How To Stop Being A People Pleaser: Addressing Anxiety & Fostering Mental Health

Medically reviewed by Nikki Ciletti, M.Ed, LPC
Updated March 30th, 2025 by BetterHelp Editorial Team
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It can be important for us to take other people’s feelings, needs, and expectations into account. Considering the needs and desires of family members, friends, coworkers, and others we regularly interact with can be an important part of developing healthy relationships. However, if you’re consistently meeting other people’s needs at the exclusion of your own, you may be engaging in people-pleasing behavior. While people-pleasing might help avoid conflict, it can also lead to significant relational challenges and mental health concerns. Below, we’re providing an overview of people-pleasing behavior, outlining its potential causes, and discussing ways you may be able to stop being a people pleaser. 

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Exhausted from managing the emotions and expectations of others?

What is people-pleasing?

People-pleasing is a pattern of behavior that involves a strong need for external validation and a heightened desire to ensure other people’s needs are met—even if that means not meeting one’s own needs. People-pleasing behavior can manifest in many different ways, from struggling to say no when others ask for favors to avoiding seeking support for oneself. A person may engage in people-pleasing for a variety of reasons, including underlying mental health concerns, past experiences, and personality traits. 

While the desire to sacrifice for or compromise with others can sometimes be beneficial, automatically and consistently doing so can lead to worsening mental health challenges, low self-esteem, and unhealthy relationships. Over time, people-pleasing can make it hard for an individual to pursue their goals and self-actualize. 

Signs of people-pleasing behavior

Identifying people-pleasing can be the first step toward addressing it. Often, those with people-pleasing tendencies don’t realize that they’re engaging in this behavioral pattern. They may be so used to avoiding confrontation or putting others’ needs ahead of their own that it becomes second nature. 

The following are some common signs of people-pleasing behavior:

  • Conflict avoidance, even during important disagreements
  • Difficulty forming a strong self-identity
  • Excessive focus on accommodating other people’s needs
  • Trouble saying no to requests
  • A strong desire for external validation
  • Passive-aggressive behavior
  • Frequent adoption of other people’s opinions, attitudes, or mannerisms
  • Difficulty setting boundaries in relationships
  • Poor self-esteem
  • Over-attentiveness to other people’s feelings

Anxiety, bipolar disorder, upbringing, and other potential sources of people-pleasing 

While people-pleasing itself is not a disorder, it can sometimes be a sign that an individual is living with a mood disorder, anxiety disorder, or other mental health condition. Certain mental health challenges can cause people to fear abandonment, judgment, or embarrassment, which may lead to people-pleasing tendencies. A person’s upbringing or personality traits could also make people pleasing more likely. Read about some of these potential sources below.

Upbringing

Individuals who were frequently judged or criticized as children may put a focus on external validation as they get older. If a person’s parents discouraged them from expressing themselves or voicing their opinion, for example, they may struggle to assert themselves later in life. This behavior can become reinforced over time, as children may learn to connect their value to being well-behaved, quiet, or obedient. 

Additionally, an individual’s upbringing can cause them to develop an insecure attachment style, which may manifest in people-pleasing behavior. Neglect or a lack of approval on the part of caregivers can condition an individual to believe that other people’s emotions are more important than their own. They may then start feeling guilty if they ever prioritize their own feelings or needs. 

Personality traits

There are several different personality characteristics that may contribute to people-pleasing. For example, individuals who are perfectionists may believe that other people have the same high expectations that they have of themselves. This can cause them to go to great lengths to make bosses, friends, partners, or other individuals happy. Additionally, being dependent on others can lead to people-pleasing. An excessive need or desire for support from other people may cause an individual to feel that they must reciprocate frequently. 

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Social anxiety disorder

The fear of judgment or rejection can drive people to prioritize the needs of others. People with social anxiety disorder may go along with situations that they aren’t comfortable with to avoid protracted interactions or judgment. This is an avoidance technique that can be prompted by high levels of nervousness and worry in social situations. 

Bipolar disorder

Individuals with bipolar disorder sometimes experience a strong fear of abandonment during either a manic episode or a depressive episode. During periods of mania, people may struggle with boundaries due to an elevated mood. This may cause them to make promises that they can’t keep or otherwise spread themselves too thin. Alternatively, during a depressive episode, an individual with bipolar disorder may experience poor self-esteem and an overall low mood, which can sometimes contribute to people-pleasing behavior or a lack of energy to speak up for one’s own needs.  

