If this is true, OOP probably had some long unresolved trauma and/or underlying guilt religious indoctrination or obesity, low self-esteem or depression or something similar holding him back for that long. Not sure if this greentext was a word-for-word quoted conversation between a real-life patient & therapist, but if so, that therapist’s credentials need to be revoked. More likely the conversation was an imaginary one from some OOP’s lazy self-deprecating imagination.