Abuse. The belief that self-love automatically equals selfishness and people should hate and sacrifice themselves in order to be a good person. Maybe also comparisons, because sometimes they keep me from defining what I really want and I start to desire stuff, that other people are passionate about
He might follow his dream of being a doctor and partly abandoning his family or try to invest time in his closest ones and lower his qualification. Either way he can find a way to be happy
She might consider putting more effort in building her own future instead of helping her family. She isn’t the one responsible for her siblings being born unlike her mother, so she could gain some extra, only just to maintain herself and invest spare time in studying
She might consider that there’s another way to feel loved and she was the one capable of loving herself. She might stop seeking approval in other people, concentrate on herself and find peace
He tries to follow his dream being a cardio-doctor
She still tries to manage school and doesn’t give up on her future