You recognize that these are your issues and you stop worrying about what other people think of you. You arrange your life in a way that is true to who you are, and you own up to choices you make that are counterproductive or at odds with what you believe is right. You say "yes, i have decided that the benefits/pleasure i gain from choosing X equals or exceeds that which i would lose or gain from choosing Y", and you recognize that it's a CHOICE not an OBLIGATION.
It never ceases to floor me how many people are obsessed what others think of them, and how many people are obsessed with what they think of others. So many lives not being lived by their rightful owners. So many people living their lives to be approved by others, never doing what makes them happy, never able to make others happy by sacrificing their own happiness.
Have some kids. Maybe THEY will get it right this time.