Chronic Willpower: The Cost of Being the Woman Who Always Pushes Through

The curious paradox is that when I accept myself as I am, then I can change.

Carl Rogers

For most of my life, I thought willpower was the answer.

Tired? Push through.

In pain? Push through.

Overwhelmed? Push through.

Running on fumes? Push through harder (and question what my problem is. Everyone else can do it all!)

Our culture practically hands out gold stars for overriding our bodies. We admire grit, determination, hustle, and resilience. We celebrate the people who keep going no matter what.

But what if chronic willpower isn’t a strength?

What if it’s a survival strategy?

And what if the very thing you’ve relied on for decades is now contributing to your exhaustion, burnout, brain fog, chronic symptoms, and sense that your body has become the river overflowing its banks after years of holding everything in?

I am learning that hormones play a major role in mid life. Learn more about hormones and their effects in this past post. Female Hormones: Our Fickle Fairweather Friend

The Problem With “Just Try Harder”

I recently listened to an episode of the  Success Genius podcast⁠ hosted by Neill Williams, a master certified coach. Her podcast focuses on helping ambitious women work with their brains and bodies rather than constantly pushing against them. A message that feels particularly relevant to my own journey with chronic willpower.

Williams suggests willpower is often a withdrawal, not a strategy. It is what we use when we don’t have access to regulation. Instead of listening to the body, we override it. Instead of responding to its signals, we silence them. Instead of resting, we push harder.

At first, this works remarkably well.

You become productive.

Dependable.

Capable.

The person everyone can count on.

The person who somehow manages to keep all the plates spinning.

Until one day the plates start spinning you.

It’s amazing how long you can juggle flaming torches before realizing you are the one on fire.

When Willpower Becomes a Withdrawal

One of the most eye-opening ideas Williams proposes is this:

Willpower is not a strategy. It is a withdrawal.

Using willpower occasionally isn’t a problem.

Life happens. Deadlines happen. Emergencies happen.

Sometimes we need to dig deep and do hard things.

The trouble begins when overriding ourselves becomes our default operating system.

When every day looks like:

I’m exhausted, but I’ll push through.”

I’m overwhelmed, but I’ll push through.”

My body is asking for rest, but I’ll push through.”

A withdrawal isn’t necessarily noticeable at first.

Just like spending a little extra on a credit card doesn’t feel like a crisis.

But eventually the bill arrives.

And like every credit card company, our nervous systems charge interest.

I once heard a doctor describe it this way:

It starts as a whisper. Then it becomes a shout. Then it becomes a scream. If you keep ignoring it, eventually it shuts you down.”

I suspect many women reading this know exactly what that feels like.

Listen to your body when it whispers so you don’t have to hear it scream.

What Happens Physiologically?

Your nervous system is constantly gathering information about whether you’re safe.

When you repeatedly ignore fatigue, stress, grief, overwhelm, pain, or emotional needs, those signals don’t simply disappear.

They get louder.

The body begins turning up the volume in an attempt to get your attention. What started as mild fatigue becomes crushing exhaustion. A little tension becomes chronic pain. Occasional anxiety becomes a constant background hum.

Symptoms are often the falling leaves, not the falling trees. They’re early signs that something needs attention.

The Physiological Cost of Chronic Willpower

It is not stress that kills us, it is our reaction to it.

Hans Selye

We are designed for stress.

Contrary to what social media might have us believe, stress itself is not the enemy.

The stress of giving a presentation.

The stress of learning something new.

The stress of tackling a challenge.

Those are normal.

Healthy even.

The problem is chronic stress without sufficient recovery.

When we continually override our body’s signals and never allow the system to recover, we remain stuck in a state of ongoing activation.

Over time that can contribute to:

  • Elevated cortisol
  • Disrupted sleep
  • Increased emotional reactivity
  • Brain fog and reduced cognitive function
  • Immune system suppression
  • Hormone disruption
  • Burnout
  • Chronic fatigue
  • Increased vulnerability to illness

Many women eventually find themselves working harder than ever and accomplishing less.

Not because they’re lazy.

Not because they’re undisciplined.

Not because they suddenly lost their motivation.

Because their nervous system has been carrying a debt load for years.

I, myself, believed rest was something you earned after finishing everything. Unfortunately, everything is never finished.

Determination Is the Fuel. Regulation Is the Engine.

You cannot solve a problem from the same consciousness that created it.

Albert Einstein

One of the most helpful concepts Williams shared,

Determination is the fuel. Regulation is the engine.

Fuel matters.

But pouring premium gasoline onto a broken engine won’t get you very far.

Many of us have spent years trying to compensate for a dysregulated nervous system by adding more determination.

