When discussing eating disorders, the focus often lands on body image and self-worth. Conversations revolve around dissatisfaction with weight, size, and appearance—how someone perceives their physical self and the relentless pressure to conform to unrealistic beauty standards. While body image plays a crucial role in disordered eating, it is rarely the sole issue. Beneath the surface, there is often a deeper, more painful belief at play: I am not enough.
For many struggling with eating disorders, the need to control food and body shape stems from an internalized sense of inadequacy. It’s not just about feeling like their body isn’t good enough—it’s about feeling like they aren’t good enough. Restriction, bingeing, over-exercising, or other disordered behaviors can become ways of seeking worthiness, approval, or a sense of control in a world that often makes them feel invisible, unlovable, or never quite measuring up.
And then February arrives and everything gets even more complicated.
Beyond Body Image: The Root of the Struggle
The season of love, with its heart-shaped chocolates, grand romantic gestures, and carefully curated social media posts, can be a painful reminder of perceived shortcomings. Valentine’s Day, though meant to celebrate love and connection, can also intensify feelings of loneliness, comparison, and self-doubt.
In a world that places so much emphasis on relationships as a marker of value, those who struggle with self-worth may find themselves wondering: If I were truly lovable, wouldn’t I feel more loved?
But love—at least in the way it is often portrayed—is not what makes someone worthy. The journey to healing involves learning to separate self-worth from external validation and embracing the truth that worthiness is not something we earn; it is something we inherently possess.
The Weight of Love and External Validation
For those with a fragile sense of self-worth, the messages surrounding love and desirability can feel crushing. Society reinforces the idea that being loved by another person is proof of being enough. We see it in movies where the outsider is only validated once someone falls for them, in social media posts that suggest a person’s happiness is complete because they are in a relationship, and in the casual language that equates romantic love with personal success.
When someone already doubts their own worth, these messages can reinforce the belief that something must be wrong with them. If they were truly lovable, they think, wouldn’t someone be showing them love? If they were truly enough, wouldn’t they feel valued, appreciated, chosen? The mind can turn these thoughts into powerful, self-destructive narratives, ones that fuel the very eating disorder behaviors they are trying to break free from.
In these moments, self-worth feels conditional. It becomes something that must be proven—through a smaller body, through perfection, through someone else’s affection. It becomes an exhausting pursuit of worthiness that never quite seems to be reached.
Where These Feelings Come From
The belief that we are not enough does not develop overnight. They often stem from deep-seated experiences, such as:
- Early messages about love and acceptance – If love felt conditional in childhood (based on performance, appearance, or behavior), it’s easy to internalize the belief that I have to earn my worth.
- Cultural and societal pressures – The media bombards us with unrealistic ideals about love, beauty, and success. If we don’t meet these ideals, we may feel inadequate.
- Trauma and rejection – Past experiences of being abandoned, criticized, or unappreciated can shape negative self-perceptions.
- Perfectionism – The belief that “I am only valuable if I meet impossible standards” can drive disordered eating behaviors.
If any of this resonates, know that you are not alone—and these beliefs can be unlearned. The first step is often recognizing that they exist at all.
Some people learn from a young age that love is conditional—given only when they achieve, behave, or appear a certain way. They grow up believing that if they don’t meet expectations, love will be withheld. Others experience rejection or abandonment that reinforces the idea that they are not worthy of care or connection. Many absorb societal messages that equate worth with productivity, success, or attractiveness, making them feel as though they must constantly strive for validation.
For those with eating disorders, these beliefs often manifest in how they relate to their bodies and food. They may seek control over their food and their weight as a way to feel in control of their worth. They may punish themselves with food restriction or excessive exercise in an attempt to be more desirable or acceptable. Others turn to food for comfort, only to feel shame afterward, reinforcing the idea that they are fundamentally flawed.
Breaking free from these patterns requires more than just changing behaviors; it requires unlearning these deeply ingrained beliefs about worth and love.
Rebuilding Self-Worth From Within
The journey to self-worth is not about achieving perfection or finding someone else to validate our existence. It is about recognizing that worthiness is not something external—it is something that exists within us, whether or not the world acknowledges it.
This process takes time. It requires undoing years of self-criticism and replacing it with self-compassion. It means learning to recognize the moments when we equate our value with our weight, achievements, or relationship status and gently reminding ourselves that none of these things determine our worth. It involves surrounding ourselves with people who affirm our inherent value rather than those who reinforce our fears of being unlovable.
It also means allowing ourselves to feel uncomfortable emotions without using food or body control as a coping mechanism. Feelings of loneliness, rejection, or sadness do not mean we are unworthy—they simply mean we are human. Learning to sit with these emotions, rather than numbing them through harmful behaviors, is a crucial step in healing.
Therapy and support groups can be invaluable in this process, providing guidance and encouragement in unlearning harmful beliefs. Engaging in practices that cultivate self-compassion, such as mindfulness, journaling, and affirmations, can help shift our internal dialogue from one of self-criticism to one of self-acceptance.
You Are Already Enough
Love—whether romantic or otherwise—is a beautiful part of life, but it is not the proof of your worth. Your value does not come from being desired by another person, from fitting into a certain body type, or from meeting impossible standards. You are enough simply because you exist.
If this time of year brings up feelings of loneliness or inadequacy, know that you are not alone in that. Many people struggle with these emotions, even those who appear to have it all together. But healing is possible. And the more you nurture your sense of self-worth from within, the less power external validation will have over you.
You are not your relationship status.
You are not the number on a scale.
You are not your past.
You are, and have always been, worthy of love—starting with your own.Contact us to get started on your journey today.
Clinically Reviewed By

Nick Kahm, PhD
Co-Founder
Nick Kahm, a former philosophy faculty member at St. Michael's College in Colchester, VT, transitioned from academia to running the Kahm Clinic with his mother. He started the clinic to train dietitians in using Metabolic Testing and Body Composition Analysis for helping people with eating disorders. Now, he is enthusiastic about expanding eating disorder treatment through the Kahm Center for Eating Disorders in Vermont.