Jodie,
That's the whole point your own comfort level, acceptance dictates that ,being more concerned what others think instead of you own inner needs, eventually the balance does come.
Hang ups of guilt and shame on one hand and the thought of being selfish on the other. Most of us are born with his trait why is it so wrong to admit it to ourselves and others.
Paula and other TSs don't have that luxury , they have to make the final decision that this is the road they must take . I often think about that situation and how hard it must be on a daily basis .