The voice in your head insists you should be able to handle holiday stress, family dynamics, and seasonal depression on your own. After all, you’ve built a successful career, solved complex problems, and navigated countless challenges through determination and intelligence. So why does December feel so overwhelming, and why does the idea of seeking help feel like admitting defeat?
Understanding the “I Should Handle This Alone” Trap
This internal dialogue represents one of the most persistent barriers that high-achieving professionals face when dealing with mental health challenges. The same drive and self-reliance that fuel career success can become obstacles when emotional struggles require different kinds of solutions than professional problems.
The “I should be able to handle this” trap operates on several flawed assumptions that feel logical but actually prevent you from getting effective help. The first assumption is that mental health challenges represent personal failures rather than medical conditions that benefit from professional intervention. You wouldn’t expect yourself to perform surgery or design software without proper training, yet somehow emotional regulation during family stress should come naturally.
Dr. Sara Herman sees this pattern frequently in her Menlo Park practice, where many clients are accomplished professionals who’ve achieved remarkable success in their careers. Her Harvard and Columbia medical training, combined with over twelve years of experience with treatment-resistant cases, has shown her how intelligence and achievement can actually intensify mental health struggles rather than resolve them.
How Achievement Culture Intensifies Mental Health Struggles
The perfectionism that drives professional excellence becomes particularly problematic during holidays when success metrics become unclear. How do you optimize family bonding? What’s the KPI for a meaningful Christmas dinner? The absence of clear objectives and measurable outcomes can trigger anxiety in people who rely on achievement frameworks to feel secure.
Silicon Valley culture compounds this issue through its emphasis on optimization, life-hacking, and technological solutions to human problems. The implicit message is that with enough research, planning, and effort, you should be able to solve any challenge. When holiday depression or family anxiety doesn’t respond to productivity techniques, it can feel like personal inadequacy rather than the need for different approaches.
The Shame and Stigma Around Holiday Treatment
The shame around seeking mental health treatment during holidays often intensifies because this “should be” the happiest time of year. If you can’t enjoy family gatherings, feel grateful for your blessings, or maintain holiday cheer, it must mean something is fundamentally wrong with you rather than recognizing that holidays can trigger legitimate mental health challenges.
Research published in academic journals consistently shows that high-achieving individuals often experience more severe mental health symptoms because they delay treatment while trying to solve problems independently. The American Psychiatric Association’s 2024 data revealed that professionals often wait significantly longer to seek help, leading to more intensive interventions being necessary when they finally do reach out.
Why High Achievers Delay Seeking Help
The family dynamics that holidays activate can be particularly challenging for people who’ve built identities around competence and control. Returning to childhood roles, managing difficult relatives, or feeling like family members don’t understand your professional life can trigger old patterns that feel regressive and shameful.
The financial success that comes with professional achievement adds another layer of complexity to the “should be able to handle this” narrative. If you can afford therapy, nice vacations, and comfortable living, why aren’t you happy? The assumption that money should solve emotional problems creates additional guilt when mental health struggles persist despite financial resources.
Three Mindset Shifts for Seeking Support
Three practical mindset shifts you can implement this week include recognizing that seeking professional help for mental health challenges is identical to consulting experts in other areas of your life. You hire financial advisors, fitness trainers, and business consultants because their expertise produces better outcomes than trying to figure everything out alone.
Second, consider that your brain chemistry and family history create mental health challenges that exist independently of your current success or intelligence. Depression, anxiety, and trauma responses have biological components that don’t respond to willpower or strategic thinking any more than diabetes responds to positive thinking.
Third, reframe treatment as performance optimization rather than addressing weakness. High-performing individuals routinely invest in coaching, training, and tools that enhance their capabilities. Mental health treatment represents the same kind of professional development applied to emotional and psychological functioning.
