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Low self-esteem and ways to cope

Written by a myTherapist Scientific Contributor | Eleni Nanou
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How many times have you questioned yourself and your worth? Self-esteem equals worth divided by abilities. Self-esteem is not just a word. It is the foundation on which our mental health, relationships, and choices are built. Learning to see yourself with respect and acceptance can radically change your life. Self-esteem is formed from childhood. The level of our self-esteem affects how we think, feel, and act. When it is low, it often leads to inner conflict, anxiety, insecurity, and difficulty experiencing life with fullness. Learning how to understand and strengthen self-esteem is a process of deep self-awareness and care.

What self-esteem is, and how it differs from self-confidence

Self-esteem is the degree to which we value and accept ourselves, with both our positive and negative sides. It is our internal sense of worth as human beings.
Self-confidence, by contrast, is the trust we have in our abilities to perform specific actions. Someone can have high self-confidence in a skill, for example professional competence, but still have low overall self-esteem. Self-esteem is the overall picture we hold of ourselves. It answers the question, “How much am I worth as a person?” It is linked to a sense of value, acceptance, and self-love. It is built mainly through childhood experiences, relationships with significant others such as parents, messages we receive from our environment, and personal life events. When it is low, it can lead to insecurity, fear of rejection, and dependence on the acceptance of others. Self-confidence is belief in our capabilities. It reflects how sure we feel that we can achieve specific goals or complete tasks and responsibilities. It answers the question, “Can I do it?” It focuses on skills and specific areas, for example confidence in studies, work, or social settings. It can be high in one area and low in another. It is strengthened through action, practice, and experience.

Rosenberg notes (1965, 1979) that many people assume that if someone respects themselves in certain aspects of life, then they respect themselves overall. If they believe they are intelligent, attractive, moral, interesting, then they have a positive view of themselves as a whole. However, it is clear that a person’s global self-esteem is not based on their skills in general, but on the strengths that matter to them. What determines self-esteem is not individual traits on their own, but the relationships between them, their weight, and their combination.
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How low self-esteem develops

Self-esteem is shaped mainly in childhood.

  • Family and early experiences: Criticism, lack of affirmation, or excessive expectations can cultivate the feeling “I am not enough.” An emotionally distant and insecure attachment environment can lead to a disorganized sense of self-worth.
  • Social influences: Standards of beauty, success, and perfection can fuel constant comparison.
  • Traumatic experiences: Bullying, rejection, or loss can leave deep marks that follow us into adulthood.
  • Self-criticism: Internal voices that say “you’re not worthy” or “you will fail” reinforce the vicious cycle.

Effects of low self-esteem in adult life

Low self-esteem can deeply affect every part of a person’s life. When someone does not believe in their worth, they are more likely to doubt their abilities, avoid challenges, and remain trapped in situations that do not satisfy them, staying in a “safe zone.” If they risk trying something new, they may feel defeated. Low self-esteem is not just a feeling. It has practical and emotional consequences,

such as:

  • Dependent or toxic relationships: When we feel we do not deserve better, we may tolerate behaviors that hurt us.
  • Fear of failure: Low self-esteem pushes us to avoid new experiences, fearing we will not succeed.
  • Increased stress and Depression: Negative thoughts about ourselves are linked to heavy psychological strain.
  • Difficulty making decisions: When we do not trust ourselves, we may let others decide for us or delay important decisions because we feel unworthy.
  • Perfectionism: A constant need to prove our worth that often ends in frustration and exhaustion.
  • Work life: A sense of inferiority and constant comparison can lead to fear of failure, procrastination, or difficulty asserting ourselves and feeling capable in new responsibilities.
  • Mental health: Psychological balance begins to decline, accompanied by anxiety, depression, and psychosomatic symptoms.
  • Daily life: Strong procrastination, perfectionism, and fear of criticism.

If low self-esteem is limiting you, take the first step toward change. Psychotherapy can help you discover your worth and live a fuller life.

The voice of inner criticism

Many people with low self-esteem hear a constant inner critic.

The inner critic is the part of us that speaks harshly, doubts our abilities, and makes us feel we are never enough. It is an internalized dialogue often shaped by childhood experiences, family messages, or social expectations.

This critical voice can sound like:

  • “You never do anything right.”
  • “You don’t deserve love or success.”
  • “Others are better than you.”
  • “You will fail.”
  • “No one appreciates you.”
  • “You’re not good enough.”


Although it may seem like it is trying to protect us from failure, it actually fuels anxiety and low self-esteem and often leads to perfectionism. It works like a filter that distorts reality, reducing our joy and creativity.

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The self-esteem spectrum

The self-esteem spectrum, from low to healthy Self-esteem is the way we see, feel, and evaluate ourselves. It is not static or absolute. It moves along a spectrum, from low to healthy and balanced. The quality of this internal relationship strongly shapes our choices, relationships, and emotional well-being.

1. When self-esteem is low

You may feel inferior to others. People with low self-esteem often value other people’s opinions more than their own. They may struggle to accept compliments and focus on perceived weaknesses rather than strengths. They often fear failure and believe others are better. They may also take criticism very personally.

Low self-esteem often shows up as:

  • Intense self-criticism and guilt-filled inner dialogue
  • Seeking reassurance from others
  • Difficulty saying no or setting boundaries
  • Comparison and fear of rejection

 

Underneath is the belief “I am not enough.” This pattern often has roots in childhood, through demanding parents, neglect, or lack of emotional safety.

