Clinical Excellence: Why Saying No Feels Selfish for So Many Women w/ Lacey Meaux, LMFT

Описание: 📌 Guest: Lacey Meaux, LMFT
Connect with Lacey:
Website: https://lacey-meaux.clientsecure.me/
Facebook:   / tellingabetterstory  
Insta: @empoweredminds_lmft

In this episode of Private Practice Practically, Rich sits down with Licensed Marriage & Family Therapist (LMFT) Lacey Meaux to talk about the hidden emotional cost of “being everything for everyone” and why boundary-setting can feel terrifying for so many women.

Lacey shares what she’s seeing in therapy right now: teen girls and adult women (including women in their 40s and 50s) feeling overwhelmed, “crazy,” and burned out, not because they’re broken, but because they’re carrying an impossible mental load. We unpack the belief that keeps women stuck (“If I say no, I’m selfish/rude / mean”), how perfectionism shows up in relationships, and what changes when clients learn to talk back to shame, anxiety, and perfectionism using narrative therapy and CBT-informed tools.

We also get practical: how couples can reduce resentment, what “help” actually looks like (hint: “Just give me a list” isn’t it), and how women can start saying no without drowning in guilt. If you’re a clinician, a client, or someone who cares about women’s mental health, this conversation will hit.

Key topics covered:
-Boundary setting for women (and why “no” feels dangerous)
-Perfectionism, guilt, and the mental load
-Burnout in motherhood, marriage, and caregiving (“the sandwich generation”)
-Narrative therapy: externalizing shame/anxiety and reclaiming agency
-Healthy communication, support systems, and how partners can step up
-Therapy + insurance: why diagnosis requirements create ethical tension
-Cash-pay private practice + out-of-network reimbursement basics