, it provides a framework for understanding how these patterns formed and why they can be so resistant to change. Depth-based psychological work focuses on helping individuals recognise these protectors, understand what they are defending against, and gradually develop safer ways of relating to themselves and others without relying on strategies that cause harm.
Narcissistic dynamics cause harm because the relationship becomes organised around one person’s emotional regulation, needs, and sense of importance taking priority over the other’s. When a narcissistic protector is active, the individual’s focus is on maintaining their own sense of adequacy, control, or specialness, often at the expense of mutuality, empathy, and emotional safety.
Over time, this creates an implicit message in the relationship that the other person’s needs are excessive, inconvenient, or illegitimate. Partners, children, or family members may begin to feel that they are “too much,” overly sensitive, demanding, or dramatic simply for having normal emotional responses. Feelings are minimised, dismissed, or reframed as flaws, leaving the other person questioning their own perceptions.
This repeated invalidation can be deeply damaging. It often activates or recreates earlier emotional wounds, particularly for individuals who grew up feeling unseen, criticised, or less important. Gradually, the person on the receiving end may start to shrink themselves emotionally, speak less freely, or suppress needs in an attempt to maintain connection or avoid conflict. Self-confidence and self-esteem are worn away, replaced by shame, self-doubt, and a growing internal critic.
As the dynamic continues, many people begin to lose a clear sense of who they are. They may feel confused, emotionally destabilised, or disconnected from their own reality. Attempts to express hurt or address problems are often deflected, shut down, or turned back on them, making healthy repair impossible. In romantic relationships, this prevents mutual growth. In family relationships, particularly with parents, it can feel like repeatedly “hitting a brick wall,” where healthy communication is met with denial, dismissal, or withdrawal rather than engagement.
In some cases, the person experiencing harm may develop their own protective responses. This can include emotional numbing, withdrawal, self-blame, people-pleasing, or, at times, anger and reactivity. When someone is repeatedly attacked, undermined, or invalidated, defending oneself can feel inevitable. However, these reactions are often then used as further evidence that the person is the problem, reinforcing the cycle of shame and confusion.
Crucially, narcissistic dynamics do not allow for healthy conflict. Disagreement, challenge, or vulnerability are experienced as threats rather than opportunities for understanding or growth. As a result, the relationship becomes static and unsafe. No matter how much the other person adapts, improves, or tries to engage constructively, the rules keep shifting. There is always another flaw to address, another standard to meet, another way of falling short.
The cumulative impact of this kind of relational environment can be profound. Emotional harm in narcissistic dynamics is not caused by one single incident, but by the gradual erosion of self-trust, self-worth, and relational safety over time. Recognising this process is often a crucial step in recovery, whether that involves rebuilding boundaries, restoring a sense of self, or deciding how much contact feels psychologically safe.
People stay in emotionally unsafe relationships for many reasons, and these reasons are usually complex, layered, and understandable rather than a reflection of weakness or lack of insight.
One powerful factor is familiarity. When someone has grown up in environments where their needs were secondary, where emotional safety was inconsistent, or where power was uneven, similar dynamics in adulthood can feel strangely normal. Familiarity often feels less frightening than uncertainty, even when it is painful. For some people, emotionally unhealthy relationships do not initially register as unhealthy at all, because they resemble what has been known before.
Many people also internalise the belief that the difficulties in the relationship are caused by their own shortcomings. Rather than questioning the dynamic, they turn inward, believing that if they try harder, become less demanding, or improve themselves, the relationship will stabilise. This can keep someone invested long after it becomes clear that the imbalance cannot be resolved through effort or accommodation from one side alone.
In many cases, the harm develops slowly. Emotional erosion often happens through a gradual, drip-by-drip process rather than through obvious or dramatic incidents. By the time someone fully recognises what is happening, they may already feel depleted, isolated, or unsure of themselves. Self-confidence may be diminished, friendships and support networks weakened, and practical independence reduced. At that point, leaving can feel overwhelming, not because the person is incapable, but because their emotional and external resources have been worn down over time.
Financial realities are also a significant and often underestimated factor. As living costs increase, leaving a relationship may feel practically impossible. Some people are not the primary earner, others rely on shared income to meet basic needs, and even those who work may find that sustaining a household alone feels financially unviable. The fear of instability, debt, or loss of housing can make staying feel like the only realistic option, even when the relationship is emotionally unsafe.
Another powerful influence is doubt and distortion. People in narcissistic dynamics are often led to believe that they are incapable without the other person, that they are unstable, or that they would fail on their own. When the person using narcissistic strategies appears calm, charming, or emotionally mature to the outside world, this confusion deepens. Friends, family, or colleagues may not see what happens privately and may encourage the person to stay and “make it work,” reinforcing the belief that the problem lies within them.
Social and personal values can also play a role. Fear of failure, concern about judgement, family or religious beliefs about commitment, and the emotional weight of shared history can all make leaving feel morally or psychologically fraught. The idea of sunk costs is particularly powerful. When years, energy, identity, children, or shared goals have been invested, it can feel unbearable to consider walking away, even when the relationship is harmful.
It is also important to acknowledge that relationships shaped by narcissistic dynamics are rarely harmful all of the time. People with narcissistic protectors often have appealing qualities. They may be charismatic, exciting, generous, or admired by others. There may be periods of warmth, connection, or intensity that feel meaningful and real. Letting go of a relationship that contains both genuine positives and profound harm can be far more difficult than leaving something that is consistently bad.
Staying in an emotionally unsafe relationship is therefore rarely about ignorance or weakness. It is usually the result of psychological familiarity, emotional erosion, practical constraint, social pressure, and the genuine complexity of human attachment operating together. Understanding these factors can be an important step in reducing shame and self-blame, and in beginning to consider what safety, autonomy, and emotional health might look like going forward.
Change is possible for people with narcissistic patterns, but it is neither quick nor straightforward, and it requires a very specific kind of therapeutic work. Narcissistic strategies are often deeply embedded psychological protectors that have developed over many years, often beginning in childhood. Because these strategies have usually been effective in keeping the person safe, defended, or successful, there is often little motivation to change while they continue to work.
For this reason, people with narcissistic patterns do not typically seek therapy unless something significant has shifted or collapsed in their lives. This might include the breakdown of a relationship, a loss of status or role, a work or legal crisis, emotional emptiness, depression, or repeated conflict that can no longer be managed. When the protector stops working as intended, or its costs become undeniable, the person may become more open to psychological help.
Effective work with narcissistic patterns requires long-term, relational therapy with a practitioner who has specialist experience in this area. The work needs to be grounded in trust, consistency, and emotional safety, while also being able to tolerate challenge, limits, and accountability. Therapy focuses on understanding how narcissistic protectors developed, what vulnerabilities they defend against, and how these patterns impact both the individual and their relationships. Over time, the aim is to reduce reliance on these protectors and to develop greater emotional capacity, self-reflection, and reciprocity.
It is important to be clear about what does not lead to change. Insight alone is rarely sufficient. Understanding narcissism, reading about it, or recognising patterns does not undo them. Most importantly, change cannot happen within the relationship where the narcissistic dynamics are being enacted. No matter how insightful, empathic, or psychologically informed someone is, they cannot be the person who changes a partner or family member they are emotionally involved with.
Being inside the dynamic makes it impossible to act as a change agent. Attempts to help, explain, accommodate, or rescue often become absorbed into the very pattern that needs to change. In fact, believing that one can heal or transform the other person is often a sign that a caregiving or self-sacrificing protector is active, particularly in those who have learned to feel safe by meeting others’ needs.
For partners or family members, understanding narcissistic patterns can be helpful in making sense of what has happened and reducing self-blame. However, recovery for those on the receiving end is not about changing the other person. It is about clarity, boundaries, and decisions about what level of contact, if any, is emotionally safe. In some cases this involves learning how to manage ongoing relationships more safely, particularly within families. In others, it involves recognising when distance or separation is necessary.
Change in narcissistic patterns is therefore possible, but it requires the right conditions, the right motivation, and the right therapeutic setting. It cannot be forced, facilitated, or sustained by partners or family members within the dynamic itself. Understanding this distinction is often a crucial step for everyone involved.
Written from the perspective of Dr Kerri Garbutt, Registered Psychologist, drawing on long-term clinical work with trauma, shame, and high-functioning adults.
Many people who burn out are not struggling because they lack ability, resilience, or commitment. In fact, the opposite is usually true. They are often highly capable, organised, motivated, and effective. Internally, however, their system is being carried by a set of psychological protectors that are very good at managing responsibility, performance, and external demands.
These parts of the self are often skilled at leadership, problem-solving, decision-making, negotiating relationships, and staying focused under pressure. They can sustain high levels of output for a long time. The difficulty is that they do this by prioritising function over internal experience. Attention is directed outward, towards tasks, outcomes, and responsibilities, while signals from the internal world are gradually ignored.
