Self-Esteem Symptoms and Treatment Options

What Is Self-Esteem?

Self-esteem refers to the overall opinion we have about ourselves – the value we place on ourselves as people. It's not just about feeling good or confident in specific situations, but it's more of a deep-seated belief in our own worthiness and abilities. It influences how we perceive and approach life, affecting our thoughts, feelings, and behaviors.

Imagine your self-esteem as the foundation of a house. If the foundation is strong, the house is more likely to withstand challenges and storms. Similarly, when your self-esteem is solid, you're better equipped to navigate the ups and downs of life. On the other hand, if the foundation is shaky, the house becomes vulnerable. Likewise, low self-esteem can make it harder to cope with life's difficulties.

Self-esteem is built over time through our experiences, relationships, and the way we interpret and react to them. Therapy can help you explore and understand the factors that may have influenced your self-esteem, and we can work together to build a stronger foundation. It's about recognizing and challenging negative beliefs about yourself, developing a more balanced and compassionate self-view, and learning to appreciate and celebrate your strengths. If you or someone you know is concerned about their self-esteem, contact us today to schedule a Meet & Greet!

What Are Symptoms of Self-Esteem?

Self-esteem is not a disorder with specific symptoms in the same way that a mental health condition might have defined symptoms. Instead, self-esteem is a subjective and emotional evaluation of one's own worth and capabilities. However, low self-esteem can manifest in various ways, influencing thoughts, feelings, and behaviors. Here are some signs that might indicate low self-esteem:

  1. Negative Self-Talk: Individuals with low self-esteem often engage in persistent negative self-talk, criticizing themselves and focusing on perceived weaknesses or failures.

  2. Perfectionism: A constant need to be perfect or fear of making mistakes can be a sign of low self-esteem. People with low self-esteem may set unrealistically high standards for themselves.

  3. Social Withdrawal: Individuals with low self-esteem may avoid social situations due to fear of judgment or rejection. They may feel they are not worthy of others' company.

  4. Lack of Assertiveness: Difficulty expressing one's needs and opinions, and a tendency to go along with others to avoid conflict, can be linked to low self-esteem.

  5. Sensitivity to Criticism: People with low self-esteem may be highly sensitive to criticism, taking it personally even if it's constructive. They may internalize feedback as evidence of their inadequacy.

  6. Comparing Oneself to Others: Constantly comparing oneself to others and feeling inferior can indicate low self-esteem. This may lead to feelings of jealousy or unworthiness.

  7. Difficulty Accepting Compliments: Individuals with low self-esteem may struggle to accept compliments or positive feedback, dismissing it as insincere or feeling uncomfortable with praise.

  8. Fear of Failure: An intense fear of failure can be a sign of low self-esteem. This fear may hinder individuals from taking on challenges or pursuing goals.

  9. Poor Body Image: Negative perceptions of one's physical appearance are common in individuals with low self-esteem. This may contribute to unhealthy behaviors such as excessive dieting or avoidance of social situations.

  10. Procrastination: Chronic procrastination can be linked to low self-esteem. Fear of failure or perfectionism may lead individuals to delay tasks.

These signs can be interconnected, and addressing one aspect may positively influence others. If you or someone you know is concerned about their self-esteem, contact us today to schedule a Meet & Greet!

Self-Esteem Treatment with Psychodynamic Therapy

Psychodynamic therapy is an approach that explores how unconscious processes and past experiences influence current thoughts, feelings, and behaviors. When treating self-esteem concerns using psychodynamic therapy, therapists focus on uncovering and understanding the underlying dynamics that contribute to low self-esteem. Here are some key strategies commonly used in psychodynamic therapy to address self-esteem issues:

  1. Exploration of Early Experiences:

    • Psychodynamic therapy often involves exploring early childhood experiences, including relationships with caregivers. By examining the dynamics of these formative relationships, therapists and clients can identify patterns that may contribute to low self-esteem.