More discipline. More motivation. More supplements. More planners. More productivity hacks. More caffeine.

At some point the engine needs attention.

Regulation is what allows the nervous system to move between effort and recovery. It is the body’s ability to activate when needed and settle when the challenge has passed. Without regulation, determination eventually becomes expensive fuel burned inefficiently.

Why We Keep Doing It Anyway

Because overriding ourselves works.

At least temporarily.

When we push through exhaustion and finish the project, check off the list, save the day, or meet the deadline, we get a reward.

That reward is often dopamine.

Dopamine isn’t simply the “pleasure chemical.” It’s deeply involved in motivation, anticipation, reward, and learning what behaviors matter. Our brains remember what helped us survive and succeed.

So the pattern becomes:

🏁Ignore body. ➡️ Push harder. ➡️ Get result. ➡️ Receive dopamine hit. ➡️ Repeat. 🔄 😵‍💫 😵

Soon, productivity itself can become a form of self-medication.

The nervous system learns that overriding discomfort equals reward.

No wonder it’s hard to stop.

The Chemical We May Actually Need More Of

While dopamine drives pursuit, serotonin is associated with feelings of contentment, safety, stability, and well-being.

Dopamine is the Labrador chasing the tennis ball.

Serotonin is the golden retriever napping in a sunbeam.

Many chronic willpower users have spent decades chasing the first while starving the second.

We become experts at striving but beginners at simply being.

And that’s where nature has something remarkable to teach us.

The Forest Doesn’t Care About Your To-Do List

One of the reasons forest therapy feels so restorative is that it gently shifts us toward a state of regulation.

No notifications. No deadlines. No performance reviews.

No one asking whether you’ve earned your rest. Whether you’re keeping up. If you’re winning at life or whether your worth is keeping pace with your to-do list. No one asking whether you’ve justified your existence through accomplishment.

The forest would NE-ver. Trees are refreshingly difficult to impress.

And somehow that’s exactly what makes them healing.

In the forest, many people experience what feels like a serotonin bath. 🛁

A quiet sense that everything is okay.

Not perfect. Just okay. Perfectly imperfect.

The more often we experience that state, the more familiar it becomes. Eventually regulation starts feeling less like a vacation and more like home.

A Forest Therapy Practice for Chronic Willpower

If you recognize yourself in this article, try this simple practice.

Step 1: Walk Slowly

Spend 10 to 15 minutes walking without a destination.

Not hiking. Not exercising. Not trying to get your steps.

Simply walk.

Notice colours. Textures. Movement. Bird sounds. Wind. Light.

Whenever your mind starts solving problems, gently return attention to your surroundings.

Step 2: Sit

Find a place to sit for 10 to 20 minutes.

Allow yourself to do absolutely nothing.

No journaling. No podcasts. No meditation app.

Simply sit.

Notice what emerges. At first you may feel restless.

That’s normal.

Many chronic willpower users experience sitting still the same way a Labrador experiences being told not to chase a tennis ball.

Step 3: Listen

Ask yourself:

“What is my body trying to tell me?”

Then resist the urge to answer immediately.

Wait.

The nervous system often speaks in sensations before it speaks in words.

Step 4: Walk Again

Take a slow walk again.

Notice whether anything feels different.

You are not trying to force an answer.

You are creating conditions where answers can arise.

The body always leads us home if we can simply learn to trust sensation and stay with it long enough for it to reveal its wisdom.

Pat Ogden

Going Upstream

There is a somewhat unsettling, but well-known parable about a group of adults standing beside a river.

Suddenly they see a child floating downstream and jump in to save them.

Then another child appears.

And another.

And another.

Everyone becomes frantically occupied rescuing children.

Finally someone leaves.

Where are you going? How could you possibly leave at a time like this?” the others shout.

Upstream,” they reply. “To find out why they’re falling into the river.”

Chronic willpower is often what happens downstream.

Parts of your self are drowning in the river upstream.

Those adults frantically jumping in are your chronic willpower, your nervous system desperately trying to manage the consequences.

But you can go upstream.

You can find the calm your body has been asking for.

You can stop overriding the system long enough to hear what it has been trying to say.

And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom.

Anaïs Nin

My body budget got so far in the red it was basically applying for bankruptcy protection.

Looking back, I wonder how many so-called midlife crises are actually the moment the bill for decades of nervous system debt comes due. The strategies that helped us survive and succeed for years suddenly stop working.

What feels like falling apart may actually be the beginning of a profound transformation. I explored that idea more deeply in Midlife Crisis to Chrysalis.

When you can access a place of peace, something surprising often happens. The answers you’ve been chasing become easier to see. The next step becomes clearer.

Not because you forced it.

Because you finally became quiet enough to hear it.