Over time, this creates a growing imbalance. Emotional needs, physical limits, values, and identity are pushed aside in service of keeping going. People often describe feeling less connected to themselves, less clear about what they feel or want, and less able to access enjoyment or meaning outside of their role. There may be a sense of emotional flatness, exhaustion, irritability, or a quiet loss of passion, even while performance remains high.
Burnout rarely arrives suddenly. It is usually preceded by a long period of subtle warning signs: feeling “not quite right”, operating on autopilot, struggling to rest properly, or noticing that life feels increasingly narrow and work-dominated. Because the parts of the self responsible for functioning are so effective, these signs are often minimised or overridden until the cost becomes unavoidable.
From a psychological perspective, burnout is not a failure of coping. It is the consequence of a system that has become organised around survival, responsibility, or achievement at the expense of internal balance. Depth-based work focuses on understanding how these patterns developed, what they have protected, and how to restore a relationship with the internal world so that performance no longer comes at the cost of wellbeing, identity, or connection.
For many people in high-responsibility roles, staying in work mode at home is not a choice, it is a psychological pattern that has become over-developed. Over time, the parts of the self that manage, organise, lead, problem-solve, and stay productive become increasingly dominant. These are often the same internal protectors that enable success at work.
Because these parts are repeatedly relied upon, they grow stronger and more automatic. Their role is to keep things moving, maintain control, and prevent risk or failure. The difficulty is that they do not naturally know when to stand down. They are not designed to check whether they are still needed, only to ensure that things are managed.
As a result, the internal system does not shift easily from performance into presence. When the working day ends, those same managerial modes continue to run, because they are the most familiar and practised way of engaging with the world. At home, this can look like managing rather than relating, directing rather than attuning, or solving problems instead of emotionally connecting.
Alongside this, there is often a gradual loss of contact with the internal world. Emotional awareness, bodily signals, and the ability to notice subtle feelings tend to be deprioritised for long periods of time. Even when there is a genuine desire to be more present or emotionally available, the internal system may be too exhausted or too defended to allow it. Switching off often only happens during sleep, or when the system becomes so depleted that people describe feeling hazy, flat, or disconnected.
In some cases, it is not only that the protectors do not allow space for emotional presence, but also that emotional presence has not been practised in the same way as work skills. Leadership, decision-making, and performance are honed daily, whereas emotional attunement, softness, and internal awareness may have received far less attention over the years. This can make emotional connection feel effortful or unfamiliar, particularly when someone is already burnt out.
Over time, this pattern can take a toll on personal relationships. Partners, children, and family members may experience someone as distant, unavailable, or emotionally absent, even when they are physically present. Without intervention, work mode can begin to dominate all areas of life, increasing the risk of relational strain, emotional disconnection, and a sense of losing what matters most.
Depth-based psychological work helps people understand why these patterns developed, what they have protected, and how to rebuild an internal capacity for presence, connection, and emotional flexibility, without losing the strengths that have supported success.
Over-functioning usually develops as a psychological survival strategy rather than a personality trait. For many people, it begins early in life in response to experiences that make safety, stability, or belonging feel uncertain. This might include growing up with financial insecurity, emotional unpredictability, high expectations, or a sense that responsibility had to be taken on early in order to cope.
In some cases, people learn that working hard, achieving, or taking control is the most reliable way to protect themselves from vulnerability. For others, over-functioning is modelled across generations and becomes the unspoken rule for how adults survive, succeed, or remain respectable. Cultural and societal expectations also play a role. Men may absorb messages about providing, status, and control, while women are often expected to excel professionally while simultaneously carrying responsibility at home, with little tolerance for falling short in either domain.
As people move into adulthood, these early patterns are reinforced rather than questioned. Over-functioning is frequently rewarded. Competence, reliability, and capacity are praised, and people become relied upon to hold responsibility, manage systems, maintain standards, or financially support a particular lifestyle. Over time, this strengthens the internal protectors that drive performance and responsibility.
Eventually, stopping or slowing down no longer feels neutral. It feels risky. Internally, there may be a belief that if they stop, things will fall apart, they will be judged as incapable, or they will lose respect, safety, or security. Externally, there may be real pressures that make stepping back feel genuinely threatening, such as financial commitments or people depending on them.
Over-functioning also becomes hard to stop because it begins to shape identity. After years of being the responsible one, the capable one, or the person who holds everything together, it can become difficult to distinguish between who someone truly is and the role they have learned to inhabit. The work-self, the competent-self, or the responsible-self can start to feel like the only version that exists.
Even when people reach a point of insight and genuinely recognise the cost of over-functioning, stopping is often not straightforward. Knowing that something needs to change does not automatically create the internal capacity to change it. Many people discover that even with external permission, family support, or intellectual understanding, their system does not know how to slow down safely. Rest can feel unsettling rather than restorative, and space can trigger anxiety rather than relief.
This is because over-functioning is not just a habit, but a deeply embedded regulatory strategy. For a long time, it has organised how the nervous system stays steady, how identity feels coherent, and how threat is managed. When that strategy is removed without alternatives being developed, people can feel disoriented, guilty, or internally unsafe. As a result, they often return to doing, managing, and carrying responsibility, even when everyone around them is encouraging them to stop.
Depth-based psychological work focuses not only on insight, but on building new internal capacities. This includes learning how to recognise limits, tolerate rest, relate to vulnerability, and develop forms of safety that do not rely on constant output or control. Change becomes possible not because people try harder to stop over-functioning, but because their internal system no longer needs it in the same way.
People who burn out are often not disengaged or indifferent. Many are deeply invested in what they do and feel a strong sense of purpose, responsibility, or moral commitment to their work. Paradoxically, this passion can increase the risk of burnout rather than protect against it.
When work is closely aligned with values, identity can begin to fuse with role. The work stops being something a person does and starts to feel like who they are. In these circumstances, effort is rarely rationed. Time, energy, and emotional capacity are given freely because the work feels meaningful, necessary, or urgent. Even small signs of progress can reinforce continued sacrifice, encouraging people to give more and more, often without noticing the accumulating cost.
Over time, attention becomes increasingly focused on what is being built, changed, or improved externally. The internal world receives less care. Emotional needs, physical limits, relationships, and restorative activities are postponed or minimised. Because passion feels energising at first, early signs of depletion are often missed. People may not realise how exhausted or disconnected they have become until the imbalance is significant.
Boundaries are also more likely to blur in values-driven roles. When something matters deeply, saying no can feel selfish, disloyal, or irresponsible. This can be compounded by environments that depend on commitment and goodwill. Some systems actively benefit from highly motivated individuals who are willing to over-extend themselves. In other cases, organisations are not intentionally exploitative, but will continue to take what is offered if limits are not made explicit. If someone consistently says yes, the cost to them remains invisible.
Burnout in these contexts is not simply about workload. It is about sustained giving without adequate replenishment, and about passion replacing balance. Over time, the parts of life that nourish identity outside of work such as relationships, interests, rest, and embodied wellbeing can shrink or disappear altogether. When work eventually becomes unsustainable, people may find there is very little else to fall back on.
Depth-based psychological work helps people disentangle values from self-erasure. It supports a relationship with passion that does not require constant sacrifice, and helps rebuild boundaries, internal nourishment, and a sense of self that is not entirely dependent on output or impact. Caring deeply does not have to mean burning out, but it does require an internal world that is protected as carefully as the work itself
When people carry high emotional and cognitive load for prolonged periods, their internal system gradually reorganises itself around function rather than experience. Life becomes dominated by roles and protectors that are necessary for coping: the professional, the leader, the responsible one, the parent, the fixer, the passionate advocate. These parts often achieve a great deal and are highly adaptive in demanding environments.
The difficulty is that when these roles are relied upon continuously, they begin to take over the whole system. Attention is directed outward towards responsibility, performance, and problem-solving, while the internal world receives less care and less presence. Over time, people can lose a felt sense of who they are outside of what they do. Preferences, desires, emotional states, and even basic signals of contentment or dissatisfaction can become hard to access or recognise.
Many people describe a growing confusion between intensity and fulfilment. High stimulation, pressure, or achievement can be mistaken for meaning, while quieter experiences of pleasure, connection, or ease feel unfamiliar or unreachable. Because attention is rarely settled in the present moment, experiences outside of work or responsibility may not be fully registered. Even significant life events can feel oddly flat or distant afterwards, not because they were unimportant, but because the system was too occupied to take them in.
Relationships are often affected in parallel. Emotional attunement, presence, and reciprocity require internal availability. When someone is carrying sustained load, relationships can begin to thin out or become functional rather than nourishing. People may still show up, but without the emotional depth or responsiveness that allows relationships to grow. Over time, this can leave partnerships, friendships, and family connections feeling strained, distant, or hollow.
Internally, the cost can feel like emptiness, disconnection, or a sense of being cut off from oneself. People sometimes describe it as knowing they have a life, but not feeling as though they are fully living it. This loss of internal connection can make it difficult to make choices, imagine a future, or build a life that feels genuinely meaningful rather than simply productive.
