Talking about my self worth problems always made me feel worse because it wound up accentuating my negative thoughts, and then I'd wind up ruminating over how pathetic I was. Talking alone wasn't going to help me change my thought patterns. My t knew all of this and wouldn't let me talk but very little about my self loathing. Instead, she gave me a couple of quick, simple, mindfulness techniques to help change my thought patterns around this. They have really helped a lot. I still have a long way to go to improve but I've also come a long way from where I once was.