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Self-esteem is an elusive concept of identity that begins to develop very early in childhood. It can be challenging to target directly because it incorporates a lifetime of beliefs and channels them into a rigid standard of behavior and conduct.  Improving low self-esteem in therapy requires a commitment to change and an examination of important or relevant relationships, as well as any significant historical experiences, as these factors closely influence identity formation, and in turn dictate self-worth and confidence.

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