Helen has the main problem of low self-esteem and self-confidence. Through this case study, it is observed that her family, including her parents and her husband, had not been supportive or encouraging in any way. Helen has not heard any encouraging comments about her writing. Although Helen grew up in a stable home, she received little verbal affirmation growing up. Thus Helen had self-esteem and confidence issues at the time she met Steve. Whatever Helen sacrificed in the difficult time in their married live, Steve took it for granted. He never even ...