Amy Morrison

What’s Wrong With Being a People Pleaser?

By Amy Morrison PA-C and medical director of Morrison Clinic.

People pleasers feel more important and feel good about themselves through the act of taking care of others.  However the people they often take care of tend to manipulate and misuse them and offer them little care in return.  While People Pleasers show love and affection by taking care of others, they find it hard to set healthy boundaries.  They often over extend themselves.  They begin to feel resentful that no one is meeting their needs.

People Pleasers spend so much time and effort in taking care of others.  Unfortunately, they often do not establish good social support for themselves.  They also find it hard to give up control and let other people take care of them.  While taking care of others in noble and rewarding, it can also be toxic and unhealthy.  If other people are using shame and false guilt in order to get their way, then you need to consider making some changes.

Learning how to be assertive is very important in stopping the toxic cycle of giving too much and owning other people’s emotions.  I recommend working with a counselor in order to best learn about healthy boundaries.  You will also want to to learn assertiveness in your unique relationships.  This article is a quick primer on assertiveness that I have broken down into 3 steps.

Step 1: Stop owning other people’s emotions

It is very important to recognize and understand that other people can express a wide range of emotions.  They might claim that these emotions are a result of your behavior.  However it is very rare that you should take any ownership of their feelings.   I previously wrote an article titled“Do You Have a Guilty Conscience”. This article touches upon feelings of “false guilt” that occur when you own someone else’s negative emotions.   If you haven’t read it take a quick 5 minutes to read through it.  My rule of thumb about owning other people’s emotions is quite straight forward.  The only time you should feel guilty is when you intentionally behaved in a manner that you knew would cause  either physical or emotional harm to another person.    If your actions were not intended to inflict harm then don’t defend yourself.  Don’t justify your choices or decisions.

It is also important that your own emotions are not affected by  other person’s reactions to your behavior.  You must learn how to stay emotionally neutral with conflict.  Once you have mastered this  concept it will be much easier for you to set  emotionally healthy boundaries.

Keep in mind this does not mean that you can act inappropriately and get away with it.  When you have behaved poorly you should own it.   However if your behavior was not bad and another person is upset with you then you should not justify your actions.  An appropriate apology would be “I am sorry that you feel (fill in the blank), but it was not my intention to make you feel that way.”  In this way you can empathize with another person’s feelings without taking ownership.

Step 2: Embrace the adage that you teach people how to treat you based on what behaviors you accept.

If you allow people to behave poorly then they will continue to behave poorly.  If you do not accept bad behavior then one of 3 things will likely happen.  The person will either  learn to stop behaving that way, they will behave that way with other people but not with you, they will behave poorly in a different way, or they will chose to no longer interact with you.   Hopefully  the person learns to stop the bad behavior.  However, be weary of anyone who continues to act poorly with other people or who acts out against you in a different way.  These are red flags that they are not an emotionally healthy person.

Step 3: Determine what behavior, words, and actions are acceptable to you.

This of course will take some time.  As you have conflicts with other people start to make notes about what behaviors are not acceptable to you.  Take some time to reflect on what short phrases you could use in those circumstances.  You want to be able to quickly  nip the behavior in the bud with just a few words.  Practice what you will say.  You want to be able to deliver your responses with a pleasant look on your face and a neutral tone of voice.  You can practice by looking into the mirror, role playing with another person, or even pretending that the person you want to say this to is sitting in the empty chair in front of you.   Whatever method you chose it is important to practice and practice and practice some more.  It is important that you feel comfortable and confident when the time comes that you need to be assertive.


Learning how to be assertive is very important skill that you should take the time to master.  It will benefit you at work with co-workers, employees, and your boss, at home with your children and spouse, and socially with your friends.  At first you will notice that people don’t like that you changed the rules of interaction.  Be patient because  you will get some push back.  However it is very important to continue to be assertive.  Do not become emotional and hold your ground.  Consequently, you will notice a decrease in conflicts as the people in your life start to learn what behaviors you will accept.  You will also find that your resentment towards others will start to dissipate.   As you become more assertive,  your  needs will be better met and your relationships will become more fulfilling to you.

If you would like to do more work on your own then I recommend the following literature:

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Do you have a guilty conscience?

By Amy Morrison Psychiatric PA and Medical Director at the Morrison Clinic



Are you plagued by feelings of guilt?  Does your stomach churn when someone is upset with you?  Do you seek excessive reassurance from others?  Do you avoid conflict whenever possible?   When conflict is unavoidable do you find yourself  consumed by distress until a resolution has been found?     If you answered yes to any of these questions then you maybe suffering from false guilt.  

False Guilt

False guilt is pretty self explanatory.  It happens when you feel inappropriate guilt and typically occurs in people who were shamed in their past.  Not everyone reacts the same way to being shamed.  However people who suffer from false guilt tend to be people pleasers who do not cope well when other people are upset with them .   By pleasing the person who shamed them, People Pleasers found a path of least resistance that led to less conflicts.  However,  this unhealthy dynamic leaves them vulnerable to excessive feelings of guilt and shame.  In fact they often tend to find themselves in  relationships with people who are Shamers.  


