I have to fight a poor self esteem all the time. That I am not good enough, not smart enough, I shouldn't even try to do the things I like because I don't deserve it.

I then avoid social situations or career opportunities because of that. I consider that a form of self harm.

It's entirely human, just some of us humans have it to an extreme. (bipolar doesn't make us inhuman,it makes us humans with bipolar).