Oldest Siblings in Therapy: New Research Sheds Light on Birth Order, Perfectionism, and Imposter Syndrome
A wave of therapists are reporting a striking pattern in their sessions: the oldest children in families tend to surface topics tied to perfectionism, relentless self-criticism, and imposter syndrome more often than their younger siblings. The latest research exploration into birth order suggests these themes may be less about fixed personality traits and more about family dynamics, parental expectations, and cultural context. The lead from a prominent media outlet highlights what therapists are hearing most from oldest siblings, painting a portrait that resonates with many Thai families where elder children often shoulder early responsibilities and model behavior for younger siblings. While the research findings are nuanced and culturally contingent, they raise urgent questions for parents, teachers, and clinicians about how best to support first-borns without feeding a cycle of burnout or self-doubt.