Reframing Treatment as Performance Enhancement
The Internal Family Systems approach that Dr. Herman integrates with ketamine therapy directly addresses the different “parts” of yourself that create internal conflict during holidays. The achiever part that demands self-sufficiency often conflicts with other parts that need support and connection. Rather than viewing this as personal failure, IFS recognizes these internal dynamics as normal human complexity that benefits from professional guidance.
The rapid-acting nature of treatments like ketamine-assisted therapy can be particularly valuable for achievement-oriented individuals because it provides concrete results within reasonable timeframes. Unlike traditional approaches that require months of weekly sessions, intensive treatments align better with professional expectations about efficiency and measurable outcomes.
However, the decision to seek treatment shouldn’t be based primarily on efficiency but on recognizing that professional help often produces better outcomes than self-directed approaches. Just as you wouldn’t attempt to perform complex technical work without proper training, emotional and psychological challenges benefit from specialized knowledge and intervention.
Recognizing When Different Approaches Are Needed
The timing of holiday treatment becomes less about scheduling logistics and more about recognizing when your current coping strategies aren’t sufficient for the challenges you’re facing. If holiday stress, family dynamics, or seasonal depression are interfering with your functioning or enjoyment of life, that’s information about the need for different approaches rather than evidence of personal inadequacy.
Some people worry that family members will judge them for being in treatment or that it represents instability that could affect professional relationships. These concerns are understandable but often based on outdated stigma rather than current reality. Mental health care has become increasingly normalized, particularly among educated professionals who understand the value of expert guidance.
Addressing Concerns About Cost and Investment
The cost of mental health treatment often feels significant when viewed as an isolated expense, but the investment typically produces returns in terms of improved relationships, better decision-making, enhanced creativity, and reduced stress that affects both personal and professional functioning. Many professionals find that effective mental health care actually enhances their performance rather than detracting from it.
The research supporting professional mental health treatment consistently shows better outcomes than self-directed approaches for significant mental health challenges. While self-care, meditation, and lifestyle changes provide valuable support, clinical depression, anxiety disorders, and trauma responses often require specialized intervention to achieve lasting improvement.
Individual responses to treatment vary significantly, and no approach guarantees specific outcomes. However, the pattern of trying to handle complex mental health challenges independently often leads to prolonged suffering that could be alleviated more effectively with professional help.
Moving Beyond Self-Reliance to Enhanced Resilience
The goal isn’t to become dependent on treatment but to develop better tools and understanding that enhance your natural resilience. Most people find that effective mental health care actually increases their sense of autonomy and capability rather than creating dependence on external support.
The holiday season can provide natural motivation for addressing mental health concerns because the seasonal challenges make existing patterns more visible and urgent. Rather than waiting for problems to resolve independently, this timing can represent an opportunity to develop better coping strategies before future holiday seasons.
If you’ve been telling yourself you should be able to handle holiday mental health challenges alone, consider that this belief itself might be part of the problem rather than part of the solution. Professional consultation can help evaluate whether your current approach is producing the outcomes you want or whether different strategies might be more effective.
Ready to break free from the “I should handle this alone” trap? Dr. Herman and the team at Soft Reboot Wellness understand the unique pressures that high-achieving professionals face during holidays. Their approach combines medical expertise with genuine understanding of Silicon Valley culture and achievement-oriented thinking. Call (650) 419-3330 to explore how professional support can enhance your natural strengths rather than replace them.
References:
American Psychiatric Association. (2024). One Quarter of Americans Say They Are More Stressed This Holiday Season. Retrieved from https://www.psychiatry.org/news-room/news-releases/one-quarter-of-americans-say-they-are-more-stresse
Güler Öztekin, G., Gómez-Salgado, J., & Yıldırım, M. (2025). Future anxiety, depression and stress among undergraduate students: psychological flexibility and emotion regulation as mediators. Frontiers in Psychology, 16, 1517441.
Demetriou, C. (2025). Family Functioning and Adolescents’ Mental Health Problems: A Mixed-methods Analysis of Community and Clinical Samples. SAGE Journals.

