People-Pleasing as Pathology

Janet Coburn
3 min readJan 14, 2024

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There are two schools of thought about people-pleasing. One is that it’s a good thing, that we should try to please other people. The other is that it’s a bad thing, a symptom of some psychological difficulty. Both theories have something to support them.

There’s an innate desire in most of us to be pleasant to the people we interact with. It reduces social friction and generally makes the world a more pleasant place. Pleasing people we have a close connection to is a way of expressing friendship and love. From that point of view, it’s hard to see how pleasing people could be a bad thing.

When people-pleasing goes bad, however, is when the desire to please others is not done from harmless or beneficial motives, but from pathology. The motives make a difference. And people who suffer from bipolar disorder often have tendencies that can result in unhealthy people-pleasing.

The first hazardous motivation is the desire for outside validation. It’s true that everyone needs validation from someone else at times. When my mother was taking care of my father during his final illness, she knew she was doing a good job. But she needed to hear it from someone else — me. I don’t think that was pathological at all. She was doing something very difficult and emotionally draining. It was just the two of them most days, and my dad, while appreciative, was part of their two-person system. Mom needed to hear someone outside say it.

But when you are empty inside and have no inner validation, you can need external validation all the time. And one of the ways you can get that is to always be accommodating. You provide for someone else’s needs to the exclusion of your own. While you’re filling up someone else’s reservoirs, you’re letting your own go dry. And that’s detrimental to your mental health.

Another motivation for people-pleasing is to avoid conflict and stress. Catering to someone else’s needs to keep things on an even keel is dangerous. A healthy relationship goes both ways, with both people trying to please the other. If you’re afraid that a dire situation will arise if you’re not perpetually accommodating, there’s a good chance that the relationship is abusive. People-pleasing in order to avoid physical or psychological damage to yourself is a big problem.

Low self-esteem can also cause a person to fall into excessive people-pleasing. You think that your only value lies in making other people happy. Of course, low self-esteem is not exclusively a bipolar trait. Depression, adverse childhood experiences, trauma, perfectionism, and cultural or societal expectations can also result in low self-esteem. But trying to build yourself up by being subservient is not the way to go.

Potential rejection can lead to a fear of not fitting in. People-pleasing in these cases is meant to ingratiate oneself with the in-group. The stereotypical new employee can “suck up” to people in higher positions or existing cliques to make others more likely to let them into important business or social circles. Bringing donuts, taking on extra assignments, and picking up the check at lunch are not in and of themselves bad things. But establishing a pattern of this kind of behavior is overkill — excessive people-pleasing in hopes of getting a reward.

One significant danger of people-pleasing is disappearing in a relationship. One person becomes the dominant partner and the other one is in the position of serving that person. Even people outside the relationship may notice the unhealthy dynamic. They may view the people-pleaser as an appendage and the dominant person as the center of the relationship.

Although the stereotype is that women are people-pleasers, either gender can have that role. Intimate relationships of any kind can be plagued with the problem, and other groups of people such as coworkers can contain one or more people-pleasers as well.

What’s the opposite of people-pleasing? People-helping that goes both ways. Reciprocal interactions that benefit both people are to be preferred. They keep a relationship in balance and lessen the possibility of one person, whether bipolar or neurotypical, disappearing.

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Janet Coburn
Janet Coburn

Written by Janet Coburn

Author of Bipolar Me and Bipolar Us, Janet Coburn is a writer, editor, and blogger at butidigress.blog and bipolarme.blog.

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