I have been in and out of counselling for years. Whenever I can afford it and get sick of my anxiety attacks. 

I get this one almost every single time. "You need you build your self-image. You need to have more confidence."

How do people even do this when we have to work 6-7 days a week just to scrape by? When they're always having to look over their shoulder because the moment they drop their guard their livelihood is threatened? I don't think that counselling will ever work for me, I try to explain to them my situation and I get the same response. Self-worth is a luxury for the rich.