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Lara Kennerly, PsyD

People Pleasing Therapy in Sacramento and Across California
Therapy for People Pleasing, Difficulty Setting Boundaries, Insecure Attachment, and the Exhaustion of Always Putting Others First
Saying yes feels easier than disappointing someone. Keeping the peace feels safer than conflict. But over time, putting everyone else first and working over-time to keep other people happy, leaves very little room for your own needs. Dr. Lara Kennerly, PsyD, provides People Pleasing therapy in Sacramento and online across California.
What Is People Pleasing?
People pleasing is a pattern of consistently prioritizing the needs, expectations, or approval of others while ignoring or minimizing your own. It often involves difficulty setting boundaries, fear of disappointing people, avoiding conflict, or feeling responsible for how others feel.
It might look like staying late at work because you do not want your manager to think you are not committed. Or agreeing to plans you do not actually want to go to because canceling feels selfish. Or spending an entire conversation focused on making the other person feel good while never once saying what’s actually on your mind.
Seeking approval and validation from others is a hallmark trait of a people-pleaser. They want assurance that they matter to the people around them. They don’t look for validation from within; they seek it everywhere else. They want to be recognized and accepted by everyone. Often, they do not even recognize how they feel. If they don’t please others, they worry about being disapproved of and dismissed.
On the surface, people pleasing can look like being thoughtful, dependable, caring, or easygoing. But it often arises out of a need to manage anxiety about others' reactions or disapproval. Relationships are maintained through compliance, and by avoiding anger and arguments. Keeping others happy is the goal, and conflict or friction signal a threat to this goal. They experience disapproval or disagreement as a threat to their wellbeing and frequently alter their inner world to align with and reach for strategies that reduce any friction fast: agree, appease, over-function, minimize needs, and avoid conflict. While this may not always be problematic, it becomes significant when it leads to losing touch with a stable self-identity and reliance on others to define who you are.
Most people who do this do not think of themselves as people pleasers. They think of themselves as easy to get along with, wanting to be well-liked, feel needed, feel appreciated, and feel useful. The pattern of putting aside their own needs to accommodate everyone else's often goes unnoticed until it starts feeling very hard to keep up. Because the cost isn’t just time or energy; it’s the slow erosion of one's own needs, sense of self, and self-worth that happens when your default strategy is to prioritize the needs of others first.
Over time, people pleasing can lead individuals to feel anxious, resentful, or disconnected from themselves because they are constantly focused on keeping others comfortable. People pleasing often produces a slow build of resentment and depletion because you’re consistently overriding internal signals—hunger, fatigue, frustration, desire—while trying to remain “pleasant.” It can lead to bottling up anger and built-up resentment from feeling taken advantage of, or of being taken for granted. People‐pleasing can also be linked to feelings of solitude and loneliness, as individuals may suppress their authentic selves in favor of accommodating others, leading to shallow or unsatisfying social connections, and contributing to feelings of emptiness and dissatisfaction.
Common Signs of People Pleasing
People pleasing does not always look the same for everyone, but there are some patterns that tend to show up consistently.
You may notice patterns like:
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Rarely saying "no," and difficulty saying no without guilt
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Feeling anxious when someone seems upset with you
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Avoiding conflict even when something feels important to address
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Often overcommiting to plans, responsibilities, or projects, then struggling with burnout
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Feeling responsible for managing other people’s emotions
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Constantly second-guessing your decisions
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Having resentment about feeling taken advantage of or taken for granted
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Struggling to identify your own needs, opinions, or preferences
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Feeling guilty for resting, slowing down, or prioritizing yourself
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Setting and holding boundaries feel like a relationship risk instead of a relationship skill.
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Seeking approval and validation from others
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Taking the blame when not at fault, and making excuses for the faults of others
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Having self-worth that is tied to what you do for others
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Agreeing to do things you may not want to
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Apologizing excessively to others or for things that aren’t your fault
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Rarely expressing criticism or disagreeing with others
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Avoiding advocating for your own needs, like saying you are fine when you are not
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Going along with things you aren’t happy about to avoid creating friction
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Pressure to be friendly, nice, or cheerful at all times
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Replaying conversations or creating fake scenarios in your head.
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Fearing being disliked, disappointing others, having conflict, or being rejected.
Many people-pleasers are unaware of what they are doing; often, they don’t even know what they want or what their own needs are, making it difficult for them to put themselves first. Many people spend years functioning this way before realizing how much emotional energy it takes to constantly monitor other people’s reactions, expectations, and approval.


