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Health: The little word that means so much… How to say ‘no’ to help your mental health

© PASaying no and putting ourselves first is important for our mental health.
Saying no and putting ourselves first is important for our mental health.

Do you find it impossible to say no to things, even at the detriment of your own wellbeing? Or perhaps you always find yourself over-explaining when you’re trying to say no and then feel stressed and guilty?

It’s a common dilemma for many of us. And, say experts, the inability to say no could be deeply rooted in our upbringing, so it can be a hard habit to break.

Of course, a bit of explanation is sometimes necessary. You don’t want to give loved ones the impression you don’t care, and your boss probably won’t be impressed if you miss deadlines without communicating.

But always feeling the pressure to over-explain is another matter – especially if it’s causing stress, and if it means we’re inviting other people to decide whether our reasons are valid enough.

“When we over-explain, we’re often trying to justify that it’s OK to have our own needs,” says life coach Franziska Cecchetti-Pretsch. “And then it’s wanting the acceptance of the other people too – do you see my needs and why I’m doing this? And often they don’t – this is the problem. We’re trying to explain it, but they have their own opinion anyway.”

Allowing “their opinion” more sway than our own might mean we frequently end up doing things we don’t really want, work way too many hours, and let our own self-care and wishes slide to the bottom of the pile. Yep, a fast-track to frustration and resentment, unfulfilling relationships and the risk of burnout.

Taking care of our needs shouldn’t be up for debate – but it can be super tricky territory to get to grips with communicating them.

“We do blame ourselves for not being better able to set boundaries or say no,” says Cecchetti-Pretsch, who has an exercise around this in sessions she runs with clients. “Where they’re trying to say no, but then they switch over to yes, and then they really beat themselves up: ‘It’s my fault I said yes.’ But there are so many hidden dynamics going on that keep us in the plane we’re in.”

Those “hidden dynamics” run deep and often stem from childhood and early relationships. Cecchetti-Pretsch, who has a background in social work and extensive experience around family dynamics, believes much of the “over-explanation of boundaries is rooted in how we grew up”. As children, pleasing our guardians is vital for survival; we instinctively internalise what this means in terms of what’s required of us to stay bonded and safe.

“So, if you think of a child setting boundaries or communicating their needs, first of all, this can be very tricky inside – triggering a sense of fear that we no longer belong,” says Cecchetti-Pretsch. “And unfortunately, as children, we don’t always have adults around us who accept that, or really work with us when we’re setting boundaries as children.”

Therapist Nedra Glover Tawwab – author of Set Boundaries, Find Peace: A Guide To Reclaiming Yourself (Little Brown, £14.99; nedratawwab.com) – agrees patterns learned in childhood are huge. And not only are healthy boundaries often not modelled for us, we may even have been directly denied them: “In some families, boundaries are not allowed – you can’t feel safe having boundaries. Some adults will tell you your opinion doesn’t matter, you’re a child.”

These things are all part of being human and the “norms” society has created. We are continually reinforced with messages that being the best/busiest/most helpful and selfless are “good”, and that’s how we’ll gain approval, love and purpose. It’s when these things override our ability to recognise and honour our own true needs and desires that it becomes a problem.

As Tawwab notes, we can develop “a loyalty to dysfunctional systems, whether that’s family, a job, a friendship. But that loyalty to dysfunction causes lots of anxiety, depression and stress-related issues that boundaries could correct”.

Cecchetti-Pretsch points out we can get “addicted to a certain amount of stress and busyness” too. She explains: “Then if you suddenly have less, you can feel incredibly guilty.”

It can also trigger guilt and discomfort if honouring a boundary threatens your identity in some way. “We bring a whole set of things we’ve learned, patterns we’re unconsciously following,” says Cecchetti-Pretsch. The “helper” identity is a big one. If you’re somebody who identifies as always helping other people and always giving, if you then say no, you can feel incredibly wrong.”

Over-explaining might also be a sign we’re leaving it too late before expressing our needs. Burnout is preventable – but only if we take steps to prevent it. What if we tried just saying: “I’m at capacity right now,” or “I really need to rest…I’ll catch up with you next week,’ or “Thanks so much but this one’s a no from me!” It’s important to be aware of our reactions when we’re on the receiving end too – and hear and accept when other people are saying no to us.

The more you practise, the easier it gets, says Tawwa. She explains: “The first time you play tennis is going to feel awkward, until you continue and get the hang of it – it’s the same with boundaries. The more you practise, the better you become, the easier it gets.”

Cecchetti-Pretsch suggests starting with situations and people where you feel more comfortable. “I call it the ‘boundary muscle’ – you’re starting easy. Hopefully you’ll have a better reaction from these people, and then you’ll learn to trust yourself more, so it’s really building that muscle.”

She adds: “Look at your own self-care and what’s keeping you from taking yourself more seriously and tending to your needs and your inner dialogue. When someone triggers you, what’s coming up in your head? Are you going into, ‘Oh my God, I’m doing something wrong’, is guilt coming up, are you blaming yourself?

“Often, it’s our internal dialogue that keeps us trapped.”

And while you may get some push back, being healthier and happier is ultimately good for all of us – and, by giving ourselves permission to honour our needs, we’re giving others a green light too.