Compulsive helpers aren't truly generous; they're driven by fear of being abandoned. Childhood experiences shape this behavior, teaching that usefulness equals safety. These individuals attract one-sided relationships where their contributions are valued more than their presence, leading to chronic self-neglect.

The solution lies in small steps towards self-care, including asking for minor favors and allowing others to see you struggle. Developing an identity independent of usefulness can lead to healthier, more balanced relationships.

True generosity demands the ability to say no and ask for help, ensuring that giving becomes a gift rather than a survival mechanism.