  2. Identification of Core Beliefs:

    • Therapists work with clients to identify and understand core beliefs about themselves that may be negatively impacting their self-esteem. These beliefs often stem from early experiences and may be deeply ingrained in the individual's self-concept.

  3. Unconscious Processes:

    • Psychodynamic therapy emphasizes the role of the unconscious mind. Therapists help clients become aware of unconscious thoughts, emotions, and defense mechanisms that may be contributing to negative self-perceptions.

  4. Transference and Countertransference:

    • Transference occurs when feelings and attitudes from past relationships are unconsciously transferred onto the therapist. Countertransference involves the therapist's emotional reactions. Exploring these dynamics in therapy can provide insights into relational patterns and enhance self-awareness.

  5. Dream Analysis:

    • Some psychodynamic therapists use dream analysis to uncover unconscious material that may be relevant to self-esteem issues. Dreams can offer symbolic representations of unresolved conflicts and emotions.

  6. Free Association:

    • Clients are encouraged to freely associate their thoughts and feelings during therapy sessions. This technique allows unconscious material to emerge, providing valuable insights into the client's internal world and contributing to a deeper understanding of self-esteem issues.

  7. Interpersonal Exploration:

    • Psychodynamic therapy often involves exploring current interpersonal relationships. Examining how clients relate to others in the therapeutic relationship can provide insights into relational patterns and difficulties that may impact self-esteem.

  8. Working Through Past Trauma:

    • If past trauma is contributing to low self-esteem, psychodynamic therapy provides a safe space for clients to process and work through these experiences. This may involve revisiting and reinterpreting traumatic events in the context of the therapeutic relationship.

  9. Promoting Self-Reflection:

    • Psychodynamic therapy encourages clients to engage in self-reflection outside of sessions. Journaling, contemplation, and mindfulness practices can enhance self-awareness and contribute to the exploration of self-esteem.

  10. Integration and Resolution:

    • Through exploration and understanding, psychodynamic therapy aims to help clients integrate fragmented aspects of the self, resolve internal conflicts, and develop a more cohesive and positive self-concept.

It's important to note that psychodynamic therapy is a long-term approach, and progress may unfold gradually. The therapeutic relationship plays a crucial role, as the therapist provides a supportive and empathetic environment for the client to explore and understand the deeper aspects of their self-esteem issues. Additionally, psychodynamic therapy often involves a collaborative and interactive process between therapist and client, allowing for a deeper understanding and resolution of underlying dynamics. If you or someone you know is concerned about their self-esteem, contact us today to schedule a Meet & Greet!

Self-Esteem Treatment with Acceptance and Commitment Therapy (ACT)

Acceptance and Commitment Therapy (ACT) is a therapeutic approach that focuses on acceptance of thoughts and feelings, mindfulness, and commitment to values-based actions. When treating self-esteem concerns using ACT, the emphasis is on fostering psychological flexibility and promoting values-driven behavior. Here are some strategies commonly used in ACT to address self-esteem issues:

  1. Mindfulness and Acceptance:

    • ACT encourages individuals to practice mindfulness, which involves being present and fully engaged in the current moment without judgment. This helps individuals accept their thoughts and feelings, including those related to self-esteem, without getting entangled in self-critical or avoidant patterns.

  2. Defusion Techniques:

    • Defusion involves creating distance from negative thoughts and reducing their impact. Techniques may include giving thoughts a humorous label or imagining them as leaves floating down a stream. This helps individuals see thoughts as transient events rather than objective truths.

  3. Values Clarification:

    • ACT places a strong emphasis on identifying and clarifying personal values. By understanding what truly matters to them, individuals can use their values as a guide for making choices and taking actions aligned with their sense of purpose.

  4. Commitment to Action:

    • ACT encourages clients to commit to specific, values-based actions. This involves setting meaningful goals and taking steps toward those goals, even in the presence of self-doubt or discomfort. Commitment to action helps individuals build a sense of competence and accomplishment.

  5. Self-Compassion Practices:

    • ACT incorporates self-compassion as a key component. Clients are encouraged to treat themselves with kindness and understanding, especially when facing challenges or setbacks. Self-compassion can counteract self-critical thoughts associated with low self-esteem.