People Pleasing and Healthy Boundaries
Individuals who are People Pleasers typically do not have Healthy Boundaries with other people in their life. Boundaries are the lines we draw during interactions with others that express what we’re okay with and what we reject. They are the building blocks of a healthy relationship, their sole purpose the creation of an environment that fosters individual growth, open communication, and mutual respect. A person with healthy boundaries can say “no” to others when they want to, but they’re also comfortable opening themselves to intimacy and close relationships.
Boundaries help determine what is and is not okay in a relationship– whether that be with friends, partners, co-workers, bosses, or family members. Ideally, we put them in place to protect our well-being. They help us to build trust, safety, and respect in relationships. Common boundaries include emotional, physical, sexual, intellectual, and financial.
People Pleasers struggle with setting and holding healthy boundaries. Healthy Boundaries include the following:
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Communicating limits and expectations
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Not agreeing to things just to please others
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Adjusting boundaries based on the situation
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Risking discomfort if it serves a higher need
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Using values to guide boundary decisions
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Paying attention to strong emotions
If you’re constantly feeling like you’re giving without receiving anything in return, that your life is on the back burner, lyou feel pushed into uncomfortable situations or actions despite expressed discomfort, or feel uncomfortable or guilty about setting your boundaries, these are signs that you have not established healthy boundaries and which is contributing to your People Pleasing patterns.

How People Pleasing Develops
People pleasing typically develops early in life. When a child grows up in an environment where keeping others happy felt necessary for connection, approval, or emotional safety, they learn to prioritize others' needs as a way of staying secure in their relationships. If expressing needs, disagreeing, or setting limits led to conflict, withdrawal, or disapproval, staying agreeable becomes the safer choice.
A lot of people-pleasing starts as a rational adaptation to a childhood environment where affection, attention, or peace was conditional. If caregivers were overly critical, emotionally inconsistent, or simply overwhelmed, a child can learn the strategy of compliance and minimizing their own needs to earn safety. The child learns to become a high performer in emotional risk management—tracking moods, anticipating needs, and becoming “low maintenance.” Over time that response becomes automatic, and begins to feel less like a strategy, and more like just part of who they are.
As an adult this shows up as chronic over-functioning: they become the person who handles everything, smooths everything, fixes everything, then wonders why they feel emotional exhaustion and emotional numbness. Guilt can also play a specific role, in that many people pleasers have a guilt reflex that fires the moment they consider their own preferences, as if wanting something is already selfish. So they default to self-sacrifice, then pay for it later with resentment, fatigue, or over apologizing when they finally can’t keep up.
If you struggle with people pleasing, it is not a personality flaw or a sign that something is wrong with you. This pattern developed for a reason. The way you learned to relate to others made sense given what you experienced.
Therapy can help you better understand these patterns and begin building relationships that do not require constantly ignoring your own needs.
People Pleasing & Insecure-Anxious Attachment
As humans, over the lifespan, the need for connection with others is a primary need, and shapes our neural architecture, our responses to stress, our everyday emotional lives, and forms the basis for how we view ourselves, others, and the world in general. Attachment theory is a model of socio-emotional development in which how a child interacts with their environment in their early years – and specifically the caregiver-child bond – affects a child’s emotional health and development, and which has a lasting impact on into adulthood on how the individual views themselves and how they relate to others. This lasting impact influences their ability to develop lasting meaningful connections with other people throughout their lives, defined as “Attachment.”
Individuals who have healthy experiences in childhood of being cared for, supported, and protected by dependable parental figures, a secure connection (with parent) is formed, and based on their experiences develop healthy abilities to connect with others, which is referred to as “Secure Attachment Style.” Individuals who grow up in environments without dependable parental figures, where caregivers were inconsistent, emotionally unavailable, overly critical, or rejecting, they were not able to form a secure connection with a parent. This experience inhibits their ability to form healthy connections with others later in life and results in an “Insecure Attachment Style,” characterized by difficulty trusting others, fear of intimacy, and anxiety over abandonment. It typically manifests in one of three primary ways in adulthood: Anxious-Preoccupied, Avoidant-Dismissive, and Disorganized (Fearful-Avoidant).
Fear of abandonment or rejection in relationships is the driving force behind the thoughts and actions of an adult with the Anxious Attachment Style. This fear results in a hypersensitive nervous system, resulting in an overactivation of emotions, as well as hypervigilance for something going wrong – especially in relationships.
In addition to these traits, the following are also signs of anxious attachment in adults:
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Emotional dysregulation, such as explosions of anger when detecting threats to proximity of loved ones
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Catastrophic thinking, such as picturing things going very wrong, very easily
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A positive view of others, but a negative self-view
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Putting great effort into relationships, often to the extent of self-sacrifice
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Immense difficulty with receiving criticism and rejection
People Pleasing is typically seen in Anxious Attachment, which often produces behaviors aimed at maintaining closeness—frequent reassurance-seeking, hypersensitivity to tone, and fear-driven repair attempts. The more uncertain the attachment bond feels, the more the person tries to secure it through performance: being agreeable, being available, being indispensable. This is one way people pleasing becomes less about generosity and more about attachment maintenance.

