Transformative Healing with Dr. Sanj Katyal

The Root of Anxiety, Depression, and Addiction: The Illusion of “Not Enough”

At the heart of many mental health struggles lies a simple yet painful belief: I am not enough. Whether it manifests as anxiety, depression, or addiction, this deeply ingrained sense of unworthiness drives behaviors, thoughts, and coping mechanisms that keep people stuck. It is an invisible wound—and for many, the most important one to heal.

The Core Wound of Unworthiness

From childhood experiences, cultural expectations, or repeated messages of failure, many people internalize the idea that they do not measure up. This becomes a filter through which they interpret their lives. Every disappointment confirms it. Every setback amplifies it. Over time, the “I am not enough” belief becomes not just a thought, but a state of being.

The discomfort of feeling unworthy is so intense that the mind seeks ways to escape it. This is where anxiety, depression, and addiction appear—not as the true problems, but as coping strategies, symptoms, and distractions from the underlying wound.

Anxiety: Seeking Worth Through Control

Anxiety often develops when self-worth is outsourced to the world. If I believe my value depends on how others treat me, what I achieve, or how the world responds, then I must live in constant vigilance. Because life is unpredictable, I can’t control outcomes, events, or people’s opinions. This lack of control creates fear: What if I don’t get the approval, success, or love I believe I need to feel okay? What if I lose what I do have?

An anxious mind tries to strategize safety. It plans, worries, overthinks, and catastrophizes. But beneath the surface, it’s not really safety being sought—it’s worthiness. If I am enough as I am, I don’t need the world to validate me. When worth comes from within, the grip of anxiety begins to soften.

Anxiety: Seeking Worth Through Control
Anxiety: Seeking Worth Through Control

Anxiety: Seeking Worth Through Control

Anxiety often develops when self-worth is outsourced to the world. If I believe my value depends on how others treat me, what I achieve, or how the world responds, then I must live in constant vigilance. Because life is unpredictable, I can’t control outcomes, events, or people’s opinions. This lack of control creates fear: What if I don’t get the approval, success, or love I believe I need to feel okay? What if I lose what I do have?

An anxious mind tries to strategize safety. It plans, worries, overthinks, and catastrophizes. But beneath the surface, it’s not really safety being sought—it’s worthiness. If I am enough as I am, I don’t need the world to validate me. When worth comes from within, the grip of anxiety begins to soften.

Depression: Collapsing Into the Feeling of Not Enough

Depression: Collapsing Into the Feeling of Not Enough

While anxiety is an overactive attempt to control, depression is the collapse that happens when trying feels too heavy. Depression often takes root in the same soil of unworthiness, but instead of activating fear, it drains energy. Thoughts like “nothing matters,” “I can’t change this,” or “I don’t have what it takes” are expressions of a deeper conviction: I am not good enough to live fully, to succeed, or to be loved.

This creates a cycle of withdrawal. Low self-esteem leads to avoidance of challenges and opportunities, which in turn reinforces the belief of inadequacy. Energy dwindles, and joy feels inaccessible—not because life is inherently meaningless, but because the person feels meaningless within it.

Addiction: Numbing the Pain of Worthlessness

Addictions, whether to alcohol, food, sex, gambling, or digital distractions, are another way humans cope with the unbearable discomfort of unworthiness. The momentary escape or pleasure is a substitute for the wholeness and acceptance that seems unreachable. A drink numbs the voice that whispers, You’re not enough. Social media likes masquerade as proof of worth. Endless scrolling pulls attention away from painful self-reflection.

But the relief is temporary. When the high fades, the wound of unworthiness remains—and often feels deeper for needing to be numbed away. Addiction is not primarily about the substance or behavior. It is about the pain underneath, and the mistaken hope that external things can fill an internal void.

Addiction: Numbing the Pain of Worthlessness
Addiction: Numbing the Pain of Worthlessness

Addiction: Numbing the Pain of Worthlessness

Addictions, whether to alcohol, food, sex, gambling, or digital distractions, are another way humans cope with the unbearable discomfort of unworthiness. The momentary escape or pleasure is a substitute for the wholeness and acceptance that seems unreachable. A drink numbs the voice that whispers, You’re not enough. Social media likes masquerade as proof of worth. Endless scrolling pulls attention away from painful self-reflection.

But the relief is temporary. When the high fades, the wound of unworthiness remains—and often feels deeper for needing to be numbed away. Addiction is not primarily about the substance or behavior. It is about the pain underneath, and the mistaken hope that external things can fill an internal void.

The Amplifying Role of Social Media

The Amplifying Role of Social Media

In previous generations, comparisons were limited to immediate peers and community. Today, social media presents a carefully curated highlight reel of the world’s best moments, physiques, achievements, and lifestyles. Comparing our unseen struggles to another’s polished presentation intensifies feelings of inadequacy. This phenomenon is especially damaging for young people, whose identities are still forming. The message is clear: you are not enough unless you look, live, and succeed like this idealized version of reality.

Self-Esteem: The Critical Antidote

Deep healing requires building authentic self-esteem and confidence—especially in children and young adults. When a person genuinely believes, I am enough as I am, their resilience to anxiety, depression, and addiction strengthens. Self-esteem does not mean arrogance, perfection, or superiority. It is the quiet confidence that one’s worth is inherent—it does not depend on grades, followers, job titles, or external approval.

With genuine self-esteem:

  • Anxiety subsides because validation is no longer dependent on others.
  • Depression lightens because the inner voice shifts from criticism to compassion.
  • Addictions lose their pull because there is no longer a desperate wound demanding constant numbing.
The Foundational Question

The Foundational Question

A provocative question emerges: Does anyone with truly high self-esteem have mental health issues? While biology, trauma, and circumstances can certainly affect mental health, many struggles lose their intensity when rooted self-worth is present. A person who feels whole is not immune to difficulty, but they relate to it differently. Instead of collapsing under stress or seeking escape through substances, they meet challenges from a place of inner confidence.

The journey, therefore, is not simply managing symptoms of anxiety, depression, or addiction—but addressing the root. Healing begins when we stop trying to earn, escape, or numb our way into worthiness, and instead remember the truth: We were always enough.

Exploring a Path to Healing: Rapid Transformational Therapy (RTT)

For many, traditional self-help methods and surface-level affirmations are not enough to uproot these deep-seated patterns. Rapid Transformational Therapy (RTT) offers a unique and effective approach, integrating hypnotherapy, cognitive reframing, and neuropsychology to access and transform the subconscious beliefs that drive feelings of unworthiness. RTT guides individuals to the very origins of their limiting beliefs, gently reprogramming old narratives and helping install new, empowering truths—”I am enough.” Many people experience profound shifts in self-esteem and relief from anxiety, depression, and addiction through RTT, finding not just temporary motivation but lasting change at the level where it matters most: the core of identity.



Visit sanjkatyal.com to learn more.

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