Stop the Excuses: How Accountability and Action Drive Real Recovery

Stop the Excuses: How Accountability and Action Drive Real Recovery

I love being a Doctor of Physical Therapy and a Human performance development specialist. Helping people regain strength, and develop skills, and mobility is a deeply rewarding journey. However, there are aspects of this field that deeply frustrate me— chief among them is the lack of accountability, self-initiative, and care many patients exhibit toward their own physical health and self-care.

Many patients come to me expecting that one or two 30 to 60-minute sessions a week will undo years—sometimes decades—of musculoskeletal (MSK) dysfunction and poor lifestyle choices. Often, these expectations are accompanied by a laundry list of excuses to justify their lack of self-care and inaction:

These excuses may feel valid in the moment, but they are ultimately barriers to progress. Over time, this lack of accountability creates a cycle of dysfunction, where short-term relief from therapy is undermined by long-term neglect of physical health. It’s important to recognize these patterns and commit to breaking them—because no one can care for your body as well as you can.

True self-care requires accountability and a shift in mindset. It’s about recognizing that small, consistent actions—like daily stretching, a short walk, or modifying your movements—are investments in your long-term health. Waiting for the “perfect time” to start is just another excuse. The perfect time to begin taking care of yourself is right now!