 

2. Inflated self-esteem

There is also the other end, a seemingly high self-esteem that hides insecurity. People with inflated high self-esteem may appear overly confident, but beneath the surface there is fear of vulnerability and a need for control. True self-esteem does not need to prove anything. It feels enough without comparison.

 

3. Healthy self-esteem

Healthy self-esteem does not mean perfection. It means accepting yourself with both light and shadow.
A person with stable self-esteem:

  • Acknowledges mistakes without self-cancellation
  • Sets boundaries without guilt
  • Loves themselves without becoming self-centered

 

Self-esteem is a life skill. It is cultivated through self-awareness, empathy, and self-care. Healthy self-esteem includes a realistic and balanced view: recognizing and accepting both strengths and weaknesses, with realistic expectations for oneself and others.

 

4. From low to healthy self-esteem

This transition takes time, awareness, and consistency. Helpful steps include:

  1. Notice your inner dialogue and soften harsh self-criticism
  2. Recognize your achievements, even small ones
  3. Set boundaries, saying no is an act of self-respect
  4. Seek support, therapy can help you understand the patterns holding you back

 

5. Self-esteem in relationships

The relationship you have with yourself is reflected in every other relationship. When you do not believe you are worthy, you tolerate less than you deserve.
Healthy self-esteem builds relationships based on respect, honesty, and balance, not fear of abandonment.

 

6. Excessively high self-esteem

A sense of superiority over others. People with excessively high self-esteem may be critical and arrogant, showing rigid narcissistic traits, believing they are always right and overlooking their own flaws.

Don’t let doubt and inner criticism decide your choices. Start today from the comfort of your home and build a healthier relationship with yourself with the help of a mental health professional.

How can I strengthen my self-esteem?

Strengthening self-esteem is not an easy or quick process, but it is a meaningful journey toward self-awareness and inner balance. When we learn to believe in ourselves, we open paths to healthier relationships, better choices, and greater psychological strength.

Strategies to strengthen your self-esteem:

  1. Recognize the inner voice that criticizes you: Pay attention to how you talk to yourself. When your thoughts are harsh or focus on negative scenarios, try to identify the insecurities behind them. Over time, you can replace them with more compassionate statements.
  2. Set realistic goals: Self-esteem grows when we see ourselves succeeding step by step. Each small success is evidence that consistency and effort can lead to long-term goals.
  3. Care for your body and mind: Exercise, rest, and balanced nutrition strengthen not only energy, but also your self-image. Small daily acts of care reinforce your sense of worth.
  4. Surround yourself with supportive people: Build relationships with people who inspire you. Don’t fear them or compare yourself to them. Nobody is born perfect. They are not superior, they may simply have vision and assertiveness. You need people who strengthen you and do not diminish you. Relationships that encourage and accept you help you build a steadier self-esteem and move toward the place you want but fear to reach.
  5. Try something new: Stepping outside your comfort zone is a way to show yourself you can face challenges.
  6. Set boundaries: Saying no is an act of self-respect.
  7. Ask for support: Psychotherapy can help you understand the roots of low self-esteem and build a healthier relationship with yourself.

 

Believing in yourself does not mean you will stop making mistakes. It means you will learn to see them as steps of growth, not evidence of inadequacy.

This process takes time, patience, and consistency. But every small step toward self-acceptance is a major victory.

Discover how well you know yourself
Take the self-esteem test and see where you stand.

Relationships and self-respect, how to build bonds with healthy boundaries

The ability to respect yourself is the foundation of every healthy relationship. Without self-respect, even the most beautiful connections can become sources of anxiety, insecurity, and emotional dependence. Self-respect is not only about believing in your worth, but also about how you treat yourself and others, and what you allow from others.

What self-respect means in relationships?

Respect myself within a relationship means:

  • I set boundaries and communicate them clearly
  • I recognize my needs and take care of myself
  • I avoid toxic or dependent relationships
  • I make space for authenticity and honesty

 

When it is missing, what often appears is:

Self-respect and emotional health

Self-respect is closely linked to psychological resilience and self-esteem. When we respect ourselves:

  • Anxiety and depression decrease
  • The ability for meaningful relationships increases
  • Self-confidence and decision-making grow stronger

Conclusion

Self-esteem is vital for mental health and well-being. It helps us face challenges, build healthy relationships, and live a fuller life. It can be cultivated through self-compassion, challenging negative thoughts, setting boundaries, and recognizing strengths.

Learn to say "no" without guilt and strengthen your life with self-respect. Start online therapy today and help yourself recognize toxic patterns and create relationships that respect you.

Bibliography

  • Branden, N. (1994). The Six Pillars of Self-Esteem. Bantam Books.
  • Neff, K. (2011). Self-Compassion: The Proven Power of Being Kind to Yourself. William Morrow.
  • Kernis, M. H. (2003). Toward a Conceptualization of Optimal Self-Esteem. Psychological Inquiry, 14(1), 1–26.
  • American Psychological Association (2023). Self-Esteem and Mental Health.
  • Greek Psychologists Association (2022). Self-esteem and Self-respect, a mental health guide.
  • Coopersmith, S. (1967). The Antecedents of Self-Esteem. W.H. Freeman.
  • Orth, U., Robins, R. W., and Widaman, K. F. (2012). Life-span development of self-esteem and its effects on important life outcomes. Journal of Personality and Social Psychology, 102(6), 1271–1288.
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