When this is caused by relationships these can be family relationships, primary relationships, or even school or work relationships. The person comes to believe that everything they say, think or do is somehow wrong or unworthy, and they are often full of self-blame. People with a sense of low self-worth feel they have nothing to contribute, they do not belong, and are not wanted.
They believe these are facts, and this causes a great deal of pain. They often become extremely self-conscious and self-critical and may put everything they say, do or think under the microscope, believing this will help, when instead it
becomes even more paralysing, and makes them feel worse.
Therapy can help you understand the basis of your low self-esteem and how you learnt these beliefs. This will help you understand it as just a belief and not based on fact, which will, in turn, enable you to transform and change how you feel and think about yourself and to develop a more constructive belief system.