From a psychological perspective, this is not a permanent loss of self, but a consequence of a system that has been organised around survival, responsibility, or impact for too long. Depth-based work focuses on restoring access to the internal world, helping people reconnect with who they are beneath their roles, and rebuilding relationships with themselves and others in a way that supports both responsibility and aliveness over time.
Many people describe a confusing pattern. Just as life begins to feel stable, a relationship becomes secure, work settles, or things finally seem to be going smoothly, something shifts. They may withdraw, overreact, procrastinate, create conflict, or make a decision that disrupts the progress they had been building. People often refer to this as self-sabotage.
However, these patterns are rarely about laziness or a lack of ability. More often, they reflect an internal system that has learned to feel more comfortable in effort, pressure, or problem-solving than in steadiness. If much of life has involved striving, coping, or anticipating what might go wrong, calm periods can feel unfamiliar. And what is unfamiliar can sometimes register as unsafe.
For high-functioning adults in particular, being competent under stress may have become part of identity. Achievement, responsibility, and forward momentum can feel natural. Slowing down, enjoying success, or allowing things to remain stable may create a different kind of vulnerability. Without the distraction of pressure, there is more space for feelings that were previously postponed.
Sometimes disrupting a positive situation is an unconscious way of returning to a familiar emotional landscape. Conflict, urgency, or overwork may feel more predictable than contentment or security. In this sense, what looks like self-sabotage is often a form of self-protection. The system is trying to maintain what it recognises, even if that recognition carries a cost.
Over time, this pattern can contribute to burnout, strained relationships, or a sense of never quite settling. Depth-based psychological work helps to explore when this internal association between safety and pressure first developed. By increasing tolerance for stability and helping the system recognise that calm does not equal danger, it becomes possible to remain present when things are going well rather than unconsciously undoing them.
Written from the perspective of Dr Kerri Garbutt, Registered Psychologist, drawing on long-term clinical work with trauma, shame, and high-functioning adults.
Many people believe they understand their relationship patterns because they can recognise that something keeps going wrong. They may notice the type of partner they choose, the conflicts that arise, or the point at which relationships tend to break down. However, recognising a pattern is not the same as understanding the multiple forces that keep recreating it.
Intellectual insight usually sits at the level of awareness rather than change. People may understand that a pattern exists without fully understanding where it comes from, what maintains it, or how it operates in real time. Repeating patterns are rarely caused by a single belief or decision. They are shaped by an interaction between a person’s internal system, the other person’s internal system, and the relational dynamic that forms between them.
Internally, people often have several parts of themselves involved at once. One part may be drawn to familiarity and perceive certain dynamics as safe because they are known, even if they are painful. Another part may believe the problems are their fault and try to fix, adapt, or take responsibility. A third part may feel angry, resentful, or mistreated. When these parts are not understood or integrated, people can move back and forth between them, creating confusion and repeating the same outcomes despite insight.
At the same time, patterns are not created in isolation. The other person in the relationship brings their own internal system, histories, protectors, and vulnerabilities. Sometimes a pattern persists because one person’s strategies fit neatly with another’s, reinforcing the dynamic even when both are unhappy. In other situations, the relational pattern itself becomes the problem, with each person reacting to the other in ways that escalate or lock the system into place.
This is why patterns often show up across different areas of life, not only in romantic relationships. Similar dynamics may appear at work, in friendships, or within families. The underlying drivers are relational templates formed earlier in life about safety, closeness, power, responsibility, or worth. These templates operate automatically and are often outside conscious choice.
Understanding patterns at depth involves disentangling these layers. This includes exploring what belongs to the individual’s internal system, what belongs to the other person, and what is created in the space between them. It also involves understanding where these patterns originated, what they originally protected against, and how different parts of the self have been organised around them. Some parts may carry outdated responsibilities, others unresolved emotional pain, and some may be held primarily in the body rather than in conscious thought.
Lasting change requires more than insight into one part of the system. It requires internal integration, a reduction in conflict between parts, and a clearer sense of what is and is not one’s responsibility in relationships. As this internal reorganisation takes place, people are able to relate differently, make different choices, and step out of familiar patterns, not because they try harder, but because their system no longer needs those dynamics to feel safe or coherent.
Depth-based psychological work focuses on this process, helping people understand and shift patterns at the level where they are actually formed and maintained.
Boundaries are rarely simple, but they become especially complicated when there are long-standing relationships and established roles. Family relationships carry history, emotional investment, dependency, loyalty, and often a sense of obligation. When people matter to us, and when we rely on them for connection, belonging, or security, setting boundaries can feel risky, even when those boundaries are necessary.
It is also important to recognise that boundaries can feel hard simply because we care deeply about the people involved. Not all difficulty with boundaries comes from fear of abandonment or concern about losing the relationship. Sometimes the discomfort arises because we genuinely love family members and do not want to cause them pain, disappointment, or distress. For many people, the challenge is not about self-protection, but about holding compassion for others while also honouring their own needs. This can create a powerful internal conflict, where setting a boundary feels like an act of harm, even when it is necessary and healthy.
Family dynamics are shaped over many years, often beginning in childhood. Roles and patterns develop that help the family system function, even if those patterns are unhealthy. Some families are enmeshed, where emotional space is limited and individuality is discouraged. Others operate around power hierarchies, where certain members’ needs consistently take precedence over others. In these contexts, boundaries are not simply personal preferences; they challenge the existing order of the system.
Because these patterns have been reinforced over time, family members often relate to who they believe you are, rather than who you have become. They may hold fixed ideas about your role, your availability, or your responsibility to them. When you begin to set boundaries, it disrupts those expectations. This can feel unsettling or threatening to others, not necessarily because your boundary is unreasonable, but because it alters what has always been familiar.
Boundaries are not about harming others, but they can create inconvenience, disappointment, or discomfort. This is especially hard to tolerate when the people affected are those we love or feel responsible for. Some family members may respond with minimisation, denial, or criticism, particularly if acknowledging your experience would bring up their own feelings of guilt or shame. It can be easier for them to frame you as “too sensitive” or “too much” than to reconsider the impact of long-standing patterns.
Another common difficulty arises when people begin setting boundaries after years of self-sacrifice. Early attempts can feel clumsy or overly firm, not because the boundary is wrong, but because it is unfamiliar. This can shock others who have never heard you say no before. With time and practice, boundaries usually become clearer, steadier, and more proportionate, but the initial disruption can be uncomfortable for everyone involved.
Family relationships also carry a unique challenge in that many parents and relatives continue to relate to adult children as though they are still children. This can obscure recognition of autonomy, adult judgement, and independent needs. In some families, there is an unspoken expectation of lifelong obligation, as though being born into the family creates a permanent debt. These assumptions are rarely explicitly agreed upon and often ignore the reality that adult relationships require consent, mutual respect, and choice.
Ultimately, boundaries feel harder with family because they require disrupting pre-existing relational patterns within a system that is motivated to maintain the status quo. Setting boundaries is not just an individual act, but a relational one, and it often brings resistance precisely because it introduces change.
Depth-based psychological work helps people understand these dynamics, tolerate the discomfort that can arise, and develop boundaries that are firm, compassionate, and sustainable without losing a sense of self in the process.
Our earliest relationships play a powerful role in shaping how we understand ourselves, other people, and the world around us. In early life, usually through our relationships with caregivers, we begin to form internal templates about who we are, how safe we are, and what we can expect from others. These early experiences are not remembered as stories, but as felt patterns that quietly organise how we relate for the rest of our lives.
As children, we learn who we are in relation to others through repeated, often subtle interactions. When care is consistent, emotionally attuned, and responsive, a child tends to develop a sense that they are worthy, others are reliable, and the world is broadly safe. When care is inconsistent, unavailable, critical, overwhelming, or frightening, different conclusions can form. A child may come to believe that they are too much, not enough, responsible for others’ emotions, or unsafe unless they adapt themselves in particular ways.
From these early experiences, relational templates begin to take shape. These templates answer fundamental questions such as: Am I okay? Are other people safe or dangerous? Do I matter? Do I need to make myself smaller or stronger to belong? Once these beliefs are established, they do not remain confined to childhood. They become the lens through which adult relationships, work environments, and authority structures are interpreted.
People often develop protective strategies in response to these early templates. Some learn to surrender to patterns where they feel less important or less powerful, tolerating situations that do not meet their needs because they feel familiar. Others may avoid closeness altogether, convincing themselves they do not need relationships in order to stay safe. Some overcompensate, presenting as highly confident, self-sufficient, or superior, while protecting against underlying vulnerability or shame. These strategies are not flaws; they are adaptations that once made sense.
