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Giving ourselves permission to say no

We all find it hard to say no. But in doing so, we鈥檙e risking our own wellbeing. RCPCH Dinwoodie Clinical Fellow, Dr Jess Morgan offers advice on how you can begin to set personal boundaries and prioritise your own needs first sometimes.
icon: two hands shaped around a symbolic heart that has a medical cross in the middle of it

It was 9pm. My laptop was open and I was eating a bowl of pasta that was precariously perched on the corner of the table. Exhausted, I needed to finish preparing a presentation for an extra teaching session I had agreed to. In the back of my mind, my ARCP was looming, and I knew my portfolio didn鈥檛 have enough entries yet鈥 that would have to wait though. The following morning, I arrived at work to find that my colleague was unwell leaving nobody to cover the long day shift. The consultant looked pleadingly around the room. Some people explained that they couldn鈥檛, others stared at their feet鈥 Silence. I sighed. 鈥淚鈥檒l do it,鈥 I said. Again.

Without realising it, I was taking on more and more tasks, sacrificing my downtime and without the headspace to recover and reset, I was on a road towards burnout. But it was hard to say no. I like to please people, help them out, and let鈥檚 be honest, my colleagues appreciated it. There was also something about not passing up on opportunities to learn and develop, but, more concerningly, this sense that somehow my dedication and commitment depended on taking on all these extra things.

So how do we begin to set boundaries for ourselves? How do we give ourselves permission to say no? Tessa Davis from Don鈥檛 Forget the Bubbles offers some fantastic tips on this. A three-minute video that is well worth a watch (link below).

A couple of months ago, I was asked to be involved in a project that sounded exciting. Though not directly through work, it was related to child health and relevant to my interests. I wrote an email saying yes, I would love to get involved. Then I paused鈥 What was I doing? I was already involved in various projects and was juggling things in my personal life. I pressed the backspace key and started again.

鈥淭hough it sounds like a great opportunity, I鈥檓 already involved in a number of projects and for my own wellbeing, I can鈥檛 take on any more.鈥 It felt somehow empowering to take control of my own time.

I鈥檓 slowly learning that it鈥檚 OK to put personal boundaries in place and that I don鈥檛 need to apologise profusely for doing it. By saying no, I am role modelling to others that it鈥檚 OK to put your own needs first sometimes. That your health, family, hobbies and other priorities are important too.

So when that next request comes in, allow yourself time to pause for a second before you jump in and say yes. There is also an option to say no.

We, the Thrive Paediatrics team, would love to hear your stories of times you鈥檝e felt empowered to set boundaries for yourself. What has helped you achieve this and are there any tips or learning points you could share with your colleagues? Email us at thrive@rcpch.ac.uk (No information will be shared publicly without prior discussion)