What feeling did the client with skin issues experience before receiving help?

The client with skin issues experienced a lack of self-esteem before receiving help, which is a common emotional response for individuals dealing with visible skin conditions. Skin issues can significantly impact a person's self-image and confidence, leading to feelings of inadequacy and low self-worth. This lack of self-esteem may stem from societal pressures and beauty standards, making those affected by skin problems feel insecure about their appearance. In this context, the correct answer reflects a profound emotional struggle that many clients face, prompting them to seek assistance to improve their skin and, subsequently, their self-esteem. The other feelings listed, such as anger, frustration, or confidence, do not accurately capture the typical response to such challenges. Indifference may also be an avoidance mechanism but does not directly pertain to the client’s emotional turmoil regarding their self-worth due to their skin issues.