These same patterns frequently appear in the workplace. Early beliefs about worth, safety, power, and responsibility can shape how people relate to authority, take on responsibility, manage conflict, or define success. Someone who learned that approval must be earned may overwork or over-function. Someone who learned that mistakes are dangerous may avoid visibility or leadership. Others may replicate familiar power dynamics, either by placing themselves beneath authority or by needing to maintain control to feel secure.
Over time, people are often drawn towards relationships and roles that reinforce their existing templates, not because they consciously choose them, but because they feel familiar and internally coherent. Even when these patterns cause distress, they can feel safer than the uncertainty of something new. This is why insight alone rarely changes them. Understanding that a pattern exists does not automatically shift the internal system that depends on it.
Depth-based psychological work focuses on making these early templates visible, understanding how they shaped protective strategies, and helping people update them in the present. As internal beliefs and relational expectations shift, people are able to relate differently at work and in relationships, not by forcing change, but because their internal world no longer requires the same patterns to feel safe or stable.
For many people, feeling responsible for other people’s emotions is not about kindness alone. It is a safety strategy that developed early in life. If you learned that keeping others calm, happy, or emotionally settled reduced conflict or risk, then managing other people’s feelings became a way of protecting yourself.
When you prioritise other people’s needs, you are less likely to face anger, withdrawal, criticism, or rejection. Over time, this can create a belief that putting your own needs first is selfish, dangerous, or morally wrong. The underlying message becomes: if I take up space, something bad will happen. As a result, self-sacrifice starts to feel not only necessary, but virtuous.
This pattern often develops in environments where emotional safety was inconsistent. Some people learned that adults were overwhelmed, unpredictable, or unavailable, and that the safest position was to be the caring one, the helpful one, or the emotionally attuned one. Others learned that distress in others quickly became distress directed at them. In both cases, managing other people’s emotions reduced the emotional load they had to tolerate themselves.
Another factor is difficulty tolerating other people’s emotional discomfort. When you have learned to associate others’ distress with danger or responsibility, soothing them can feel urgent. Calming someone else down can temporarily reduce anxiety, guilt, or fear inside you, even if it comes at a long-term cost. This reinforces the pattern, because the relief is immediate, while the impact on your own wellbeing builds more slowly.
Over time, this role can become fixed. You become the person others turn to, while your own needs remain unseen. Eventually, you may stop expecting support altogether. You may not ask for help, minimise your own struggles, or feel uncomfortable when someone offers care. Even when support is available, it can feel safer to continue managing alone.
Although this pattern looks outwardly like generosity or strength, it is often rooted in a need for control and safety. By managing the emotional world around you, you reduce your vulnerability to rejection, abandonment, or harm. The cost is that your own emotional needs are repeatedly deferred, sometimes to the point where exhaustion, resentment, disconnection, or burnout set in.
Depth-based psychological work helps people understand where this responsibility came from, what it once protected against, and why it no longer serves them. It supports the development of boundaries, emotional tolerance, and self-worth that are not dependent on managing others. As this changes, people can remain caring and empathic without sacrificing themselves in the process.
When someone spends a long period of time managing relationships in order to stay safe, the cost is often paid quietly and gradually. This strain usually develops when a person relies heavily on protective roles, such as being responsible, accommodating, emotionally contained, or consistently pleasant, in order to avoid conflict, rejection, or harm.
Over time, these protective parts can begin to dominate. Attention becomes focused outward, on other people’s needs, expectations, moods, and potential reactions, or forward into the future, trying to anticipate and prevent negative outcomes. The internal world is slowly deprioritised. Emotional needs, preferences, limits, and spontaneous responses are pushed aside in service of keeping relationships stable.
As this continues, people can lose contact with who they actually are. They may struggle to recognise what they feel, what they want, or what they need. Boundaries often erode, because the measure of worth becomes how much is given, how available one is, or how well others are kept comfortable. Praise, approval, or acceptance may come primarily through sacrifice rather than authenticity.
In this state, self-worth becomes externally referenced. Value is felt only when others are pleased, calm, or reassured. When those conditions are not met, shame, guilt, or anxiety can quickly take their place. The sense of self narrows to a role rather than an identity, and any threat to that role can feel destabilising.
Relational strain also impacts presence. When much of a person’s emotional energy is spent monitoring and managing others, there is little capacity left for self-connection. Moments of rest, enjoyment, or fulfilment may feel distant or inaccessible. Even when life appears successful or functional from the outside, internally there can be a growing sense of emptiness, disconnection, or numbness.
Over the long term, this pattern can leave people feeling as though there is very little of them left. They may feel exhausted, unfulfilled, or unsure who they are outside of responsibility and caretaking. Identity becomes shaped by what is required, rather than what is authentic. Without space to attend to their own internal world, self-trust and self-value gradually diminish.
Depth-based psychological work helps people recognise how these patterns developed, what they once protected against, and how they can be gently dismantled. Rebuilding self-worth involves restoring connection to the internal world, developing boundaries that protect rather than isolate, and learning to relate in ways that allow both care for others and care for the self. As this balance returns, identity becomes less about survival and more about choice, presence, and meaning.
Many people are surprised to find that when they meet someone kind, consistent, or emotionally available, they feel unsettled rather than relieved. This reaction can feel confusing, especially if a stable relationship is something they have long wanted.
Our expectations of closeness are shaped by earlier relational experiences. We tend to feel most at ease with what is familiar, even when it was not ideal. If early relationships involved unpredictability, emotional intensity, distance, or having to work hard for approval, those dynamics can begin to feel normal. Stability, by contrast, may feel unfamiliar. Unfamiliar experiences can bring uncertainty, even when they are objectively safe.
For some people, closeness once meant pressure, criticism, or the need to be self-sufficient. For others, emotional distance was the standard. When a relationship offers steadiness and genuine care, it can bring into awareness parts of the self that learned to stay guarded. Without drama or crisis to focus on, there may be more space for vulnerability, and that can feel exposing.
It is also common for protective patterns to become more active when things are going well. Someone might begin to doubt the relationship, notice small imperfections more intensely, feel restless, or pull back emotionally. These reactions are often less about the present partner and more about earlier experiences of connection that shaped expectations about safety and worth.
Feeling uncomfortable in a healthy relationship is usually a sign that your internal template for closeness developed in a different environment. With depth-based psychological work, these patterns can be understood in context rather than judged. Over time, it becomes possible to respond to them with greater compassion and gradually increase your capacity to experience stability and mutual care without automatically retreating into protection.
Written from the perspective of Dr Kerri Garbutt, Registered Psychologist, drawing on long-term clinical work with trauma, shame, and high-functioning adults.
Close relationships are often one of our greatest sources of comfort and meaning, but they are also one of the places where we are most psychologically exposed. Even for people who usually cope well with stress, work pressures, or major life changes, the end of a relationship can feel uniquely destabilising.
This is partly because intimate relationships are deeply interlinked with many areas of life. Over time, emotional worlds, routines, social circles, finances, future plans, and sometimes work or family roles become woven together. When a relationship ends, it is not just the loss of the person, but the loss of a shared structure. That creates disruption on multiple levels at once, which can overwhelm even strong coping systems.
Relationships are also closely tied to identity. They shape how we see ourselves, how others see us, and the roles we occupy in the world. When that changes, it often brings a surge of questions. Internally, people may ask what went wrong, whether they were good enough, or whether they failed in some way. Externally, even well-meaning questions from others can feel intrusive or exposing, adding to a sense of scrutiny or pressure at a time when someone is already vulnerable.
From a psychological perspective, relationship endings often activate deeper emotional layers that sit beneath everyday coping. The parts of us that usually keep life organised and functioning can become overwhelmed, while more vulnerable aspects linked to loss, rejection, or fear of abandonment are stirred. Long-standing beliefs about being unlovable, selfish, or “not good enough”, often shaped earlier in life, can resurface even when the relationship itself was not overtly harmful.
This is why people who normally manage life effectively can feel surprised by the intensity of their reaction. The distress is not a sign of weakness or failure, but a reflection of how deeply relational loss reaches into core emotional and identity-based systems.
It is also normal to experience grief. Grief after a relationship ending is rarely linear. It tends to come in waves, shaped by the individual’s history, the nature of the relationship, how the ending happened, and the responses of others. Thoughts may circle around why it ended or what could have been different, while emotions move between sadness, anger, relief, longing, or fear. All of this takes time to settle.
Depth-based psychological work can help make sense of why this kind of destabilisation occurs, particularly in people who are usually resilient and capable. Therapy offers space to understand how identity, attachment, and long-standing emotional patterns are being activated by the ending, rather than viewing the reaction as a loss of strength or control. By gently restoring internal stability and helping people differentiate between present loss and earlier emotional wounds, therapy supports a process of integration rather than avoidance. Over time, this allows people to regain their footing, reconnect with themselves, and move forward with a stronger, more grounded sense of who they are beyond the relationship.
For people who are generally resilient and capable, struggling after being left by a partner can feel confusing and even humiliating. Many people expect themselves to cope, to be rational, or to recover quickly. When that does not happen, it can add a further layer of self-criticism on top of the pain of the loss itself.
