According to Osho, when you can’t say yes to yourself, you live under inherited 'shoulds' that breed guilt and perfectionism; this splits you into either neurotic self-condemnation or hypocritical pretense. You turn against yourself, lose joy, and cannot truly love others. Healing begins by dropping perfectionist ideals and saying an unconditional yes to life’s imperfection, including yourself.
If you can’t accept yourself, you feel guilty or fake and can’t really love others, until you stop chasing perfection and say yes to who you are.