I agree with Thorn Bird about the poor self-esteem. But I find that self-esteem is connected other things as well. I find that depression, anxiety, etc erode self-esteem. I know when I in a stable period of my bipolar illness that my self-esteem rises but when I am in a deep depression my self-esteem goes out the window. So many things cause and errosion of self-esteem. I only named a couple that affect mine.