I would like to add one thought: I found my need for approval had much to do with my lack of accepting my psychic health condition. I did not accept my limitations and "handicaps" caused by my disorders, to be precise, I did not
really accept being ill. And according to this I did not or no longer accept myself, "being like that".
That was a mistake, as I see it now.
From the moment I gave up fighting against myself, peace came, and acceptance, and I could tolerate my limits much more. Since then I became stable. On a certain level of course, but stable.

to everyone who wants one,
bluenarciss