Being left is often more destabilising than leaving because it involves a greater loss of control. In many relationships, the person who ends things has been emotionally pulling away for some time, even if that process was not conscious or clearly communicated. By the time the relationship ends, they may already be more psychologically prepared. The person who is left is often dealing with the shock of the ending at the same time as the loss itself.
Relationship endings are rarely truly mutual in timing, even if both people eventually recognise that the relationship was not right. One person usually reaches that conclusion earlier. When you are the one left behind, especially if the ending was unexpected, your internal world can feel suddenly and violently disrupted.
Being left also tends to activate harsh inner criticism and deep vulnerability. Questions about worth, value, and adequacy often come to the surface. People may find themselves wondering what was wrong with them, how they were perceived, or whether they were somehow replaceable. These reactions are not signs of low resilience. They are common human responses to rejection, loss, and sudden relational rupture.
For many people, being left also opens up older sensitivities linked to abandonment, rejection, or identity loss. This is particularly true when the relationship played a central role in shaping daily life, future plans, or sense of self. Alongside the emotional pain, there is often grief for imagined futures, shared dreams, and the life that was expected but will now not happen in the same way.
Cognitively and emotionally, this period can be exhausting. People often replay events, search for explanations, or imagine alternative outcomes. There may be swings between longing, anger, sadness, and disbelief. This process can be especially painful when the ending felt poorly handled, unclear, or insensitive, or when there was no meaningful opportunity for discussion or repair.
Struggling after being left does not mean you are weak or incapable. It means that something deeply significant has been lost, often suddenly, and that your emotional system is trying to make sense of that loss. With time and support, most people are able to process the grief, quieten self-criticism, and begin to rebuild a sense of stability and identity beyond the relationship.
Depth-based psychological work can help people who have been left to make sense of the shock, self-criticism, and loss of control that often follow an unexpected ending. Therapy offers space to understand how rejection and sudden loss activate both vulnerability and harsh internal judgement, particularly in people who usually rely on competence and self-control. By gently rebuilding self-trust, restoring a sense of internal agency, and separating the meaning of the ending from beliefs about worth or adequacy, therapy supports recovery that is not just about moving on, but about regaining a stable sense of self beyond the relationship.
Feeling guilty after ending a relationship is extremely common, particularly for people who are empathic, conscientious, and emotionally aware. Most people do not end relationships lightly or without care for the other person. When we know that someone we care about is in pain following a decision we have made, it can be deeply uncomfortable, even when that decision was necessary.
Many relationships end not because of a clear breach such as betrayal or abuse, but because the relationship has reached the end of its path. Two people may no longer be compatible, may be growing in different directions, or may want different things from life, while still caring deeply about one another. Ending a relationship in these circumstances can feel especially painful, because the presence of care and affection makes the decision emotionally complex rather than clear-cut.
Guilt often arises because we associate pain with wrongdoing. Witnessing someone we care about experience distress can create a powerful internal reaction, even when no harm was intended. In these situations, the guilt usually does not belong to the decision itself, but to the discomfort of witnessing the pain experienced as a consequence of the decision. Feeling moved by another person’s distress is a sign of empathy, not evidence that the decision was wrong.
It is also important to distinguish between guilt and shame. Guilt relates to something we believe we did wrong and may wish we had done differently. Shame, by contrast, involves judging ourselves as a bad or unkind person. Feeling like a bad person for making a difficult but necessary decision is not healthy or accurate, and it often reflects long-standing patterns of self-criticism rather than the reality of the situation.
A helpful question to consider is whether the guilt you feel is appropriate to the circumstances. Sometimes, another person being hurt is an unavoidable consequence of honesty and self-respect, rather than something that could have been prevented. In those cases, the pain does not mean that the choice itself was wrong.
In other situations, people may feel a degree of guilt about how the ending was handled, such as the timing, tone, or level of sensitivity, rather than about the decision itself. This kind of guilt can be constructive. It can support reflection, learning, and, where appropriate, repair or apology for the way something was communicated, without requiring regret for the decision to end the relationship.
It is also worth noting that people who ask this question are rarely those who deliberately cause harm. People who are indifferent to the impact of their actions do not usually reflect in this way. Guilt after ending a relationship often reflects strong values around care, responsibility, and kindness, as well as a capacity to hold the complexity of human relationships. These are qualities of people who want to live authentically while remaining considerate of others, not signs that they have done something wrong.
Ultimately, feeling guilty does not mean you made the wrong choice. Often it reflects empathy, integrity, and a willingness to take responsibility for impact, while still needing to separate responsibility for how something was done from responsibility for the decision itself.
Depth-based psychological work can help people explore guilt in a more nuanced and supportive way, particularly when they are empathic and values-led. Therapy offers space to understand where guilt reflects care and conscience, and where it has tipped into self-attack or responsibility that does not belong to you. By gently separating guilt from shame, and impact from intention, therapy supports people to remain connected to their values while also trusting themselves to make difficult but necessary decisions. This process allows compassion for others to coexist with self-respect, rather than being in conflict with it.
Feeling responsible for an ex-partner’s emotions or wellbeing after a relationship ends is very common, especially when the relationship involved genuine care, emotional closeness, and shared responsibility over time. For many people, care for someone does not simply stop because the relationship ends, even when the ending was necessary.
In a relationship, people often take on the role of noticing their partner’s emotional state, offering reassurance, support, or stability. Over time, this role can become familiar and even central to how the relationship functions. When the relationship ends, that role does not disappear overnight. It can feel uncomfortable or even distressing to step back from something you may have been good at and that once felt meaningful.
This is where an important distinction becomes necessary. There is a difference between being compassionate and feeling responsible. It is possible to care about someone’s pain and to be respectful of their experience without being responsible for managing their emotions or wellbeing. After a relationship ends, the role of emotional support needs to change, even if care and concern remain. Responsibility for another adult’s emotions was never yours to carry, even when the relationship was close.
This can be particularly difficult for people who, earlier in life, learned that being attuned to other people’s emotional needs was a way of staying safe, valued, or connected. For some, being emotionally responsive became a strength that was encouraged and praised. While this capacity for empathy is valuable, it can also make it hard to tolerate another person’s distress without feeling the urge to fix it, soothe it, or relieve it, even when that was never your responsibility to carry.
It is also important to recognise that there are multiple systems involved after a breakup: your own internal world, your ex-partner’s internal world, and the relational dynamic that existed between you. In some relationships, that dynamic relied heavily on one person providing emotional stability or support. When the relationship ends, both people may struggle to adjust to the loss of that structure. Feeling pulled back into the role of emotional caretaker can be part of that adjustment process.
However, remaining in that role can unintentionally prevent both people from adapting to the new reality. While kindness and consideration during the initial period of grief can be healthy, continuing to act as a primary source of emotional support can make it harder for an ex-partner to process the loss and find their own sources of support over time.
Letting go of responsibility does not mean you do not care. It means recognising that another adult’s emotions, however painful, are ultimately theirs to experience and work through. Learning to hold compassion without responsibility is often one of the most difficult and important tasks after a relationship ends, particularly for people who are empathic, conscientious, and used to carrying emotional weight for others.
Depth-based psychological work can help people understand why the pull to carry emotional responsibility feels so strong, even when they know, intellectually, that it does not belong to them. Therapy offers space to explore how caring, attunement, and responsibility became linked over time, and how stepping out of that role can feel unsafe rather than simply uncomfortable. By gently separating compassion from over-responsibility, therapy supports the development of boundaries that protect emotional wellbeing without shutting down care. This allows people to remain empathic and connected, while no longer carrying emotional weight that was never theirs to hold.
Relationship endings are emotionally heavy territory, whether you were the person who left or the person who was left. When something is psychologically difficult, destabilising, or life-changing, most human beings instinctively look for ways to stay safe within that experience. One of the ways we do this is by reviewing, analysing, and sometimes criticising ourselves.
During relationship endings, it is very common for protective ways of coping to come to the foreground. It is hard to stay consistently open, calm, and emotionally generous when the situation is painful and uncertain. Often, both people are struggling at the same time, or one person is struggling more than the other. In these moments, communication can become less clear, more guarded, more blunt, or more reactive than usual. People may sound detached, defensive, overwhelmed, or emotionally intense, not because that reflects their true character, but because they are trying to protect themselves from vulnerability and loss.
After the relationship ends, many people look back and feel uncomfortable with how they behaved at certain points. They may replay conversations, question their reactions, or feel embarrassed or ashamed about moments when they were not at their best. This does not mean their character is flawed. It means they are human, and humans do not manage emotional distress perfectly, especially when something meaningful is coming to an end.
It is worth acknowledging that endings where both people remain calm, compassionate, and emotionally regulated throughout are relatively rare. Most breakups involve moments of confusion, hurt, defensiveness, or emotional fluctuation. The presence of these moments does not define who you are. It reflects the intensity of the situation rather than a failure of character.
