When we expand our Ego, for example thanks to the positive
judgments of others, depression vanishes for a few seconds. This brief relief
leads to want more approval. We try to satisfy others’ expectations and we use
masks that isolate us, increase our loneliness and the identity conflict and
depression. The more we seek the approval of others, the more we use masks, and
the more we use masks the more we feel lonely and the identity conflict between
“being and not to being” increases. The approval of others requires “others”,
causing the fear of being rejected.
The Vital Needs Theory - page 14