How people-pleasing can leave you feeling exhausted

Having people-pleaser tendencies can impact an individual’s mental and physical health in various ways. First, it can often lead to elevated stress levels, which can cause symptoms ranging from irritability to muscle tension to trouble sleeping, among others. Repeatedly attempting to meet the expectations and needs of others can also be exhausting over time, potentially impacting an individual’s professional, social, and personal life. It often requires being dishonest—both with acquaintances and loved ones, and with oneself—which can cause emotional distress and exhaustion as well. 

Sustained efforts to manage other people’s feelings may drain a person of their mental energy, making it harder to focus. They can also exacerbate any mental health conditions that may be underlying the people-pleasing, such as anxiety. 

Additionally, people-pleasing can lead to strained relationships. Loved ones may begin to notice that the individual frequently tells them what they want to hear or goes along with things despite their true feelings. This may contribute to a lack of trust, one-sided relationships, or codependency. 

How to stop being a people pleaser: tips and strategies

If you struggle with people-pleasing behavior, there are several steps you can take to work on becoming more assertive, focusing on your own needs and your own well-being, and developing a stronger sense of self. Some examples are outlined below.

Establish and enforce boundaries 

Ensuring that other people respect your needs may help you speak up about them more frequently. This may be difficult at first if you—and others—are used to deprioritizing your wants and needs, but persistence and patience can be key. 

When setting boundaries, try to be specific and clear. For example, if a loved one frequently asks to borrow money but has failed to repay you in the past, you may say, “I’ll consider loaning you more money once you’ve paid back the money you borrowed the last few times.” 

Limit interactions that leave you feeling exhausted

If you have the tendencies of a people-pleaser, some individuals may take advantage of your kindness. Are there friends or acquaintances who attempt to make you feel guilty when you set boundaries? Do some people in your life frequently seek support from you but refuse to help you when you ask for it? If so, you might consider devoting less time to those relationships as you work on finding your voice and getting better at setting boundaries. 

Limiting interactions with people who drain your emotional and mental energy can help you focus on personal growth and allow you to express your true self. Additionally, it can free you up to nurture healthy relationships with others. 

Address underlying mental health concerns

Addressing symptoms of anxiety, bipolar disorder, or other conditions may make it easier to implement the above tips. Conditions like these typically require professional treatment to address, so seeking the support of a mental health care provider can be crucial. 

In addition, it can help to develop a healthy self-care routine. Self-care can help you reinforce the notion that you are worthy of compassion and nurturing. It can take many forms; for example, you might get regular massages or treat yourself to a warm bath. You can also practice mindfulness or other forms of meditation, as becoming more aware of your thoughts and feelings can help you stay in touch with your needs. Some other positive self-care practices include exercising regularly, getting plenty of sleep, and maintaining a healthy nutritional plan. 

Addressing people-pleasing behavior in therapy

Recognizing the above signs of people-pleasing in yourself can feel concerning. A therapist can provide you with emotional support and guidance as you work to address people-pleasing tendencies and build healthier relationships. Therapy can be a time for you to focus on your own feelings and needs while prioritizing your mental well-being. 

A therapist may help you identify the potential causes of people-pleasing behaviors. If they detect signs of a diagnosable mental health disorder, they can also provide or suggest treatment. A therapist can connect you with useful resources too, such as exercises geared toward assertive communication. 

How online therapy can help

If you’d like to seek professional support but you don’t have many providers in your area or feel overwhelmed at the prospect of searching for the right fit for you, consider connecting with an online therapist. Online therapy can be a convenient and cost-effective way of addressing the sources of people-pleasing behavior so that you can better advocate for yourself. 

Learning how to stop being a people pleaser in online therapy

With an online therapy platform like BetterHelp, you can get matched with a licensed therapist from a huge team of mental health professionals, which can increase your chances of connecting with someone who can address your specific concerns regarding people-pleasing or related challenges. You can then meet with them remotely from home or anywhere you have an internet connection. Online therapy can also often be more affordable than in-person therapy without insurance.

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Exhausted from managing the emotions and expectations of others?

The effectiveness of online mental health care 

Studies suggest that, in many cases, online therapy may improve symptoms of mental health conditions that can contribute to people-pleasing behaviors. For example, in one randomized controlled trial, researchers suggest that online therapy led to significant reductions in symptoms of social anxiety disorder. The study also notes the ability of online therapy platforms to reduce certain barriers to mental health care, such as geographical limitations or time constraints. 

Takeaway

Having people-pleasing tendencies can seriously impact an individual’s mental health, making it hard for them to attend to their own needs and develop healthy, balanced relationships. If this is a challenge you experience, it can help to set healthy boundaries, learn to advocate for yourself, and address the sources of people-pleasing behavior. For professional support and guidance as you work to stop people pleasing, you might look for a therapist in your area or get matched with one online.
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