This is also where shame and guilt can become entangled. Many people are psychologically wired to assume that distress must have been caused by something they did. When a relationship ending is painful, it is easy to conclude that you must have behaved badly or that there is something wrong with you. In reality, emotional pain is often an accurate response to loss and change, not evidence of wrongdoing.
A more helpful question is whether there are specific behaviours you genuinely wish you had handled differently. In some cases, there may be room for reflection, learning, or even repair, such as acknowledging that something could have been communicated more sensitively. In other cases, what you are judging may simply be the courage it took to be honest, vulnerable, or emotionally present in a difficult moment.
Relationship endings are rarely the result of one person alone. Two people contribute to the dynamics of a relationship, and two people will usually have moments of care and clarity alongside moments of distress and misalignment. Questioning your character after an ending often says more about your capacity for reflection and responsibility than about any fundamental flaw.
Ultimately, this process is about discernment rather than self-attack. Learning from what you would do differently next time, while letting go of what does not belong to guilt or shame, allows you to move forward with greater self-understanding rather than self-punishment.
Depth-based psychological work can help people untangle character from coping when reflecting on how they showed up during a relationship ending. Therapy offers space to understand how protective responses emerge under emotional threat, and why these moments often attract disproportionate shame or self-judgement afterward. By gently exploring what belongs to human vulnerability, what reflects old self-critical patterns, and what may genuinely be worth learning from, therapy supports integration rather than self-punishment. Over time, this allows people to hold themselves with greater compassion and accuracy, without losing accountability or self-respect.
Written from the perspective of Dr Kerri Garbutt, Registered Psychologist, drawing on long-term clinical work with trauma, shame, and high-functioning adults.
Human beings are living in a world that is far busier, faster, and more demanding than we were ever designed for. To function within it, most of us have had to adapt. For many high-functioning adults, this adaptation involves spending much of life focused on managing the outside world: meeting expectations, being productive, earning a living, being competent, and staying socially acceptable.
Over time, this can mean living predominantly in parts of ourselves that organise, perform, think, and problem-solve. Attention becomes directed outward and upward into the mind, rather than inward into emotional and bodily experience. This way of living can be very effective. It often leads to external success, stability, and capability. But it can also come at a cost.
When most of our energy is directed towards the external world, our internal world can gradually be neglected. The internal world is where emotional presence, vulnerability, compassion, playfulness, joy, and a felt sense of authenticity live. If we have not spent time attending to this inner landscape for a long time, we can lose touch with what we feel, what we need, and what brings us a sense of meaning or aliveness.
This disconnection is often experienced physically as well as emotionally. People may feel as though they are living primarily in their head rather than in their body. When we are not connected to bodily experience, it becomes harder to feel emotionally present, both with ourselves and with others. Emotional presence is what allows us to feel closeness, intimacy, care, and genuine connection. Without it, life can begin to feel flat, distant, or oddly unreal, even when it looks successful from the outside.
For many people, this pattern did not develop because something went wrong, but because it once kept them safe. Staying focused on achievement, responsibility, or external demands may have been necessary to cope, to belong, or to survive earlier circumstances. Over years, however, a life organised around functioning and coping can quietly replace a life that also includes emotional depth, embodiment, and self-connection.
Feeling disconnected from yourself, despite functioning well, is therefore not a personal failure. It is often the result of long-term adaptation in a demanding world, where attention has been pulled outward for so long that the inner world has been left unattended.
Depth-based psychological work can help people gently reconnect with the parts of themselves that were set aside in the service of coping and functioning. Therapy offers space to shift attention back toward internal experience, including emotions, bodily awareness, and long-held needs, without dismantling the strengths that allowed someone to function well. Over time, this supports a return to emotional presence, self-compassion, and a more embodied sense of identity, allowing life to feel lived from the inside rather than managed from the outside.
Human beings have internal systems that constantly assess whether we are safe or unsafe. When something feels unsafe, the body and mind respond automatically in ways designed to protect us. These responses are not conscious choices, but instinctive survival mechanisms.
For some people, feeling anxious or distressed is enough to signal danger and prompt action. Anxiety, while uncomfortable, is not inherently negative. It carries important information. It alerts us to risk, encourages caution, and invites attention to something that may need addressing. When we are able to listen to anxiety without becoming overwhelmed by it, it can guide us in helpful and adaptive ways.
For others, heightened emotional states such as anxiety, fear, shame, or distress become too intense to tolerate. When this happens, the nervous system may shift into a different form of protection. Instead of activating anxiety or distress, it reduces emotional awareness altogether. This is often experienced as numbness, flatness, or emotional distance.
This state is sometimes described as emotional shutdown or dissociation. It does not mean that anxiety or fear are absent. Rather, awareness of those emotions is dampened or disconnected. The system prioritises emotional survival by limiting what is felt consciously. In the short term, this can be highly effective. It allows a person to keep functioning when feelings would otherwise be overwhelming.
For some people, this response can be accessed temporarily, either because they developed it early in life and later learned how to regulate it, or because their system is able to bring it online only when needed. For others, emotional shutdown becomes the primary or default response, particularly if it was relied upon heavily during earlier periods of threat, instability, or emotional overload.
When emotional shutdown persists, it does not only block distress. It also limits access to positive emotional experiences. People may notice that while they are no longer anxious or overwhelmed, they also struggle to feel joy, connection, love, or aliveness. Life can begin to feel muted, distant, or strangely unreal.
It is important to understand that this pattern usually developed for a reason. If your system learned at some point that feeling deeply was unsafe, unbearable, or unsupported, shutting down emotionally may have been the most effective way to cope. Emotional numbness is therefore not a flaw or a failure. It is often evidence of a system that once adapted intelligently to protect you.
The difficulty is that when this response operates automatically, without choice, it can leave people disconnected from both themselves and others. Without awareness of when emotional shutdown steps in, it becomes harder to regulate emotion flexibly or to re-engage with feeling when it is safe to do so.
Depth-based psychological work can help people understand why emotional shutdown developed, what it once protected them from, and how to regain choice over when it is needed. Therapy supports the gradual reconnection with emotional and bodily experience in a way that feels safe and contained, allowing numbness to soften without forcing exposure to overwhelming feelings. Over time, this makes it possible to feel distress when it is meaningful, and pleasure, connection, and vitality when they are available, rather than living in a permanently muted emotional state.
For some people, slowing down or being still does not feel safe. Instead of bringing calm, it can trigger unease, restlessness, or a sense of emptiness. This response usually has little to do with the present moment and much more to do with what stillness has meant in the past.
Many people develop ways of staying busy, productive, or constantly engaged because stillness once carried negative consequences. For some, calm was followed by unpredictability, criticism, or conflict. For others, resting or slowing down was associated with being judged as lazy, selfish, boring, or not good enough. In these environments, staying active, achieving, cleaning, helping, or overworking became protective strategies that reduced risk and increased approval.
Over time, these strategies are reinforced. Busyness is often praised, rewarded, and socially validated. Being productive or constantly occupied becomes a way of staying safe and valued. In contrast, simply being present, resting, or doing nothing can feel unfamiliar, uncomfortable, or even threatening.
When life has been organised around action and performance, there is often very little practice in simply being. Attention becomes directed toward what needs to be done rather than what is being felt. As a result, slowing down can feel disorientating. Without the familiar structure of activity, the nervous system may not know how to settle, and unease can arise instead of relaxation.
For some people, slowing down also brings a sense of emptiness. This does not necessarily mean there is nothing inside. More often, it reflects a lack of connection with the internal world. If attention has been directed outward for many years, the inner landscape may feel quiet, blank, or inaccessible at first. Reconnecting with it takes time and practice, not effort or force.
In other cases, emptiness can function as a form of protection. Staying busy may have helped someone avoid noticing loneliness, grief, or unmet needs. When activity stops, those feelings begin to come into view, and the system responds by creating a sense of numbness or emptiness instead. This again is not a failure, but a way of preventing overwhelm.
Knowing intellectually that slowing down is important does not automatically make it feel safe. It often requires learning how to tolerate stillness gradually, allowing the body and mind to discover that nothing harmful follows. Only then can space begin to feel restorative rather than unsettling.
Depth-based psychological work can help people understand why stillness and space trigger unease or emptiness rather than rest. Therapy offers a way to explore how busyness, productivity, or constant movement once served an important protective function, and how to gently reduce reliance on these strategies without creating overwhelm. By supporting a gradual reconnection with internal experience, therapy helps people learn how to be present with themselves safely, allowing rest, quiet, and space to become nourishing rather than threatening over time.
Many people learn, often without realising it, to organise their lives primarily around the outside world. Attention is directed toward building the right career, relationships, family life, hobbies, and achievements. These external markers are strongly shaped by social expectations, cultural messages, media, and ideas about what a “good” or successful life should look like.
