"Heavenly Father, I confess that I have unmercifully held myself in judgment concerning _________________ (list the situation). I forgive myself for my role in that situation. Please cleanse me of all self-condemnation by the blood of Jesus and restore in me a healthy self-esteem. Thank you, Lord for forgiving me and empowering me to live for you as a new creation. In Jesus' name I pray, Amen."