Sometimes healing isn’t found in pushing harder.

Sometimes it’s found wandering through a lush, green forest, realizing your body wasn’t fighting you all along.

It was actually trying to draw your attention upstream, where the real answers were waiting. Guiding you away from the noise. To a place of stillness. Back to who you were before the push. Your natural self.

Caught in a Battle Between Conventional and Holistic Medicine- A Chronic Sufferer’s Experience

The longer I live with chronic pain, the more convinced I am that modern medicine is excellent at saving lives and often terrible at helping people live them.

That is not an attack on medicine.

I am deeply grateful for surgeons, emergency rooms, diagnostics, imaging, specialists, antibiotics, and every medical professional who dedicates their life to helping people heal. If my arm bone is hanging on by hope and duct tape, I am not reaching for turmeric and positive affirmations. I want a surgeon. Immediately.

My mom shattered her foot in multiple places in a car accident. Her toe was essentially powder. No longer a toe. She needed surgery, pins, screws, and acute medical care. No amount of herbal tea or breath work was going to fix those bones.

Conventional medicine is extraordinary in moments like that.

But chronic illness and chronic pain are often different beasts entirely.

My body failed to coordinate its symptoms in a way convenient for modern medicine.

This is where many patients begin discovering the enormous disconnect between conventional medicine and a more holistic approach to healing.

And by holistic, I do not mean anti-science wellness influencers waving potions around while trying to sell bottled mountain air and enlightenment in the same online bundle.

There is a fine line between integrative medicine and someone trying to sell you powdered optimism for $89.99.

I mean looking at the body as an interconnected system instead of isolated symptoms.

I mean considering nutrition, supplementation, nervous system regulation, sleep, movement, physical therapies, mindfulness, environmental stressors, and individualized treatment options alongside conventional care.

Not instead of medicine.
Alongside it.

Because pain doesn’t stay politely inside one department.

The body cannot always be divided into neat specialties simply because the healthcare system is.

I recently listened to a podcast episode from Untangle: Exploring What it Takes to Be Pain Free featuring Stacey Roberts, and so much of the conversation echoed what I’ve experienced navigating chronic pain myself.

One point especially stood out to me. Roberts referenced pain scientist Lorimer Moseley from the University of Adelaide, discussing how conventional medicine often compartmentalizes the body into isolated systems. The gut, the brain, the joints. When chronic pain rarely behaves that neatly.

Pain spills into everything.

Your nervous system changes.
Your sleep changes.
Your digestion changes.
Your stress response changes.
Your sense of safety changes.

The nervous system remembers suffering long after scans stop showing it.

Pain is real, even when the cause is unclear.

Lorimer Moseley

For years I was bounced between specialists who all told me some variation of, “Everything looks normal.” 👍 👍

Which was excellent news except for the small detail that I was getting worse.

There’s an exhaustion that comes from hearing “everything looks normal” while actively deteriorating.

Every appointment felt a bit like medical speed dating except nobody wanted a second date with my file.

I was essentially told to go back to physio. This wasn’t really a medical issue anymore.

I believe in physiotherapy. Deeply. It has helped me tremendously. But there comes a point where patients stop needing another treatment and start needing someone to ask bigger questions.

Nothing discourages a person quite like enthusiastically trying a stretch or strengthening exercise that immediately makes things worse.

Every specialist confidently searches for answers inside their own department like medical-themed escape rooms.

Somewhere between “try yoga” and “have you considered drinking more water?” I began expanding my own research.

And I’ve lost count of the books and podcasts that begin with the exact same storyline:

“I was trained in conventional medicine. I trusted the system completely… until I became the patient.”

At first, these doctors often dismiss holistic approaches entirely. Patients mention supplements, meditation, dietary changes, nervous system work, or alternative therapies, and the response is cautious at best and dismissive at worst.

Snake oil.
Pseudoscience.
Non-compliance.

But then something shifts.

The doctor develops chronic pain.
An autoimmune condition.
A lingering injury.
Burnout.
A nervous system disorder.

And suddenly certainty cracks open into curiosity.

Chronic pain turns you into a part-time researcher, part-time philosopher, and full-time reluctant detective.

I have spent an unreasonable amount of my adult life trying to determine whether I am injured, inflamed, overtired, under-rested, dehydrated, stressed, or simply existing incorrectly.

Living with chronic pain means constantly performing the world’s least fun science experiment on yourself.

By year three of unexplained symptoms, I could practically earn honorary medical credits.

To be fair, holistic spaces are not immune to problems either. There is misinformation, exploitation, fearmongering, and an endless supply of expensive miracle cures marketed toward vulnerable people desperate to feel better.