Focusing on the external world can bring stability, structure, and practical benefits. There is nothing inherently wrong with wanting security, comfort, or recognition. However, when most of life is shaped around meeting external standards or maintaining an outward image, the internal world can gradually be overlooked.
Living fully “inside” life involves paying attention to internal experience: emotions, values, needs, desires, and meaning. It involves noticing what feels nourishing or draining, who brings genuine connection, what needs to change, and what needs to be protected or allowed to grow. When this inner attention is missing, people can end up with lives that look full on the outside but feel strangely thin or hollow on the inside.
This is often most noticeable in quieter moments. When there is no task to complete, no role to perform, and no audience to respond to, people may be left with a sense of distance from themselves. This does not mean their life is wrong or empty, but that it has been built without enough reference to inner experience.
Modern life makes this pattern more likely. Constant stimulation, productivity, comparison, and visibility encourage outward focus and discourage reflection. Over time, people can become skilled at maintaining a life that functions well while feeling only partially present within it.
Feeling as though you are living on the surface of your life is therefore not a failure or a lack of gratitude. It is often a signal that attention has been directed outward for so long that the inner world has not had space to develop, be listened to, or guide choices. Reconnecting with that inner world is what allows life to feel lived from the inside rather than managed from the outside.
Depth-based psychological work can help people shift attention back toward their inner world and explore what has been shaping their choices, priorities, and sense of fulfilment. Therapy offers space to reconnect with values, emotional needs, and a felt sense of self, rather than relying solely on external markers of success or stability. Over time, this supports a way of living that feels more embodied and authentic, where external life is guided by internal meaning, allowing people to feel more present, connected, and fully inside their own lives.
Emotional coping is often about managing experience rather than processing it. Many people learn ways of keeping emotions contained, controlled, or at a distance so they can continue functioning. This might involve staying busy, focusing on the practical, minimising feelings, staying positive, or quickly correcting emotional reactions rather than sitting with them.
In the short term, these strategies can be helpful. They allow people to get through difficult periods, meet responsibilities, and stay outwardly stable. The difficulty arises when emotional coping becomes the primary or only way of relating to inner experience over many years.
When emotions are managed rather than felt and worked through, they do not disappear. Unprocessed vulnerability, grief, fear, anger, or sadness often remain held in the body and nervous system. Over time, this creates a growing disconnection between what is felt internally and how life is lived externally. People may believe they have “dealt with” things because they have kept going, while internally those experiences remain unresolved.
Alongside this, attention is increasingly directed outward. Identity becomes organised around roles, behaviours, and coping styles rather than inner experience. People may describe themselves in terms of what they do for others or how they function: being hardworking, dependable, caring, self-sacrificing, or resilient. While these qualities may be true, they are often expressions of coping rather than reflections of the full self.
As emotional coping continues, access to deeper layers of identity can fade. People may struggle to identify what they genuinely feel, want, or need. Decisions are made based on habit, expectation, or responsibility rather than internal alignment. Over time, this can lead to a sense of emptiness, confusion, or disconnection, as though life is being lived on behalf of something else rather than from within.
The loss of self that emerges in this process is usually gradual and unintentional. It does not mean the self has disappeared, but that it has been obscured by years of adaptation, emotional containment, and external focus. Reconnecting with it requires more than coping better; it involves learning how to safely notice, feel, and integrate emotional experience rather than continually managing it away.
Depth-based psychological work can help people recognise how long-term emotional coping shaped their sense of self, and why disconnection developed over time. Therapy offers space to gently reconnect with emotions held in the body and nervous system, allowing experience to be processed rather than contained. As emotional awareness and embodiment return, identity begins to reorganise around inner truth rather than survival roles. This supports a gradual rediscovery of who someone is beneath years of coping, allowing the self to re-emerge with greater clarity, coherence, and choice.
Many people who appear articulate and capable in other areas of life notice that, in emotionally charged moments, they struggle to find words. Instead of expressing what they feel, they go quiet, become practical, change the subject, or withdraw. Afterwards, they may feel frustrated with themselves or disconnected, even if they care deeply about the person involved.
Shutting down is rarely a sign of indifference. More often, it is a protective response that developed at an earlier stage of life. If expressing emotion once led to criticism, dismissal, conflict, or emotional overwhelm, it can feel safer to contain feelings rather than risk exposure. Over time, this containment can become automatic.
For high-functioning adults, composure and emotional control are often highly developed strengths. Being measured, calm, and self-sufficient may have been necessary and rewarded. However, these same strengths can make vulnerability feel unfamiliar. When a conversation becomes intense, the internal system may prioritise stability over openness.
Shutting down can also reflect difficulty identifying what is being felt in the moment. If emotional experiences were not consistently named or validated in earlier relationships, it may take time to recognise them internally. In close relationships, this can create distance, even when the intention is to protect the connection.
Although this pattern may once have been adaptive, it can leave someone feeling alone in their own experience. Depth-based psychological work offers space to understand when and why this response developed. Rather than forcing emotional expression, therapy focuses on increasing internal safety and emotional awareness gradually, so that feelings can be communicated in ways that feel both authentic and manageable..
Written from the perspective of Dr Kerri Garbutt, Registered Psychologist, drawing on long-term clinical work with trauma, shame, and high-functioning adults.
Many adults who feel they have no one to rely on did not learn, early in life, that support was safe, consistent, or available. This experience can arise in different ways. Some people grew up with significant adversity such as parental loss. Others had parents who were physically present but emotionally unavailable, unpredictable, or unable to offer a sense of reliability. In some families, children were parentified and learned to care for adults rather than being cared for themselves. In others, asking for help led to criticism, punishment, withdrawal, or emotional cost.
When support is unreliable or unsafe in childhood, children adapt. Rather than continuing to reach for something that is not there, they learn to rely on themselves. Over time, this self-reliance becomes a strength. Many people become highly capable, independent, and resourceful. They learn how to meet practical needs alone, regulate their own emotions, and minimise dependence on others.
The difficulty is that this independence is often protective rather than freely chosen. Even when help is offered later in life, accepting it can feel frightening or uncertain. Support may feel conditional, temporary, or risky. Some people learned that care always came with strings attached, especially in families where help was later used as leverage, obligation, or control. In these cases, refusing help becomes a way of staying safe.
As adults, this can result in a pattern of hyper-independence. People may appear successful, competent, and self-sufficient, yet feel internally unsupported. They may offer care readily to others while struggling to receive it themselves. Relationships can exist, but often in an unbalanced way, where emotional vulnerability is limited and reliance flows in only one direction.
For some, family is not a viable source of support in adulthood because maintaining distance was the healthiest option. This can leave a genuine gap where others assume family would normally sit. At the same time, building deep friendships in adult life can be difficult. Modern life often involves frequent moves, busy schedules, and relationships centred around work or activity rather than emotional closeness. As people get older, opportunities for developing deep, mutual support can narrow.
Over time, these factors can reinforce the sense of being alone in the world, even when surrounded by people. The feeling is not necessarily about a lack of contact, but about a lack of safe, dependable emotional connection.
Feeling that you have no one to rely on does not mean you are incapable of connection. It often reflects a history that taught you it was safer not to rely on others. Understanding how this pattern developed is the first step toward gently creating forms of support that feel trustworthy and sustainable rather than threatening or overwhelming.
Depth-based psychological work can help people explore how self-reliance became necessary, and how early experiences shaped beliefs about support, dependence, and safety. Therapy can offer a consistent, relational space where reliance is not demanded or withdrawn, allowing trust to develop gradually. Over time, this supports the internalisation of a secure base, making it possible to experience connection without fear of cost, collapse, or loss of control.
When we grow up, we develop internal templates about who we are, how relationships work, and whether the world is safe or dangerous. These templates shape how we understand ourselves, how we relate to others, and how we navigate uncertainty, closeness, and challenge.
In families where emotional support is available, children learn that feelings are understandable and manageable. When a child is upset, frightened, or overwhelmed, a caregiver helps them calm, reassures them, and makes sense of what they are experiencing. Over time, this teaches the child that emotions can be tolerated, that support is available, and that relationships make the world feel safer rather than more threatening.
When emotional support or a secure base is missing, this learning does not happen in the same way. Children are left to manage feelings they do not yet have the capacity to understand or regulate alone. In some cases, emotional needs are met with distance, criticism, unpredictability, or even harm. In others, support is conditional, offered only when the child behaves in certain ways or meets particular expectations.
As a result, children adapt. They find ways to survive without reliable emotional support. Some learn to become self-sufficient very early, relying on themselves rather than risking disappointment or rejection. Others shape their identity around what feels safest, becoming what others need them to be in order to maintain some form of connection, even if it is limited or unbalanced. Some avoid closeness altogether, deciding it is safer not to need anyone.
These adaptations often bring real strengths. Many people who grew up without a secure base become highly capable, independent, resilient, and resourceful. They may be praised for their strength, admired for their independence, and valued for their reliability. These qualities can be genuinely helpful in adult life, particularly during periods of loss, transition, or when leaving unhealthy relationships.