  6. Cognitive Defusion:

    • Cognitive defusion techniques help individuals distance themselves from unhelpful thoughts. This can involve repeating negative thoughts in a funny voice or singing them to a familiar tune. The goal is to reduce the impact of these thoughts on self-esteem.

  7. Mindful Awareness of Thoughts and Feelings:

    • ACT encourages clients to mindfully observe and describe their thoughts and feelings without judgment. This helps individuals become more aware of their internal experiences and reduces the tendency to react automatically to negative self-perceptions.

  8. Values-Based Exposure:

    • Exposure exercises in ACT involve facing situations that challenge one's self-esteem but are in alignment with their values. This approach helps individuals confront and overcome avoidance behaviors and build resilience.

  9. The Observing Self:

    • ACT distinguishes between the thinking self (the one having thoughts) and the observing self (the one aware of thoughts). By identifying with the observing self, individuals can gain perspective on their thoughts and emotions, fostering a sense of detachment.

  10. Gratitude and Positive Reinforcement:

    • Incorporating gratitude practices and recognizing positive aspects of oneself and one's life can contribute to building a more positive self-image.

In ACT, the goal is not to eliminate negative thoughts and feelings but to change one's relationship with them and take meaningful actions in the presence of discomfort. The therapeutic process involves collaborative exploration and experiential exercises, empowering individuals to lead more fulfilling and values-driven lives despite challenges to their self-esteem.

Self-Esteem Treatment with Narrative Therapy


Narrative therapy is an approach that focuses on the stories people tell about their lives, helping them reframe and reconstruct these narratives in more empowering ways. When using narrative therapy to address self-esteem concerns, therapists often employ the following techniques:

  1. Externalizing the Problem:

    • Encourage clients to separate themselves from the problem, treating low self-esteem as an external influence rather than an inherent part of their identity.

    • For example, instead of saying, "I am a failure," reframe it as, "I feel like there's a voice telling me I'm a failure."

  2. Exploring Personal Narratives:

    • Help clients examine the stories they tell themselves about their lives and identities. This includes exploring the origins of these stories and the impact they have on self-esteem.

    • Identify recurring themes and patterns in the narratives and how they contribute to low self-esteem.

  3. Reauthoring Stories:

    • Collaborate with clients to rewrite their narratives in a way that emphasizes strengths, resilience, and positive experiences.

    • Explore alternative interpretations of events that challenge negative self-perceptions.

  4. Unique Outcomes:

    • Identify exceptions to negative patterns and explore instances where clients have demonstrated strengths, skills, or positive qualities. These unique outcomes can be used to challenge and reshape the dominant narrative.

  5. Rich Description:

    • Encourage clients to provide rich and detailed descriptions of their positive experiences, skills, and achievements. This helps in creating a more nuanced and positive self-portrait.

  6. Thickening the Plot:

    • Explore and expand on the complexity of clients' identities beyond the limiting narratives. This involves acknowledging and celebrating the multifaceted aspects of their personalities and experiences.

  7. Externalizing Conversations:

    • Engage in conversations with clients where the therapist takes on the role of the problem, allowing the client to express their thoughts and feelings directly to the "voice" of low self-esteem. This can create distance and provide a sense of agency.

  8. Letter Writing:

    • Have clients write letters to themselves or from a more empowered perspective. These letters can serve as reminders of their strengths and accomplishments, providing a positive narrative to refer back to.

  9. Mindfulness and Self-Compassion:

    • Integrate mindfulness techniques and self-compassion exercises to help clients become more aware of their thoughts and feelings without judgment. Mindfulness can foster a non-judgmental awareness of the present moment.

  10. Collaborative Approach:

    • Collaborate with clients throughout the therapeutic process, ensuring that the new narratives align with their values, goals, and preferred identities.

Watch more about techniques to build your self-esteem with our Founder and Registered Psychotherapist (Qualifying), Cassandra Francis!