I feel this completely BUT I just wanted to add that there is a component of delusion that can get ignored when you don't respond to any external feedback. Just because I think something about myself, doesn't make it true. And it doesn't make it true every single time. I'm a doctor, and I care about my patients and I try to go out of my way to make sure they get the things they need. But at the same time, I'm not perfect and I definitely have days when I'm only capable of the bare minimum. If someone catches me on those days, they might call me lazy. I'm not lazy, but for that person on that day, maybe I was. I just have to accept that is what someone's experience of me is, and try to do better as much as I am capable.