People pleasing patterns can be hard to change on your own, especially when they have been present for much of your life. These patterns can affect anyone, but are often common among caregivers, professionals, highly responsible individuals, people who grew up in difficult or unpredictable home environments, and those who struggle to prioritize their own needs within relationships.
Although difficult to change, with the right awareness, understanding, and strategies, you can learn to shift how you show up in your relationships and in your life. Research indicates that we cannot move on from the past without first recognizing the impact it has had on our lives. Therapy can help you gain new perspectives by reflecting on your past experiences and processing the emotions associated with your people pleasing patterns.
At Navigating Rough Waters Therapy, Dr. Lara Kennerly provides people pleasing therapy in Sacramento and nearby areas including Natomas, Elk Grove, Roseville, Folsom, Fair Oaks, Carmichael, Granite Bay, Davis, Midtown Sacramento, East Sacramento, Land Park, West Sacramento, and surrounding communities.
Virtual therapy is available throughout California.
People Pleasing Therapy in Sacramento and Nearby Areas

Meet Dr. Lara Kennerly, PsyD
Dr. Lara Kennerly is a licensed psychologist in Sacramento who works with adults struggling with people pleasing patterns, chronic difficulty setting healthy boundaries, and the quiet resentment that builds when saying no feels impossible.
Her approach is Trauma-Informed and Psychodynamic, and Attachment-based, which means therapy goes beyond just learning to say no. The work focuses on understanding where these patterns came from, why they have been so hard to change, learning how to begin showing up in relationships differently.
Dr. Kennerly offers in-person therapy in Sacramento and virtual therapy for adults anywhere in California.
How Therapy for People Pleasing Can Help
People pleasing therapy is not about becoming less caring or suddenly stopping showing up for the people you love. The goal is to help you build relationships that feel healthier, more balanced, and less emotionally draining over time. That starts with self-awareness: noticing where you say yes automatically, where you over-explain, where you rehearse fake scenarios in your head, and where you use over-apologizing to soften your presence. Many people are excellent at reading others but under-trained at reading themselves and disconnected from even paying attention to their own needs and internal experiences.

Understanding Your Patterns
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Identify where your people pleasing patterns came from
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Understand why they have been so hard to change
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Recognize how these patterns show up in your relationships and daily life
Building Boundaries
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Learn to say no without the guilt that usually follows
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Stop over-apologizing for things that are not your responsibility
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Set limits in relationships without fear of losing connection
Reconnecting With Yourself
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Begin identifying what you actually want and need
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Reduce the resentment that builds when you consistently ignore your own needs
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Show up in relationships as a more honest, balanced version of yourself
Online Therapy for People Pleasing in California
Online therapy makes it easier to get support on your own schedule, from wherever you are most comfortable. For individuals who struggle with People Pleasing, thinking about putting your own needs ahead of others in order to receive care and all the considerations involved in arranging coverage and time spent traveling back and forth to a regular therapy appointment, can feel overwhelming and uncomfortable. Virtual therapy makes that hurdle slightly easier to overcome, as 50 minutes out of your day is JUST 50 minutes.
Dr. Lara Kennerly offers online therapy for people pleasing throughout California. Online therapy is available for adults throughout California, including Los Angeles, San Diego, San Francisco, Oakland, San Jose, Santa Barbara, Long Beach, Irvine, Pasadena, and communities throughout the state.


Frequently asked questions
You Do Not Have to Be Responsible for Everyone
It is possible to care deeply about others without constantly abandoning yourself in the process. Therapy can help you begin recognizing your own needs with less guilt, fear, or pressure to keep everyone else comfortable.
Free consultations are available with no commitment required.
