Oh there's a lot more things that are way more painful.
Nothing is more useless than to live seeking others' approval. There a far worse problems to be had. Approval doesn't put food in your belly, or a roof over your head, or erase the pain from trauma.
Needing approval is somebody who's so bored of having no problems that they have to fixate on seeking approval, which really means absolutely nothing to them in their lives. Approval is fleeting, temporary, silliness. 10, 20 years later people look back just to laugh at their own stupidity because they wasted so much time and energy on seeking approval from someone isn't even worth their spit.