Shamers are people who manipulate others.  They do this  by casting their emotions and expectations onto another person or by shaming others in order to get the result they want.     Shamers do not stay in relationships with emotionally healthy people for very long because their bad behavior is not tolerated.  Instead Shamers tend to gravitate toward People Pleasers who avoid conflict.  People Pleasers do not set good boundaries and  own other people’s emotions and disappointments.    As a People Pleaser they look for ways to justify other people’s actions and like a bad habit, they too easily accept bad behavior.    

People Pleasers

So to all of those People Pleasers out there I have an easy rule of thumb to remember when it comes to feeling guilty.  The only time you should feel guilty is when you intentionally behaved in a manner that you knew would cause  either physical or emotional harm to that person.  In that circumstance you should own your bad behavior’s effect on another person.  You should not only apologize, but do your best to determine how you can repair the damage you caused.  However on the flip side you should not feel guilty if someone is physically or emotionally harmed by your actions if you did not intend for them to suffer pain.  You can express empathy for their suffering.   However you do not own their feelings and you do not feel guilty for your actions.  


I hope this simple rule of thumb can help you more easily determine when you should feel guilt.  By being able to draw a line on when you should feel guilty, you will find it easier to keep healthy emotional boundaries.  Healthy emotional boundaries will lead to less conflicts with friends, families, and co-workers.    Imagine how much healthier your relationships with other people can become if you learn how to stop owning other people’s emotions.   You can finally let go of the guilt  and shame that plagues you.  If you want to work on this more on your own you should consider taking steps to heal from the shame of your past.  I would recommend working with a licensed therapist and I also highly recommend this book:


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ADHD in Adults: An Expert’s Explanation

Adult ADHD Amy MorrisonWhat is ADHD?

The prefrontal cortex , located right behind your forehead, does not function well when you have ADHD.  You can think of it as your filter.   It filters out stimulus in your environment so that you can focus on one thing at time.  For people that don’t have ADHD this part of the brain filters out background noise so that they can focus on the most important task at hand.   The “background noise” it filters could be actual noises but could also be things that cross their line of vision or even their own thoughts.    It basically helps filter out distractions.

How is the ADHD Attention Span Different?

However the prefrontal cortex does not work well in people with ADHD.  This leaves them incapable of  CONSISTENTLY filtering out background noise.   They are able to focus on one thing at a time IF interesting and grabs their attention.  When that is the case their focus becomes impenetrable and they enter into a state called hyper-focusing.   They can spend extended periods of time “in the zone” and hours pass and it feels like minutes.  When in this state they filter out background noise so well they will not hear their name being called or notice obvious changes in their environment.

When do People with ADHD Find it Hard to Focus?

The ADHD attention span is like a light switch.  When something grabs the attention of a person with ADHD then the switch is on and they can hyper focus.    However it is the exact opposite of this when they are trying to focus on a boring or mundane task.   In that case the switch is off.   It is like pulling teeth to pay attention.  Their brains are running rapid and are unable to filter out the background noise.  So while they are trying to focus on reading a paragraph of a boring book they pick up on the noises around them, shiny objects and their own random thoughts serve as an additional source of distraction.   

Why do People with ADHD Find it Hard to Listen Well?

People with ADHD struggle to absorb boring and mundane things that people say.  If information is not presented in a way that GRABS their attention then their prefrontal cortex won’t be able to filter out the background noise.   The example I give patients in my office is to pretend that I am very boring.     (This takes some pretending because I have such a dynamic and captivating personality.)   I ask them if  they have struggled to filter out the “background noise” during our conversation.   They aren’t always sure so I ask them if any of the following distracted them: the cars driving by, the pictures of my two beautiful kids, the noise of the A/C unit, their own random thoughts, the shiny lamp in the corner, etc.   Their eyes get big and they all say “YES!!”

Why do People with ADHD Find it Hard to Sustain Attention for a Decent Period of Time?

Take my patient who was trying to listen to me.  In that short period of time she had to try to push out many intruders that comprised her attention span.   There was the noise of the A/C unit, the visual stimulus of cars driving by, pictures, shiny objects, and of course her own random thoughts.  Anyone that has to actively try to ignore that much stimulus is going to miss the details of the task at hand.  When trying to read a book she will find herself  re-reading the same paragraph many times.   Consider her conversations with her loved ones and how her wandering mind means she leaves the conversation without really remembering what was said.   Imagine the difficulty she will have paying attention in a boring meeting or a classroom lecture.  In all of these situations she will feel frustrated and mentally exhausted as she tries to filter out the background noise to focus on what is being said.

Why do People with ADHD Procrastinate?

People with ADHD tend to avoid mundane tasks.   The extra mental effort it takes to filter out background noise is exhausting, frustrating, and utterly uncomfortable.   The longer they put off the task the more stressed they become and then reach a magical place called “crunch time”.   Crunch time is the one of the few ways a person with ADHD can focus on a mundane task.   The heat of a looming deadline flips the switch on their filter.  In a short period of time they churn out a tremendous amount of work.   They can whip out a paper, cram for a test, or finish a project with results that are nothing short of amazing.   However, the emotional toll of the anxiety this produces is destructive for both the patient and the people around them. 


