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Why High-Functioning People Dismiss Their Own Pain (And Why It Catches Up)

By Katherine Hyer, LCSW
Trauma & Mental Health8 min read
A lone hiker on a mountain ridge pushing forward, representing high-functioning people who push through pain

You're the person who has it together. The one people come to for advice. You've built a successful career, maintain relationships, and pay your bills on time. From the outside, everything looks fine.

But here's what I notice when high-functioning people walk into my office: they've been collecting wounds for years, maybe decades, and treating each one like it doesn't matter.

Your mom made a cutting comment about your weight at Thanksgiving? Shake it off. Your partner forgot your birthday for the third year in a row? It's just a day. Your boss took credit for your work again? That's corporate life. You got laid off after ten years of loyalty? It's not personal, it's business.

Each incident, taken alone, seems manageable. Survivable. Not worth making a fuss about. But what happens when you collect dozens, hundreds, thousands of these moments over a lifetime? What happens to a body and brain that keeps swallowing pain and pretending it doesn't hurt?

This is what I call the papercut phenomenon. And it's probably affecting you more than you realize.

The Papercut Phenomenon: Death By a Thousand Cuts

Think about a papercut. One papercut is annoying but manageable. You barely think about it after a few minutes. Now imagine getting three papercuts a day for twenty years. Imagine never letting them heal. Imagine telling yourself, "It's just a papercut" while your hands become so covered in tiny wounds that you can barely function. At what point does "it's just a papercut" stop being true? This is what happens with emotional wounds when you're raised to believe that feelings don't matter, or when you grow up in an environment where your emotional needs were consistently ignored or minimized. Psychologist Dr. Jonice Webb, who has spent decades researching childhood emotional neglect, describes this as growing up with parents who "fail to respond enough to the emotional needs of the child." The result? You learn that your pain isn't valid enough to acknowledge, let alone address.

Here's what that looks like in adulthood: You minimize everything. A friend betrays your confidence, and you think, "Well, it wasn't that private anyway." A romantic partner is consistently late, and you tell yourself, "I'm being too sensitive." You were the only one not invited to a work event, and you rationalize, "They probably just forgot." Each time you do this, you're essentially saying, "My hurt doesn't count."

Your Body Is Keeping Score (Even When You're Not)

Here's the problem with dismissing accumulated hurts: your body doesn't dismiss them. Your nervous system doesn't forget. Dr. Bessel van der Kolk, one of the world's leading trauma researchers, has written extensively about how traumatic experiences — including what he calls "chronic toxic experience during early development" — literally reshape both brain and body. When you experience stress or pain, your body releases stress hormones, activates your sympathetic nervous system, and creates lasting physiological alterations. In other words, every time you say "it's not a big deal" while your stomach clenches or your jaw tightens or your shoulders creep up to your ears, your body is disagreeing with you. Your body is keeping a running tally of everything you've told yourself doesn't matter. And eventually, that tally comes due.

The research on Adverse Childhood Experiences (ACEs), conducted by the CDC and Kaiser Permanente with over 17,000 participants, shows us exactly how this accumulation works. The study found that adverse experiences don't just add up — they multiply. Someone with four or more ACEs has a four to twelve-fold increased risk for alcoholism, drug abuse, depression, and suicide attempts compared to someone with zero ACEs. But here's what's often missed: it's not just the big traumatic events that count. It's the accumulation of being told your feelings don't matter. It's years of having your emotional needs dismissed as inconvenient or dramatic. It's the chronic experience of learning that to be loved, you must minimize your own pain.

