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

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