In a city like New York, people are used to moving quickly, managing complexity, and holding themselves together under pressure. Many of my clients arrive in therapy not because something has “fallen apart,” but because holding it all together has quietly become exhausting.

Starting therapy is often described as a brave or empowering step—and it can be. But what’s less often discussed is how uncertain, awkward, or emotionally disorienting it can feel at first. Especially in NYC, where competence and self-sufficiency are cultural currencies, beginning therapy can stir up doubts you didn’t expect.

If you’re considering therapy and wondering whether what you’re feeling is “normal,” you’re not alone. Here are some realities of starting therapy that many people don’t talk about—and why none of them mean you’re doing it wrong.

You Don’t Need a Clear Narrative to Begin

Many people assume they should start therapy only once they can clearly explain what’s wrong. In reality, it’s far more common to arrive with a vague sense of unease:

• Something feels off

• I’m functioning, but I’m not okay

• I can’t articulate it—I just know I need support

In the first sessions, you might struggle to organize your thoughts or worry that you’re being incoherent. This isn’t a failure of insight—it’s a sign that you’re finally slowing down enough to notice what’s been operating in the background.

Therapy is not a performance. You don’t need the right words. Part of the work is finding the language together.

Therapy Can Feel Exposing Before It Feels Supportive

Opening up to someone you don’t yet know can feel strangely intimate. You may notice yourself feeling guarded, overly polite, or emotionally flat. Others feel unexpectedly vulnerable or self-conscious.

This is especially true for people who are:

• Highly capable or high-achieving

• Used to being the “strong one”

• Accustomed to managing emotions privately

None of this means therapy isn’t working. It means your nervous system is adjusting to a new kind of relational space—one where you don’t have to manage, impress, or hold everything together.

We’ve all been there—agreeing to something (again) that we knew wasn’t right for us. Now we’re stuck, overwhelmed, and resentful. How many times do we need to abandon our own needs, ignore that quiet inner voice, or sideline our authentic self before we realize it’s a pattern? The truth is, it often takes hitting that emotional breaking point—getting truly fed up with ourselves—before we’re ready to stop people-pleasing and start exploring why we keep putting ourselves last.

The issue of people-pleasing is one of the most common reasons people seek therapy. It’s more than just a habit—it’s often a deeply ingrained survival strategy, shaped by early experiences and reinforced over time. Because of this, it can feel almost hard-wired into your nervous system, which is why it’s so resistant to change through willpower alone.

If you frequently find yourself prioritizing other people’s comfort over your own, saying yes when you genuinely want to say no, or shrinking your needs to avoid conflict, you’re not just being “too nice”—you’re likely caught in a long-standing pattern that once kept you safe, but now keeps you stuck.

Therapy offers a space to explore where that pattern began, why it persists, and—most importantly—how to begin choosing yourself without guilt or fear.

People-pleasing isn’t just about being nice or agreeable. It’s often a survival strategy shaped by early life experiences, where maintaining harmony and avoiding conflict became essential to feeling safe, loved, or accepted. What may have once protected you has now become an exhausting, self-erasing habit.

At Holistic Psychotherapy, EMDR, and Wellness NY, I specialize in helping clients untangle these patterns—so you can stop living for others and start living for yourself.