I would say absolutely. I have a very negative self-esteem generally - I have to work hard to see myself as a positive, intelligent and good person. I have difficulty seeing what others see in me, no matter how many times they tell me. For a long time, despite everything that I knew and all of the positive things I had done, I had a very hard time looking at myself in the mirror. When I started accepting that I was worthy of love, appreciation and affection, I could not only look at myself, but I could look at myself and smile. I see myself completely differently now. It's still not always easy, but it is one step in a gradual process.