Low Self-Esteem

Persistent negative self-beliefs affecting confidence, relationships, decision-making, and emotional wellbeing, often shaped by past experiences.

1) What it is

Low self-esteem is a persistent negative view of yourself — feeling “not good enough,” unworthy, or ashamed.

2) What it feels like

“I’m not enough.”

“Everyone else is better.”

“If people know the real me, they’ll leave.”

3) Signs

  • people pleasing
  • fear of criticism
  • overthinking and comparison
  • perfectionism or procrastination
  • self-sabotage
  • difficulty accepting compliments

4) Causes

  • bullying/criticism
  • trauma
  • unstable relationships
  • repeated failure experiences
  • unrealistic standards
  • social media comparison

5) Triggers

  • rejection
  • social situations
  • criticism
  • mirrors/photos
  • work压力 and mistakes

6) Helps now

  • speak to yourself like a friend
  • write 3 things you did right today
  • reduce comparison triggers
  • grounding: breathe + soften shoulders

7) Longer-term

  • CBT/self-esteem therapy
  • confidence actions (small challenges)
  • boundary skills
  • build identity around values
  • stop “all-or-nothing” thinking

8) Treatment

  • CBT and counselling
  • group therapy or confidence programmes

9) Medication

Not for self-esteem directly, but for anxiety/depression if present.

10) Tips

  • practise “good enough” daily
  • choose supportive people
  • do things that build competence

11) Urgent

Urgent if:

  • self-harm or suicidal thoughts
  • severe depression

12) UK help

  • NHS Talking Therapies
  • Mind
  • Samaritans / Shout