Wow. Thanks for the thoughtful replies. It was a lot so I had to take some time to think about it. But I’m still not sure. My feeling of worthlessness is the most strong when I have made a mistake. It could be something as small, (an usually is) as saying the wrong thing. Or binging on food. It becomes unbearable and words such as worthless are repeated in my head over and over. As a child I was called other names, but certainly never “worthless.” My lack of self-control and my failures make me so angry at myself. If I know that I should do, why can’t I just do it? It comes up a lot in relation to my eating disorder. Why do I eat too much when I know it is bad for me, and I will feel so guilty afterwards? I get so mad at myself. That’s when the name-calling starts. And maybe learning to do things differently will help me feel less worthless. But as for how to control my behavior, I am at a loss for words. Still not sure just how I can do that. How much failure is acceptable, and how much guilt is excessive when it normally leads to self-punishment? Just yesterday I spent some time talking to a friend. She thanked me and told me that I helped her a lot. It was the first time anyone outside of my family has told me something like that. I was glad that I could help her. It made me feel better. This is first time in my life that I have any close friends. And it does make me feel more worthwhile.