The difficulty is that survival strategies are not the same as emotional nourishment. Without a way to understand, soothe, and process inner experience, life can begin to feel emotionally thin or lonely, even when it looks successful from the outside. Relationships may exist, but without a felt sense of being supported or held in mind. Independence can quietly become isolation.
Growing up without emotional support does not mean you are broken or incapable of connection. It means you learned to survive in the absence of something essential. As an adult, creating a sense of internal stability and learning how to experience safe, reliable support can transform this pattern, allowing independence to coexist with connection rather than replace it.
Depth-based psychological work can help people understand how early experiences shaped their sense of safety, identity, and connection. Therapy can offer a consistent, emotionally attuned relationship where support is not conditional or withdrawn, allowing new internal templates to form over time. This work supports the gradual development of an internal secure base, making it possible to experience closeness, support, and belonging without losing autonomy or control.
Many people expect life to feel less lonely with age, assuming that experience, maturity, or stability will naturally bring deeper connection. For some, the opposite happens. Loneliness can increase over time, even when life looks full or functional from the outside.
One reason for this is growing independence. As people get older, they often become more self-sufficient, emotionally contained, and capable of managing life alone. While this can be a strength, it can also reduce the likelihood of reaching out, relying on others, or actively creating new sources of support. Over time, independence can quietly become isolation.
Adult life also places real limits on connection. People’s lives become busier and more fragmented. Work demands, caring responsibilities, health issues, and differing life stages make it harder to find shared time. Friendships that once felt easy can become reduced to brief, infrequent contact, not because of lack of care, but because matching availability becomes increasingly difficult.
As people mature emotionally, they often become more aware of the difference between quantity and quality in relationships. Having many acquaintances, colleagues, or activity-based connections may no longer feel fulfilling if there is little emotional depth. Casual or hobby-based friendships can be pleasant and meaningful in their own way, but on their own they do not always meet deeper needs for connection, understanding, and emotional safety. This can heighten awareness of what feels missing.
As people get older, differences in expectations within friendships also become more visible. Some people experience friendship as frequent contact, regular reassurance, and high levels of emotional sharing. Others experience closeness as something that can be held quietly over time, even with long gaps between contact. When these expectations are not named or understood, friendships can drift or break down without either person fully understanding why.
In addition, friendship compatibility matters in the same way that romantic compatibility does. Two people can genuinely like, respect, and value one another, yet find that their emotional needs, communication styles, or capacity for closeness do not align. As people become more psychologically aware, they are often less willing to maintain relationships that feel mismatched or emotionally unsatisfying, even when there is goodwill on both sides. This can reduce the number of friendships over time while increasing the desire for depth and mutuality.
Changes in roles can also contribute. Children grow up and form lives of their own, which is healthy and expected, but it can leave unexpected gaps. Relationships, families, or friendships that once provided a sense of belonging may no longer do so, creating a sense of loss that is not always easy to name.
It is also possible to feel deeply alone while still connected to others. Being in relationships that are emotionally limited, unresponsive, or misaligned can create a particular kind of loneliness, where proximity exists without genuine connection.
Modern life further complicates this. Communities are less stable than they once were. People move more frequently, change jobs, and live further from family and long-standing friendships. Much communication now happens digitally, which can help maintain contact but often lacks the depth and emotional nourishment of face-to-face connection, particularly for those who value presence and shared physical space.
Finally, people often discover more clearly who they are as they get older. Values, needs, and emotional priorities become clearer. This can make it harder to find others who truly resonate at a deeper level, especially when shared hobbies or circumstances are no longer enough to sustain a sense of closeness. The people who feel most aligned may be geographically distant or difficult to integrate into daily life.
Feeling more alone with age does not mean you have failed at relationships. It often reflects increased self-awareness, changing life structures, and a world that makes sustained, meaningful connection harder to maintain. Understanding these factors can reduce self-blame and open up more compassionate ways of approaching connection in later life.
Depth-based psychological work can help people explore how their experience of loneliness has evolved over time, including the impact of independence, changing roles, and mismatched relational expectations. Therapy offers a space to reflect on what kind of connection is genuinely nourishing, how earlier relational patterns influence current friendships, and how to build or deepen connections in ways that feel authentic rather than forced. This work supports a move away from silent loneliness toward more intentional, emotionally meaningful connection.
For people who grew up without a secure base, therapy can feel unfamiliar, uncomfortable, or even unsettling at first. This is not because therapy is wrong for them, but because the kind of relationship therapy offers may be very different from anything they have known.
Many people who were parentified or emotionally unsupported learned early on how to stay safe in relationships by minimising vulnerability and staying in control. In the therapy room, this can show up in subtle ways. Some people focus on the therapist’s needs rather than their own, ask questions instead of answering them, offer praise or reassurance, or present themselves as coping well. These patterns are not manipulative or resistant. They are familiar strategies that once helped maintain safety and connection.
When someone has learned that care is conditional, unpredictable, or comes at a cost, being the focus of attention can feel deeply uncomfortable. Having another person whose role is to be interested in them, to respond consistently, and to hold the relationship steady without needing anything in return can feel alien. Equality in the room can be difficult to tolerate when past relationships required over-responsibility or emotional management of others.
Emotional intimacy can therefore feel risky. Compliments, curiosity, or gentle challenge may trigger discomfort rather than reassurance. Some people instinctively keep emotional distance, retain control, or avoid letting the therapist have influence, not because they do not want help, but because relying on someone else once felt dangerous.
Trust usually develops slowly. People may test the therapist over time, often without realising they are doing so. Is this person consistent? Do they respond as they say they will? Are boundaries held calmly rather than punitively? Is challenge offered without criticism? Does care remain stable even when difficult material is shared? These questions are not signs of resistance. They are signs of a nervous system learning whether it is safe to let go.
For some people, part of this testing involves noticing whether they are allowed to express dissatisfaction or discomfort within the therapeutic relationship itself. They may need to know that they can say when something does not feel right, when they feel misunderstood, or when they are unsure about the process, without the relationship becoming unsafe. This includes noticing whether the therapist can stay open, reflective, and steady in the face of feedback or disagreement, rather than withdrawing, becoming defensive, or shutting things down. For people who had to manage others emotionally while growing up, knowing that difficulty, disagreement, and repair can be handled safely is often essential before deeper trust can develop.
Therapy can therefore feel unfamiliar not because something is wrong with the client, but because the relationship itself is new. Being with someone who is emotionally available, respectful, boundaried, and genuinely focused on their wellbeing may initially feel disorientating. With time, patience, and consistency, this unfamiliarity can soften into trust, allowing deeper work to unfold.
Depth-based psychological work recognises these relational patterns as adaptations rather than problems to be corrected. Therapy can offer a stable, respectful relationship where control does not need to be maintained and vulnerability does not carry the same risks it once did. Over time, this allows people who had to parent themselves to experience what it is like to be met, supported, and held in mind, gradually internalising a secure base that makes emotional intimacy feel safer both inside and outside the therapy room.
Many highly capable and independent adults notice a quiet contradiction. They value connection and may genuinely want closeness, yet when it comes to relying on someone emotionally, practically, or financially, something tightens. They default to handling things alone, even when support is available.
This pattern rarely reflects a lack of desire for connection. More often, it reflects early relational templates. If dependence once felt unsafe, unreliable, or met with disappointment, it can feel more predictable to rely on oneself. When caregivers were inconsistent, emotionally unavailable, overwhelmed, or critical, children often learn that self-sufficiency is safer than vulnerability.
In some families, independence is actively praised. Being “strong”, “mature”, or “no trouble” may have been rewarded. Over time, this can shape identity. Self-reliance becomes a point of pride and a marker of competence. However, the cost is that receiving care, asking for help, or leaning on others may feel uncomfortable or even exposing.
Struggling to rely on others can also be linked to trust. If earlier experiences taught you that support might be withdrawn, minimised, or used against you, the internal system may stay vigilant. Even in stable adult relationships, there can be an underlying expectation that it is safer not to need too much.
This does not mean someone is incapable of closeness. Often, it means they learned early that survival depended on managing alone. The difficulty arises when that once-adaptive strategy continues long after the original context has passed, limiting the depth of connection available in adult life.
Depth-based psychological work offers a space to explore how these patterns developed and how they continue to operate. Rather than forcing dependency, therapy focuses on building internal safety and gradually expanding the capacity to both offer and receive support. Over time, it becomes possible to hold onto independence while also allowing appropriate reliance and mutual care.
If these reflections resonate and you would like to explore working together, you are welcome to arrange an initial consultation below.
© Dr Kerri Garbutt – Consultant Psychologist
Providing evidence-based therapy, counselling, coaching, and supervision for adults online across the UK and internationally, with roots in Wakefield, West Yorkshire, and Northern England.
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