Pain makes people easy to manipulate.
Both systems can fail people in different ways.

That’s why I don’t believe the answer is abandoning conventional medicine for holistic healing.

I believe the answer is integration.

An actual partnership.

Healing is bigger than symptom management.

Patients do not need doctors to be omniscient. We need them to be curious.

Surgeons are trained to operate.
Doctors are trained to diagnose and prescribe.
Specialists are trained to identify patterns within their specialty.

We need practitioners who understand both the power and the limitations of their training. And openly work with other practitioners, conventional and holistic, to find a root cause and treatment plan.

This matters enormously to a patient just trying to survive.

The shoe that fits one person pinches another.

Carl Jung

Chronic illness does not always fit neatly inside textbook timelines and diagnostic boxes.

Medicine’s symbol speaks of healing being available. Yet many people with chronic illness spend years moving through appointments feeling like fragmented symptoms instead of whole human beings.

Stacey Roberts described asking chronic pain patients to remember a time before they lived with pain. Then she asks them to imagine themselves in the future doing something that currently hurts. Picking up grandchildren. Bending over. Any repetitive movement, without pain.

And many people simply cannot picture it.

Their bodies have become so conditioned toward pain and protection that even imagining safety feels impossible.

This is your forest therapy practice for this week. Find a quiet place in nature and practice this visualization.

Chronic pain doesn’t only affect muscles and joints. It reshapes expectation. Identity. Fear. Hope.

Roberts discussed using visualization, breathing, mindfulness, and repetition to help retrain the nervous system’s response to pain.

That idea connects to what I’ve experienced through forest therapy and time in nature.

Regulation comes while standing beneath trees while wind moves through their branches overhead. The nervous system seems to recognize something there before the mind does. The movement. The rhythm. The reminder that not everything in the world is bracing for impact.

Healing and pain elimination are not always the same thing.

Chronic pain teaches your nervous system to scan constantly for danger. Nature quietly teaches it another language.

No performance. No productivity. No pressure to fix yourself.

Just space to exist in a body that has spent far too long preparing for the next flare.

You can read more about that experience in my post about forest therapy and nervous system regulation. 🌲 Activating Your Vagus Nerve With Forest Therapy 🌲

I appreciated many of the points Stacey Roberts made in the podcast. But I struggled with the title of her book, The Pain-Free Formula.

Not because I don’t believe improvement is possible. I do.

I absolutely believe there are things we can do to reduce pain, improve quality of life, calm the nervous system, support healing, and function better in our bodies.

But chronic illness eventually teaches many of us something medicine rarely does:

Sometimes the greatest medical harm is making patients feel invisible.

At some point I stopped obsessing over becoming pain free and started focusing on becoming supported.

I decided healing would come in time.
And if not, I would still be okay.

Not because I had given up.
But because I finally realized I had the tools, support, and guidance I needed to endure whatever my condition threw at me.

Ironically, that mindset shift brought me more peace than years spent desperately chasing the next solution.

Sometimes acceptance is more freeing than the absence of pain we searched for so desperately.

I hope Stacey Roberts never fully understands that distinction.

Because for her to truly understand it, she may have to suffer at a depth I would not wish on anyone.

At the end of the podcast, the host asked how she would redesign the healthcare system for chronic pain patients. Roberts discussed the need for more investment into preventative health, nutrition research, nervous system regulation, and understanding why certain non-pharmaceutical interventions help people heal.

And honestly, I think she raised important questions.

Because if someone improves through movement, nutrition, mindfulness, supplementation, therapy, nervous system regulation, or lifestyle change, why should that healing be dismissed simply because it did not originate from a prescription pad?

People in pain do not need to be fixed before they are worthy of compassion.

I do think our healthcare system needs to evolve.

Not because doctors are evil.
Not because science has failed.
Not because medicine lacks value.

Oliver Sacks suggests,

To restore the human subject at the center. The suffering, afflicted, fighting human subject. We must deepen a case history to a narrative.

Patients with chronic illness need practitioners who are comfortable saying:
“I don’t know.”
“Tell me more.”
“I believe you.”
“Let’s keep looking.”

Rachel Naomi Remen said,

The most basic and powerful way to cconnect to another person is to listen.

And William Osler advised:

Listen to your patient; he is telling you the diagnosis.

Listen. Not just for the keywords that trigger familiar treatment pathways. But for the whole story.

For the grief patients carry. For the exhaustion. For the devastation of losing trust in your own body. And for the courage it takes to keep asking for help after years of disappointment.

Healing should never have become a battle between conventional and holistic medicine.

People in pain deserve both.

And if you’ve ever had to redefine what healing or success looks like inside a difficult body, I wrote more about that here as well. You Are a Success Story