I hope this article helps you better understand the neurological cause behind the symptoms of ADHD.  Stay tuned for more articles on ADHD including the treatment options and the many advantages of ADHD.  If you would like to learn more I highly recommend you visit ADDitude Magazine and CHADD.  I also recommend the book below.

Amy Morrison expert on ADHD in Adults and national ADHD speaker Amy Morrison is an expert speaker on Adult ADHD and is well recognized in the community for treating ADHD in adults.

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The Importance of Therapy in the Treatment of Depression and Anxiety


by Amy Morrison, Medical Director of Psychiatry at the Morrison Clinic in Dallas, TX.


Learning how to cope with stress is a very important part of your recovery from depression and anxiety.   In fact, people who do not suffer from depression and anxiety will have better physical health if they cope with stress well.    Stress is known to play a role in worsening your health.  Therapy teaches you skills that allow you to more effectively cope with stress.

When you feel stressed the cells in your body are breaking down more easily.  Your immune system is responsible for cleaning up the toxins that are released when cells die.  Normally your immune system can keep up with cleaning out these toxins.  However, when stress causes more cells to break down than usual your immune system becomes overloaded.  As a result, your body’s tissues become inflamed as toxins float around in your blood stream and body tissues.

Stress and Your Genetics

As inflammation increases in your body you become less healthy.   This could mean that you get the bug that is spreading through the community.  It also could mean that your body is more likely to start to break down in your genetic problem areas.  If high blood pressure runs in the family then you might start to see your blood pressure rising.  Perhaps your family tree is dominated by diabetes .  In that case, your insulin might become less effective and your blood sugar would start to rise.  What if members in your family are known to struggle with depression and anxiety?  If so, you may find yourself depressed and anxious when you are overwhelmed by stress.  Regardless of your genetics,  it is important for your health to learn to cope with stress.  The good news is that you have many options when it comes to therapy.

Why is Good Emotional Health Important?

In order to live a happy life, you want to become as emotionally healthy as possible.  People who are emotionally healthy do not react as much to the stress and chaos that is part of our everyday life.  They are equipped to tolerate negative and distressing emotions. Emotionally healthy people recognize the importance of negative emotions and how they are vital in allowing you to fully  appreciate positive emotions.     They understand that they must be able to sit through bad emotions like misery and sadness in order to be able to fully connect to true happiness .

How Does Therapy Help?

Most people need the help of an expert in order to improve their emotional health.  Therapy gives you the tools you need to cope with stress.  It also helps you identify if your reactions to stress and conflict are helpful or hurtful to your emotional health.       A good therapist will use many different modalities to help you learn about yourself and how you react to the world around.

Cognitive Behavioral Therapy

You may also want to consider cognitive behavioral therapy (CBT), which helps you recognize unhealthy thought patterns.  When you struggle with depression and anxiety you often times do not recognize how distorted your thoughts have become.   Unhealthy patterns like catastrophizing, self shaming, and predicting the worst outcome can become a bad habit.  Recognizing and fixing these distorted thoughts will help you more effectively cope with stress and conflicts.  Identifying your triggers and problem areas will be helpful as well.

Dialectical Behavioral Therapy

Dialectical behavioral therapy (DBT) teaches you how to cope with uncomfortable emotions.  You learn how to identify stressful triggers and you learn to label your emotions.  You also learn about the importance of mindfulness and how to tolerate negative emotions without becoming distressed.

A Tailor Made Treatment Plan

For these reasons and many others, I highly recommend that my patients  invest an hour a week in therapy with a counselor and spend at least 10-15 minutes each day devoted to improving their emotional health.   I like to take the time to discuss the different therapy options.   Together we create a treatment plan that fits both their medical needs and their lifestyle.

A Combination of Treatment Modalities That Stimulate the Brain in Different Ways

It is my opinion that a combination of different types of therapy is most helpful.  The variety allows patients to stay engaged, but also stimulates different parts of the brain.  Furthermore, exploring different types of therapy allows patients to better determine their learning style.

Individual Therapy

Working with a counselor one on one will help you identify areas of your life where you need help and guidance. A good therapist  helps you decrease negative feelings by teaching you how to cope.  However a good therapist will also push you out of your comfort zone so that you can heal from some of the traumas of your past.  They  should also assign work for you to do on your own.

Group Therapy

Group therapy can be very helpful.   You will learn coping skills and also find social support and acceptance from other people who are also struggling. Groups can be geared towards DBT, addictions, social skills, parenting skills, grief, recovering from trauma, etc.   To find a group that can fit your needs I recommend searching Psychology Today.

Daily self help workbooks:

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I hope you are able to find a path to good emotional health and remember this journey is not one you have to take alone.  Utilize the trained professionals that can help you navigate the confusing mental health system.   Take pride in making your emotional health a priority by seeking guidance from an expert.   But please do not forget that stress does lead to medical illnesses and you may need to see a psychiatrist or psychiatric PA.   Read my article titled: I See a Psychiatrist, Why do I Need a Therapist?   to find out more.

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