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Pushing Through Pain: aka Too Much Impulse Control

I am in yoga class and have just been silently congratulating myself on my amazing Crow pose (resting my knees on my upper arms, feet up, with just my palms touching the ground). I’m thinking how awesome I have become at this posture and really feel secure in it.

And then, I fall.

Epic failure style. My nose plants into the wood floor and blood starts spewing on my mat and the ground. I barely react, other than to take my towel and hold it to my nose until the blood flow subsides.

Neither girl practicing next to me says a word, so I think, “Oh it can’t be that bad.” I return to my yoga practice, while little drops of blood fall onto my mat. When I finish class, I realize that not only is my nose still bleeding, but now it’s throbbing.

Finally the girl next to me looks over and says, “Your nose looks really swollen, I think you need ice.”

I say, “Oh it’ll be fine, I only live a mile away.”

I walk out to my car and casually look at myself in the mirror… OMG, my nose is twice it’s normal size and all red. I think it’s broken. The doctor I go to see confirms it’s broken and I silently question why the hell didn’t I leave class when I got hurt?

Too Much Control

From a Radically Open DBT (RO DBT) perspective, this is a case of too much control.

For us overcontrolled (OC) leaning people, we have a biological predisposition to be able to exert superior control on our impulses and expressions. Most OC folks spend their life controlling their reactions — facially, bodily, and emotionally. It makes sense to also control pain expression.

As I reflected on how this shows up for me, I realized I have TMJ issues, a slipped disc, and a heart condition. I’ve been pushing through pain and discomfort most of my life. This yoga incident was no different. I’ve gotten so good at ignoring signs that things were wrong that I have made a habit out of it.

No doubt I’ve heard from many of my client’s that they live through constant pain issues and function relatively normal lives. So this concept is not new, but what is disturbing is when we have gotten so used to pain, that we don’t listen to it when it is serious.

I have a friend who popped his ACL and still managed to play a whole softball game, albeit poorly, but he finished. And a client who dislocated a shoulder on vacation and didn’t bother going to the hospital until she returned home from her trip. Another colleague I know got cat scratch fever and almost lost a finger because she didn’t want to seem like a wuss by going to the doctor for such a “small” injury.

The line we OC’s tell ourselves is, “It’s not that bad, I can take it.” For the most part it’s true, and so the cycle continues. A former military client of mine once said, “I can take ten minutes of literally anything.” We constantly push through pain issues, when we should really stop and ask ourselves, “Why?”

Habitual Ways of Coping

When we have learned that a way to cope with a pain is to act like nothing is wrong, and go about our lives as if no one knows, the only person we are hurting is ourselves. Emotional and physical pain lets us know something needs attention. It’s important to take care of ourselves. Many over-controlled leaning people would never think to let another person suffer the way we let ourselves. Yet we don’t change the way we treat ourselves.

Another interesting observation about this experience is that I noticed I wanted to blame others in the class for not taking care of me. How dare they not stop what they were doing and attend to me!! My inner probation officer just joined the case.

It would be easy for me to say that they “should” have helped, and maybe if you were in my class you would have, but pushing it on someone else, doesn’t allow me to take responsibility for my own needs. In the end, I am the one who is the feeler of the pain, not them. I am the one who decided I was “strong enough” to make it through. I am the one who has to live with my broken nose.

Yes we would all like to have people who take care of us, and need friends and family that do, but we have to watch our own problematic patterns that masquerade as independence and blame. Those habitual ways of behaving hurt us ,and we make ourselves prisoners of our own pain.

Pushing Through Pain: aka Too Much Impulse Control

Hope Arnold

Hope is a Radically Open DBT Senior Clinician and 1-day trainer for Radically Open LTD organization. As a self identified overcontrolled person, she works to help her clients learn to relax, take themselves less seriously and be the person they want to be. Perfectionism, anxiety, rigidity, detailed focus, risk aversion and loneliness are some of the areas that overcontrolled people struggle to navigate. In her writing Hope uses humor and real life stories to help overcontrolled individuals make the changes that will bring happiness to their lives. Hope is licensed as a LCSW in Colorado, Texas, and Virgina. She has a private practice in Denver, Colorado.

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APA Reference
Arnold, H. (2019). Pushing Through Pain: aka Too Much Impulse Control. Psych Central. Retrieved on February 22, 2020, from


Last updated: 3 May 2019
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