Why Smart People Keep Doing This

If this is so harmful, why do high-functioning people keep dismissing their own pain? Because it worked. For a while, it really worked. When you were growing up, minimizing your needs probably kept the peace. Maybe your parents were overwhelmed, and you learned that being "low maintenance" made you easier to love. Maybe showing emotion was met with irritation or punishment, so you learned to hide it. Maybe you watched a sibling or parent fall apart emotionally, and you decided someone had to hold it together, so it might as well be you. You became really good at this. So good that you might not even notice you're doing it anymore. You've built a whole identity around being strong, resilient, not needy. People admire you for it. You admire yourself for it. The problem is, what helped you survive childhood is now preventing you from actually living. You're so skilled at pushing down pain that you've forgotten how to feel it, process it, and let it go. Instead, it accumulates in your body like sediment at the bottom of a lake. And one day, someone does something that objectively shouldn't be that big of a deal — and you absolutely lose it. You rage or shut down or feel depression crash over you like a wave, and you can't understand why this one thing hit you so hard. It's not the one thing. It's the thousand things before it that you told yourself didn't matter.

How This Shows Up In Your Life Right Now

See if any of this sounds familiar. You have what looks like an overreaction to something small — your partner leaves dishes in the sink one more time, and you find yourself shaking with rage. A coworker makes a minor mistake and you feel a flood of anxiety. These moments confuse you because you know, logically, that your reaction doesn't match the trigger. What you're not seeing is that this isn't about the dishes or the mistake. This is about every time you swallowed your frustration, every time you accommodated someone else's carelessness, every time you made yourself smaller to make room for someone else's mess.

You struggle to identify what you actually feel. Someone asks, "How are you feeling about that?" and you go blank. You might know you feel bad, but you can't name it. This is what Dr. Webb calls emotional neglect's signature effect — you lose connection to your own internal emotional world because it was never reflected to you as important or worthy of attention.

You find yourself turning to substances, food, work, or other numbing behaviors more than you'd like to admit. Van der Kolk's research shows that people dealing with unprocessed trauma often adopt coping mechanisms that look like risky behavior. You're not trying to harm yourself. You're trying to feel something — or trying not to feel something — because your system is so overloaded with suppressed pain that it doesn't know what else to do.

You're exhausted all the time, even when you're sleeping enough. Your body is using tremendous amounts of energy to keep all that pain suppressed. Imagine holding a beach ball underwater for twenty years. That's how much energy you're burning to keep telling yourself "it's fine."

What Changes When You Stop Dismissing Your Pain

The moment you stop dismissing your pain is terrifying. It feels like opening a door you've kept locked for years. You're afraid that if you start acknowledging how much things have hurt, you won't be able to stop. You're afraid you'll fall apart. But here's what actually happens: you discover you're strong enough to feel your feelings and survive them. You learn that acknowledging pain doesn't make you weak — it makes you honest. You realize that all the energy you've been using to suppress and minimize can be redirected toward actually healing.

You start by getting curious instead of dismissive. The next time something bothers you and your automatic response is "it's not a big deal," pause. Ask yourself: what am I actually feeling right now? Where do I feel it in my body? What would happen if I let this matter, just for a minute? You practice naming your feelings, even the small ones. "I feel disappointed that my friend canceled plans." "I feel hurt that my partner didn't notice I was upset." These might sound obvious, but if you've spent years minimizing, simply naming your feelings is revolutionary. You learn that processing emotions isn't the same as acting on them. You can feel angry without screaming at someone. Feelings are information, not instructions. When you acknowledge them, they move through you instead of getting stuck in you.

The Truth About "Not A Big Deal"

Your pain matters. Not because it's dramatic or devastating or worse than anyone else's. But because it's yours. Because you're a human being with an emotional life that deserves to be acknowledged. The story you've been telling yourself — "it's not a big deal" — is actually the biggest deal of all. It's the story that's been keeping you disconnected from yourself, from your body, from the possibility of actually feeling okay instead of just performing okay.

The path forward isn't about dwelling on every hurt or becoming someone who can't handle life's normal disappointments. It's about developing a relationship with your own inner experience that's based on honesty instead of dismissal. It's about learning that you can acknowledge pain without being destroyed by it — that you can have needs without being needy, that you can be both strong and soft at the same time. You've been strong enough to survive by minimizing your pain. Now it's time to be brave enough to stop.

References

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This blog post is for educational purposes and does not constitute therapy or a therapeutic relationship. If you are experiencing a mental health crisis or thoughts of self-harm, please reach out for support. You can call or text 988 (Suicide & Crisis Lifeline) at any time.

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