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For Filipinas Who Choose Family Over Themselves: How Therapy Helps Break the Cycle

Generations of Filipinas have grown up internalizing a single narrative: family always comes first. While this value fosters deep connections and a strong sense of community, it often comes at a personal cost.

Filipinas, especially those in Filipino-American households, frequently feel weighed down by familial expectations, guilt, and the pressure to uphold traditional values. But why is this the case, and how can we start breaking the cycle?

The Burden of Choosing Family Over Self

For many Filipinas, the idea of prioritizing themselves feels foreign—even selfish. Sacrificing personal ambitions and well-being for the sake of family is ingrained in Filipino culture. Often, they are raised with the belief that their success is a direct reflection of their parents’ sacrifices. Comments like “I wasted my parents’ sacrifices” or “My mental health brings shame to my family” echo the struggles of those who feel they’re failing to meet expectations.

Filipinas carry these thoughts because of how deeply rooted the collective mindset is in Filipino households. According to Alyssa Casimiro, LCSW, an AAPI therapist who specializes in family dynamics, “Many people find themselves as the go-to person for solving problems. This can carry immense pressure, and when they feel they’ve let down their family, it can feel devastating.”

Why Does This Guilt Feel So Heavy?

The collective over the individual—this is the foundation of many Asian and Filipino families. While this dynamic fosters strong familial bonds, it places heavy emphasis on reputation, harmony, and avoiding shame.

Here’s why this feels so challenging:

  1. Your reputation reflects your family’s honor. One person’s actions can either uplift or tarnish the family’s name.

  2. Struggles are hidden to avoid shame. Topics like mental health, financial issues, and family disputes are swept under the rug to maintain an image of strength.

  3. Confrontation is avoided to keep the peace. Voicing concerns risks disrupting familial harmony, so many choose silence over conflict.

These unspoken rules create an environment where Filipinas feel obligated to suppress their struggles, even when their well-being is at stake.

Why Seeking Therapy Feels Like Betrayal

For Filipinas, seeking therapy can feel like admitting failure—not just for themselves, but for their families. Therapy challenges the cultural norm of silence and resilience, making it seem like a betrayal of one’s upbringing. As one AAPI therapist shared, this guilt stems from the belief that prioritizing self-care is selfish when family should always come first.

This cultural tension often leads people to trick themselves into thinking everything is fine, even when their bodies tell a different story. Physical signs like shallow breathing, a heavy chest, or clenched fists reflect feelings of fear, anger, or sadness—emotions that are often dismissed to maintain an image of strength.

But Alyssa Casimiro reminds us that addressing these emotions through therapy can be transformative. She explains, “Therapy can help make sense of why stepping back from those roles feels so difficult.”

Breaking the Cycle: Healing for Future Generations

Generations of survival and sacrifice taught Filipino families to suppress emotions for the sake of progress. But as Casimiro emphasizes, breaking the cycle starts with recognizing that it’s okay to prioritize yourself.

Here’s what breaking the cycle can look like:

  • Allowing yourself to feel emotions physically. Instead of intellectualizing your struggles, let your body process them.

  • Understanding that healing takes time. Therapy isn’t a quick fix, but a step toward undoing generational patterns.

  • Telling yourself it’s okay to rest. Taking a pause doesn’t mean you’re neglecting your family—it means you’re taking care of yourself so you can show up better for them in the long term.

Healing yourself also heals the generations that come after you. By addressing these deeply ingrained patterns, you’re paving the way for a healthier, more balanced family dynamic.

A Call to Embrace Self-Compassion

Alyssa Casimiro’s work reminds us of the importance of setting boundaries and embracing self-compassion—two concepts that are often seen as taboo in Filipino culture. But acknowledging your own needs doesn’t make you any less Filipino. In fact, it makes you stronger and more capable of showing up for your family in authentic ways.

Let’s start reframing the narrative: choosing yourself isn’t selfish—it’s necessary.

If you’ve ever felt like therapy might be a betrayal of your family’s values, consider this: healing yourself is the most generous gift you can give to your family and future generations.

Ready to take the first step? Visit Sweet Mango Therapy to learn more about how therapy can help you navigate these emotions and break the cycle. Healing begins with you.