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Actually, to me low self-esteem usually is a sort of symptom of depression, which is a medical condition. And in that sense, whether birth mom has depression, etc. MAY be important as part of the child's medical history that a pediatrician likely will be interested in and may actually affect the approach taken by the doc. It's obviously not important for the purpose of "blame" or "credit" (and I don't think OP was suggesting that).
Sorry, meant to add: GOOD LUCK figuring it out and getting your DD the help that she may need.
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