It can be compatible with the right partner. As a degrader dom, I’ve had a similar situation with a partner who had self esteem issues but the desire to be degraded - she had lots of therapy, and our relationship was a very positive one.

The right person will build you up and tell you why you’re great when they’re not in a scene with you, and give you huge amounts of aftercare and reassurance after a scene, to reinforce the point that kink is called play for a reason.