Why Setting Healthy Boundaries Can Make You Feel So Guilty—Even When You’re Just Taking Care of Yourself

By Jenny Bilskie-Smith, LCSW | Wise Body Therapy


The Emotional Guilt of Setting Healthy Boundaries

There’s a certain kind of guilt that shows up the moment you try setting healthy boundaries that help you care for yourself.

You say no—and immediately feel mean, like you shouldn’t cut someone off when they need you.
You ask for space—and suddenly feel like you’ve abandoned someone.
You speak your truth—and then wonder if it was too harsh or hurtful.

If you’ve ever felt this way, you’re not alone. As a therapist specializing in relational trauma and boundaries, I see this pattern often. Setting boundaries is hard—not because we’re doing something wrong, but because it forces us to weigh two difficult outcomes:

  • Do I face the pushback, tension, guilt, or possible conflict that may arise in my relationships?

  • Or do I face the quiet pain of not setting the boundary—resentment, exhaustion, self-abandonment, or the feeling of being smothered?

In other words: Will protecting my peace be worth the emotional toll of someone else’s reaction?

This is the emotional tug-of-war that keeps so many of us stuck.

We might avoid the whole thing altogether—pushing our needs aside, not because we don’t matter, but because the stakes feel too high.

This is the messy, nuanced work of boundary-setting.
And while I can’t take away the messiness, I can help you find a clearer path through it.


A 3-Step Path to Setting Healthy Boundaries—Even When It Feels Difficult

Setting Healthy Boundaries

So how do you set a boundary when it brings up guilt, anxiety, or fear of conflict?

Don’t worry—I’m not about to tell you to bulldoze your life in the name of self-care.

This process takes time, practice, and a lot of self-compassion.

Below are three therapist-recommended steps to help you begin setting boundaries more effectively—without needing to have it all figured out.

Hey, by the way—if you’d like small, actionable steps for setting boundaries and staying connected to your body while you do it, join my Softening Sessions Newsletter. Each month, I share somatic practices and reflections that help you build confidence, reduce guilt, and stay grounded as you learn to protect your peace.


Step One: Start With the Body—Just Ask the Question

Before you take action, pause and check in.

Let’s say someone asks something of you. Before responding, drop into your body:

  • Do you feel tension, dread, or a wave of exhaustion?

  • Or do you feel open, calm, maybe even energized?

Now imagine not doing it:

  • Do you feel relief? A lightness in your shoulders?

That’s step one—just noticing.
You don’t have to act yet. Simply reconnect with your body before you begin weighing the consequences of saying no.


Step Two: Practice When the Stakes Are Low

You don’t have to start with your most complicated relationship. In fact, please don’t.

Start with lower-stakes interactions—maybe with a coworker, acquaintance, or friend you feel safe with.
You’re not trying to be perfect—you’re just building the muscle.

Try saying:

  • “That doesn’t work for me right now.”

  • “I’m not available for that.”

  • “I want to stay connected, and I need __ to make that possible.”

These phrases are clear, kind, and direct. You can always follow up later.
The goal is to honor your truth in real time.


Step Three: Work With the Distress That Will Arise

Once you set the boundary, the emotions will come.
Guilt. Anxiety. Tension. Maybe even fear.

Here’s the key: those feelings don’t mean you did something wrong.
They usually mean you did something new—something healthy but unfamiliar.

Expect the guilt. Expect the nervous system flare-up.
Then meet it with care.

Try this:

Place a hand on your heart or belly and say,
“Of course this is hard. I’m doing something new. It will get easier with time.”
or,
“Okay, dang. Good for you! You did it.”

Here’s a quick story from my own life:
I once left a chiropractor’s office after realizing I didn’t want to continue care. When I declined to rebook, guilt flooded in—was I being rude? But then another voice reminded me, “You advocated for yourself. Your time is valuable.” That shift—from guilt to self-respect—matters.

Remind yourself:

Guilt is not the same thing as wrongdoing.
It’s often an old pattern being disrupted.


Boundary or Wall? Knowing the Difference

Before we wrap, let’s clarify something important:

  • A boundary helps you stay in integrity with yourself.

  • A wall helps you shut everything out.

Boundaries invite clarity.
Walls create distance.

Boundaries come from self-respect.
Walls often come from fear.

And yet—when you’re first learning to set boundaries, sometimes walls are necessary. They’re a survival strategy, not a failure.

Over time, the question becomes:

How can I protect my peace without closing my heart?

It’s okay if you swing too far in one direction before finding balance.
You’re not doing it wrong—you’re just learning a new way to care for yourself.

And it’s worth it.


Ready to Strengthen Your Boundaries?

If you’re working through guilt, people-pleasing, or self-abandonment, therapy can help.
Together, we can explore the deeper roots of your patterns and help you build healthy, confident boundaries that feel aligned with who you are.

📍 Offering in person therapy for people in Phoenix, Arizona, and online therapy for clients throughout Arizona.

Want more help with setting boundaries?
Join my Softening Sessions Newsletter—a monthly email designed to bring you deeper into this work. Each issue includes gentle, body-based tools, reflection prompts, and nervous system practices to help you set boundaries with more clarity, compassion, and calm.

If you found this guide on setting healthy boundaries helpful, you might also enjoy:

*This post is intended for educational and informational purposes only. It is not therapy and does not create a therapeutic relationship between you and the author.