The Permission You're Waiting For (Spoiler: It's Not Coming) episode artwork

EPISODE · Sep 16, 2025 · 40 MIN

The Permission You're Waiting For (Spoiler: It's Not Coming)

from Ending Physician Overwhelm · host Megan Melo, Physician and Life Coach

Send us Fan MailWhat are you waiting to give yourself permission to do?Let me guess. You want to leave work on time. Say no to that extra committee. Cut down your FTE. Set an actual boundary with that colleague who dumps last-minute requests on you.But you're waiting. Waiting for someone in authority to tell you it's okay. Waiting until you've "earned" enough loyalty points. Waiting until you feel expert enough, senior enough, liked enough.Here's the hard truth: That permission isn't coming.The Permission Trap That's Keeping You StuckWe're brilliant at following rules and understanding hierarchy - it's how we survived medical school and residency. But when it comes to the rest of our lives, we're still constantly seeking permission, even without naming it.You tell yourself:"I don't have enough seniority for that""I haven't proven my worth to the group yet""I don't have the social currency""I'm not expert enough"But here's what you're missing: The systems benefit from us not having boundaries. There's no world where leadership wakes up and says, "You know what? You've worked hard enough. Here are tickets to Hawaii, and we're canceling all your patients next week."It's not happening. No amount of good deeds will earn you that outcome.The Extra Layer for Women in MedicineAs women in medicine, we carry an additional burden. We've been socialized to:Feel grateful to be here "alongside the menfolk"Apologize frequently and not take up spaceBe team players at the expense of our wellbeingWork with inadequate support while being told we're "not being team players" if we objectWe're expected to be self-sacrificing, work without boundaries, and do it all for less compensation than our male colleagues.When your male colleague gets automatic chaperone support for procedures (giving them extra hands), while you're unglowing and regloving alone - that's not coincidence. That's systemic under-resourcing that you've been taught to accept.What You're Really Afraid OfLet's name what's underneath this permission-seeking:Conflict. But conflict is already happening - you're just having it all internally through resentment and exhaustion.Judgment. Being called "difficult" (raise your hand if you've been there). But you're already judging yourself more harshly than anyone else would.Being wrong. Like when they tell you, "If you drop your FTE, we can't guarantee you'll ever be able to increase it." My friends, there's always enough work. This is gaslighting and fear-mongering.Not being "nice." You're afraid of losing your title as the approachable one everyone goes to with questions. But you're worth more than just being nice.How to Start Giving Yourself Permission1. Name your needs. What do you actually need? Not what would be nice - what do you NEED? Quiet time, adequate sleep, connection, support, movement. Stop minimizing these as optional.2. Don't pre-reject yourself. Stop filling in excuses before you even ask. "They'll never go for this because we're understaffed" - you're doing their rejection for them.3. State instead of ask.Instead of: "Would it be okay if I couldn't take call this weekend?"Try: "I'm not available for call this weekend. I'm available next weekend."4. Allow for discomfort. This work will feel uncomfortable. Your voice might shake. You'll second-guess yourself. That's part of the process, not a sign you're doing something wrong.The Permission You Need Already ExistsThe permission you're seeking is wrapped up in confidence in your own worth and the courage to act on it.You don't need anyone else to validate that your ti Support the showTo learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me.Want to contact me directly?Email: [email protected] me on Instagram!@MeganMeloMD

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Send us Fan Mail What are you waiting to give yourself permission to do? Let me guess. You want to leave work on time. Say no to that extra committee. Cut down your FTE. Set an actual boundary with that colleague who dumps last-minute requests on you. But you're waiting. Waiting for someone in authority to tell you it's okay. Waiting until you've "earned" enough loyalty points. Waiting until you feel expert enough, senior enough, liked enough. Here's the hard truth: That permission isn't comi...

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The Permission You're Waiting For (Spoiler: It's Not Coming)

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