Self-esteem exists on a continuum of low to high. People with low self-esteem may have low confidence, be self-critical and might be filled with self-doubt. Many people tell me they are afraid of being “found out” and feel like a fraud or a fake in work or in a relationship. Our sense of self has a big effect on how we present ourselves to others and how we think the world sees us. Low self-esteem is not just a feeling of worthlessness, it literally can hold us back from even trying and often comes with feelings of guilt and not being good enough or of feeling like a fraud. Changing ingrained ideas or our self-awareness can be very difficult. Therapy can help get an understanding of who we are and why and help shift that perspective improving self-confidence and self-worth by working on your values and belief systems.