Navigating adulthood as an eldest daughter can be tough. While you’re not a child in your parents’ home anymore, the dynamics you grew up with can still follow. Think about it: how often do you find yourself trying to solve everyone else’s problems while continuously trying to shoulder your own alone? If this resonates with you at all, you may be dealing with Eldest Daughter Syndrome.
To understand what this actually looks like beyond the TikTok therapy speak of it all, I talked to a licensed therapist, Briana Paruolo, LCMHC. As the founder of On Par Therapy — a practice that specializes in “burnout, disordered eating, and self-worth” that seeks to “empower high achieving women” — she comes across a lot of clients dealing with eldest daughter syndrome. Here’s what Paruolo has to say!TL;DR
- Eldest daughter syndrome isn't in the DSM-5, but that doesn't make the experiences of eldest daughters any less real.
- Eldest daughter syndrome can look like intense perfectionism, unrealistic high standards, an inability to delegate, and an innate need to prioritize the needs of others first.
- Eldest daughters can heal by validating their experiences, understanding their self-worth, and setting clear boundaries with themselves and others — especially by just saying "no" sometimes.
What is eldest daughter syndrome?
While The New York Timesreports that eldest daughter syndrome "isn’t an actual mental health diagnosis" — AKA it's not an official disorder recognized in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) — the symptoms seem to have a very real effect on the people struggling with it. Paruolo explains, "Often times with my clients, we explore 'eldest daughter experiences' as a way to avoid pathologizing this now normalized response to family roles and expectations. The eldest daughter experiences behavioral patterns and emotional experiences that are unique to their birth order in comparison to other siblings."
What does this all mean in practice? Paruolo says that families tend to place a ton more expectations on firstborn children, from achievements to overall responsibilities. According to Paruolo, this can put pressure on these children to lead and set a good example for younger siblings. Over time, that pressure can grow and evolve, leading an eldest daughter to taking on more and more throughout her life — even outside of the family home she grew up in — and cause further complications in their relationships, workplace, and otherwise.
What are the symptoms of eldest daughter syndrome?
Like I said before, you naturally carry a lot of these experiences from childhood into your adult interactions. And while having leadership proclivities and high standards for yourself isn't inherently a bad thing, all of these pressing expectations can morph into more frustrating symptoms later on in life.
Since this isn't an exact diagnosis or disorder (yet), a lot of these symptoms can come from the practical findings from therapists over time. With Paruolo's clients, she's noticed that eldest daughters "might experience symptoms of perfectionism and unrealistic self-induced demands in both workplaces and relationships." She explains that this can look like a lack of delegation or asking for help. Paroulo also notes that eldest daughters may innately "prioritize others' needs before they acknowledge their own" — and if they choose to pick their own needs first, they may end up feeling guilty in the long run.
Each of these symptoms can pop up in an eldest daughter's day-to-day, but they can also have some unfortunate long term effects if they go unaddressed. "Long term effects might look like consciously or unconsciously being placed in a caregiving role, which can lead to burnout in many relationships," Paruolo says. She explains that this "immense pressure" and the climbing responsibilities can eventually cause chronic stress — and potentially even lead to resentment toward family members.
Netflix
For a fictional — but still practical! — example, let's think about Daphne Bridgerton. In season 1, we immediately see the extreme weight Daphne bears to find a good, respectable marriage that will make her family proud and cement their societal standing even further. That's a ton of pressure for anyone of any age, let alone a 21-year-old woman. Meanwhile, her older brothers Anthony and Benedict are 29 and 27, respectively — and if you remember, they don't seem to nervous about their own standings on the marriage mart, let alone seem eager to marry yet at all.
But Daphne prevails! She marries The Duke of Hastings, conceives a child, and fulfills her family's dreams against all odds. If you thought that would be enough, and that Daphne officially check off her eldest daughter duty, you'd be wrong! In season 2, when Anthony finally decides to navigate his own marriage prospects, the family calls Daphne in for help to give advice and lead them through their struggles. So even though Daphne's started a family of her own (exactly what they wanted and asked of her!), her job is never done. She councils, aids, and doles out an endless supply of love and care.
What can parents do to prevent eldest daughter syndrome?
Parents have a lot to prioritize as they raise their families, but there are some small (but very powerful!) things they can do to help prevent eldest daughter syndrome from getting out of hand. First and foremost, Paruolo wants parents to know how important it is to be mindful of how they speak to their children, regardless of their birth order. She stresses that a parents' voice "often becomes the child's internal voice (and often the harshest critic)."
Next, Paruolo suggests creating a more open environment for the family to talk about their feelings about the family dynamic. By doing so, it seems like this could mitigate that resentment we've talked about before, where an eldest daughter may take on more and more without asking for help and eventually burning out. Paruolo notes you can have these conversations at family dinners or meetings — this offers a set time and place for each person to air their feelings.
Finally, Paruolo wants parents that they should be "mindful of the caregiving responsibilities they place on the eldest" while also "encouraging age-appropriate forms of independence for the children in the house." All these efforts can help "breed healthier dynamics," and hopefully make an eldest daughter's life a little easier, one step at a time.
How can women heal from their eldest daughter syndrome?
After reading all this, it may seem overwhelming to recognize that you're dealing with eldest daughter syndrome. Luckily, your symptoms and struggles don't have to define you because Paruolo has some key advice for healing. "Women can deal with and heal from their oldest daughter syndrome by acknowledging their real and valid experiences," she says. "We don't tell someone with a broken leg to get over it, so the same nurturing and understanding of how the eldest daughter syndrome has shaped them is essential for their journey."
There are a few ways you can truly validate these eldest daughter experiences — and work to move on from them. Paruolo suggests practicing mindfulness in order to notice what your innate behaviors are. She says, "It can be a simple three second pause with the reflective question, 'Am I placing the oxygen mask on someone else before helping myself in this moment?'" In doing this, you're able to create a space where you allow yourself to choose your own needs first — or at least start acknowledging them more clearly.
One of the biggest — and I'd say hardest — practices that Paruolo suggests? Saying no. She says that acclimating to the discomfort of setting boundaries and saying that two-letter word can really help you form better, healthier habits. I know I could definitely do this more.
Finally, Paruolo wants eldest daughters to work on reframing their self-worth. She says, "Get curious about why it's an honor to be you (because it is!) and try to separate it from the caregiver or problem-solver role you have been continuously placed in."
If there's anything to take away from my conversation and research, I'd let it be this: your experiences as an eldest daughter are valid, and you deserve to prioritize yourself! Whether 'eldest daughter syndrome' is in a diagnostic book or not, it's clear that therapists are taking these instances seriously, honoring their clients needs — so why shouldn't you honor your own?
I don't want to end this article hypocritically. I struggle with my own eldest daughter tendencies daily, but it's helpful to know that there are very real steps I can take to make my life easier, to exhale. And maybe one day, these lived experiences we all share will be codified in the DSM-5, allowing future eldest daughters to have a clearer playbook to live by — because you know we love achievable, clear goals. 😉
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