I'm a sober AA member as well as having Bipolar and panic and anxiety. I have terrible self esteem issues, partially because I have lost everything in life due to mental illness and terrible mis-prescription by psychiatrists for 7 years. And also beacuse I am nearly double my healthy weight due to psych meds. (Catch 22)

But in AA we say, "Self esteem comes from esteemable acts". That mainly refers to "being of service" to othert people - putting your hand out to help someone, but it also means esteemable acts like having a shower every day, doing the clothes washing, the dishes, paperwork, going for a walk, doing somting fun - building up from the smaller things to the bigger things.

It's been really hard for me to do that stuff myself as I have continued relapse into Bipolar related major suicidal depression, which stunts my ability to do the above stuff, especially the community re-engagement stuff, but I am now on Lamictal and I hope it will give me the wellness to do all that stuff.

Love doesn't depend on perfection. Love accepts the good and the bad. People we love aren't perfect so there's no reason we should demand perfection of ourselves. As far as the voices, a med change and therapy can take care of them, along with some therapy.

maybe some form of therapy if that kind of self sabotage is an ongoing thing for you?

12 Steps rocks!!!

Weird to say, but you'd lucky if you have some addiction, doing the 12 steps would help you a lot.

There are 12 step programs for depression -- there's a group called DA. That might help you build your self-esteem.

I have self-esteem issues myself, and I work on those in therapy. When I'm high, I do not have those issues - at least not to that degree.