The foundations for low self esteem are usually laid in one’s childhood. Not being able to trust that we are valued and understood, and that our anxieties can be soothed, prevents one from constructing an internal reality in which the world is safe, and that one is a lovable and worthy people. Consequently, one might experience difficulties in accurately evaluating and trusting what he can manage in life. In addition, one might suffer difficulty in recognizing stress and unhealthy relationship patterns. Early nurturing can teach one how to nurture oneself and to develop a resilience to dealing with life’s challenges. Deprivation from such nurturance can be detrimental to one’s self esteem. The psychotherapeutic relationship can serve as a vehicle to creating a secure base and compensating for some of childhood’s deficiencies.