Low self-esteem refers to a pervasive negative evaluation of oneself, a core belief that one is fundamentally inadequate, unworthy, unlovable, or less-than. It is distinct from situational self-doubt (which is normal and universal) and tends to be stable across contexts.
Low self-esteem frequently underlies and maintains other difficulties, including anxiety, depression, relationship problems, perfectionism, and patterns of people-pleasing or self-sabotage.
Therapy for low self-esteem does not offer false positivity or affirmations that do not ring true. It offers something more durable: a genuine, evidence-based shift in how you relate to yourself.
Common signs and presentations
You may be experiencing low self-esteem if you recognise any of the following:
- A persistent inner critic, a harsh internal voice that regularly attacks, undermines, or dismisses you
- Difficulty accepting compliments, achievements, or positive feedback
- Comparing yourself unfavourably to others, often focusing on perceived shortcomings
- People-pleasing: prioritising others’ needs and approval at the expense of your own
- Difficulty setting limits, fear that saying no will result in rejection or abandonment
- Perfectionism as a strategy: trying to compensate for feeling not good enough through achievement
- Avoiding situations where you might be judged or fail
- A pervasive sense of not deserving good things such as happiness, success, love, or rest
- Shame: a felt sense of being fundamentally flawed rather than having made mistakes
What to expect in sessions
Work on self-esteem is often some of the most meaningful therapy a person can do; because it touches every area of life. It is also work that requires patience and consistency.
Sessions move at a pace that is yours. There is no pressure to arrive at self-acceptance overnight. What therapy offers is a consistent, skilled, compassionate space in which change can genuinely happen, not through willpower, but through understanding.