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Do you struggle with painful feelings about yourself, as a person? We can have so much in our western world, but lack the one thing we most desire – acceptance and a feeling of self worth!

Tania was a beautiful teenage girl. She was given compliments, but felt unable to accept them. Her distorted image of her body led her to become anorexic. This article is not primarily about the signs and symptoms of anorexia. It's purpose is to help the reader discover what lies behind the eating disorder called anorexia nervosa.

First of all, we need to understand how low self-esteem and anorexia are related.

The Link Between Low Self-esteem and Anorexia

A sense of low self-esteem can be caused through inadequate nurturing as a result of emotional, physical or sexual abuse as a child. Abuse is when a person uses their power or position to force another person to perform in order to meet their needs.

Emotional abuse is the subtlest form of abuse. Most of us at some time or other, whether to a greater or lesser degree, have been victims of emotional abuse. It could come from anyone who has a position of authority who requires you to perform in order to have his or her needs met.

Tania was a victim of emotional abuse. Her self-rejection grew as her parents were not able to meet her emotional needs even though she lacked nothing materially.

Emotional abuse usually begins as a generational problem. Tania’s parents did not know how to meet her needs as they themselves had unmet needs. They were what we call an 'adult child', searching for someone to nurture them and fulfil their needs.

Tania sensed these needs and subconsciously sought to fulfil them by 'being there' for her parents. As opposed to the adults 'being there' to meet her emotional needs! Tania listened as her parents shared their challenges but neither of them were able to spend quality time with her to allow her to open up and share her concerns. Tania had a false sense of security because she felt needed, but lacked someone to care for her own needs. This left her feeling abandoned and abused because she was not being affirmed.

As Tania did not have her own emotional needs met she was left with feelings of low self-worth, emptiness, loneliness, self-hate and depression. To compensate for her feelings of low self-worth she grew up putting more emphasis on `doing' rather than being'. This set the scene for Tania to become anorexic!

Can you relate to Tania in some way? Do you feel empty inside wishing someone would meet your inner needs? Keep reading and you will discover how you can become all you can be.

Low Self-Esteem Is the Root of All Addictions- including Anorexia Nervosa

It has been said that addictions are an attempt to hide the real ‘me’ from the outside world. Addictions can come in many forms to help you feel better, change your mood and avoid painful feelings. In an attempt to avoid pain one can subtly be led into deception, lies and denial. Anorexia Nervosa was Tania’s way of changing her perception of herself – her intense, irrational fear of being fat kept her in a cycle of deception and control. Let’s look at how this cycle works.

Low Self-Esteem produces a Game of Control

Those with low self-worth often convey a sense of control. To avoid others seeing the real person, and in fear of falling victim again, they may either control others by being assertive, or control themselves by being non-assertive.

Tania’s mother’s commented to me that from her perspective she felt Tania used her eating disorder to control and manipulate her. It was like Tania was, consciously or subconsciously, trying to control both herself and her mother.

The non-assertive approach of control

The person with a non-assertive approach sees self-worth as being based on what people think about himself/herself: it is important at any cost to gain the approval of others. Sufferers of anorexia go to extreme lengths to achieve their goal of acceptance.

It is important to note that in endeavouring to deal with low self-worth, a person can swing from being non-assertive to assertive, or visa versa. One can start out as an assertive achiever, as we will discuss in the next section, and swing to become a non-assertive, non-achiever or "loser".

The non-assertive approach produces a cycle, which begins with denial and a desire to please because of fear of rejection. These people become resentful and angry with themselves and others when their goal is not achieved, which leads to depression and increased feelings of rejection of self or others. Then in order to feel better about themselves, they begin the cycle of control again.

The assertive approach of control

The person with an assertive approach strives to feel good about himself/herself by meeting certain standards. Feelings of never doing well enough or being good enough can create a fear of failure, which results in both a drive for perfectionism and control of self and others.

Life becomes a problem to be solved for anorexia nervosa sufferers. They are constantly caught up in ‘doing’ rather than ‘being’ content, restful and enjoying life. If you have feelings of never doing well enough or being good enough you will know what I mean!

The perfectionist has inflexible rules on how people should act or think. Deep down, it is felt that self-value is only obtained through achievement; therefore new challenges or other people's opinions are threatening, as the perfectionist feels that mistakes are to be avoided at any cost to prevent shame.

The assertive approach also produces a cycle, which begins with denial and a desire to control self and others through fear of failure. To achieve this goal the assertive person is legalistic and critical of self and others. These people become defensive and angry when their goal is not achieved, which leads to feelings of loneliness and depression. To feel better about themselves they begin the cycle of control again to achieve their goal.

Life becomes a game of control! How do we get out of this cycle we get ourselves into through low self-worth?

For all who struggle with low self-esteem, I invite you to see a cartoon presentation on our website (www.ydyc.org) that will give you hope and freedom from the cycle of deception and control. It will help you make a fresh start and become all you can be.

As a trained nurse I strongly recommend that you seek professional help if you are suffering from anorexia nervosa.

Wilma Watson is a trained nurse and producer of the website http://www.ydyc.org. She has a passion to help people reach their maximimum potential.

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The information on this site is for educational purposes only. It is not intended to diagnose, treat, cure or prevent any disease or replace the advise of your physician.