Low Self-Esteem Problems Helping You To Help Yourself

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Designed By David Hoare Bsc(Hons) MBACP(Accred)

What is Low Self-esteem?

A woman hates to stand in line in the grocery store because she's afraid that everyone is watching her. She knows that it's not really true, but she can't shake the feeling. Now, she has to talk to the person who's checking out her groceries. She tries to smile, but her voice comes out weakly. She's sure she's making a fool of herself. Her self-consciousness and anxiety rise to the roof......


Another person sits in front of the telephone and agonizes because she's afraid to pick up the receiver and make a call. She's even afraid to call an unknown person in a business office about the electric bill because she's afraid she'll be "putting someone out" or she will be calling at the wrong time, and they will be upset with her. It's very hard for her to take rejection, even over the phone, even from someone she doesn't know. She feels rejected even before she makes the call. Once the call is made and over, she sits, analyses, and ruminates about what was said, what tone it was said in, and how she was perceived by the other person....her anxiety and racing thoughts concerning the call prove to her that she "messed" this conversation up, too, just like she always does. Sometimes she gets embarrassed just thinking about the call.


A man finds it difficult to walk down the street because he's self-conscious and feels that people are watching him from their windows. Worse, he may run into a person on the sidewalk and be forced to say hello to them. He's not sure he can do that. His voice will catch, his "hello" will sound weak, and the other person will know he's frightened. More than anything else, he doesn't want anyone to know that he's afraid. He keeps his eyes safely away from anyone else's gaze and prays he can make it home without having to talk to anyone.


A man hates to go to work because a meeting is scheduled the next day. He knows that these meetings always involve co-workers talking with each other about their current projects. Just the thought of speaking in front of co-workers raises his anxiety. Sometimes he can't sleep the night before because of the anticipatory anxiety that builds up. he thinks about it, ruminates over it, worry’s about it, over exaggerates it in his mind.......again and again and again..... Finally, the meeting is over. A big wave of relief spills over him as he begins to relax. But the memory of the meeting is still uppermost in his mind. He is convinced he made a fool of himself and that everyone in the room saw how afraid he was when he spoke, and how stupid he acted in their presence.


Another young man wants to go to parties and other social events, indeed, he is very, very lonely, but he never goes anywhere because he's very nervous about meeting new people. Too many people will be there and crowds only make things worse for him. The thought of meeting new people scares him, will he know what to say? Will they stare at him and make him feel even more insignificant? Will they reject him outright? Even if they seem nice, they're sure to notice his frozen look and his inability to fully smile. They'll sense his discomfort and tenseness and they won't like him --- there's just no way to win --- "I'm always going to be an outcast," he predicts. And he spends the night alone, at home, watching television again. He feels comfortable at home. In fact, home is the only place he does feel completely comfortable. He hasn't gone anywhere else in ages.


In public places, such as work, meetings, or shopping, people with low self-esteem, often known as social anxiety, feel that everyone is watching, staring, and judging them (even though rationally they know this isn't true). The socially anxious person can't relax, "take it easy", and enjoy themselves in public. In fact, they can never fully relax when other people are around. It always feels like others are evaluating them, being critical of them, or "judging" them in some way. The person with social anxiety knows that people don't do this openly, of course, but they still feel the self-consciousness and judgment while they are in the other person's presence. It's sometimes impossible to let go, relax, and focus on anything else except the anxiety and fear. Because the anxiety is so very painful, it's much easier just to stay away from social situations and avoid other people altogether.


One of the worst circumstances, though, is meeting people who are "authority figures". Especially people such as bosses and supervisors at work, but including almost anyone who is seen as being "better" than they are in some respect. People with low self-esteem may get a lump in their throat and their facial muscles may freeze up when they meet this person. The anxiety level is very high and they're so focused on "not failing" and "giving themselves away" that they don't even remember what was said in the conversation. But later on, they're sure they must have said the wrong thing.....because they think they always do.


How is it ever possible to feel "comfortable" or "natural" under these circumstances?

Pointers to Low Self-esteem

There are two basic low self esteem responses, some people stay in one of these two positions, others vacillate between the two:


1. Feeling down on yourself



2. Feeling angry and getting even


How to Treat Low Self-esteem

Self Treatment

How you feel about yourself depends on who you compare yourself with. We make the mistake of comparing how we feel with how others behave. Inevitably, most others will behave more happily than we feel, so we conclude that no one else could feel as bad as we do. This creates a vicious circle and our self esteem then drops even lower.


Healthy self esteem means thinking as highly of yourself as you think of your peers          

Excessive self esteem = grandiosity, like too much organization = obsessiveness.

High self esteem is compatible with humility   

Humility is not the same as self effacement          

The right balance should place you mid way between grandiosity and self effacement

To maintain healthy self esteem:



Whose standards?


Some questions to ponder:



“Beware the Tyranny of The Should's”


I should...



You no doubt have other Should's to beat yourself with -


Talking to yourself

What names do you call yourself?


When you make a mistake, do you say...



Why are you still listening to them?


Your Strengths

Why do you think you have so few strengths worth celebrating?



Audit your strengths



Celebrate your strengths



Self-esteem Affirmations


The following affirmations by Virginia Satir are helpful to copy and hang on a wall where you will constantly see them, and repeat them to yourself.


  1. I do not have to feel guilty just because someone else does not like what I do, say, think, or feel.
  2. It is O. K. for me to feel angry and to express it in responsible ways.
  3. I do not have to assume full responsibility for making decisions, particularly where others share responsibility for making the decision.
  4. I have the right to say, "I don't know."
  5. I have the right to say "No," without feeling guilty.                                                              
  6. I have the right to say "I don't understand," without feeling stupid.                                      
  7. I do not have to apologize or give reasons when I say "No."                                              
  8. I have the right to ask others to do things for me.                                                                
  9. I have the right to refuse requests which others make of me.                                             
  10. I have the right to tell others when I think they are manipulating, conning or treating me unfairly.           
  11. I have the right to refuse additional responsibilities without feeling guilty.                           
  12. lI have the right to tell others when their behaviour annoys me.                                            
  13. I do not have to compromise my personal integrity.                                                          
  14. I have the right to make mistakes and to be responsible for them; I have the right to be wrong.                         
  15. I do not have to be liked, admired, or respected by everyone for everything I do.

Treatment of low self-esteem by Counsellors

Treatment of low self-esteem through Cognitive-Behavioral, EMDR, Energy psychotherapies and  NLP methods has the capacity to produce long-lasting, permanent relief from the anxiety-laden world of social anxiety.


Social anxiety responds to relatively short-term therapy, depending on the severity of the condition. I have seen significant progress in just ten individual sessions. What socially anxious people do not need is years and years of therapy or counselling.


There Is a Better Life for All People with Low Self-esteem.


Without treatment, social anxiety is a torturous and horrible emotional problem; with treatment, its bark is worse than its bite. Add to this that current research is clear that cognitive-behavioural and other therapy is highly successful in the treatment of low self-esteem or social anxiety. In fact, the people who are unsuccessful are the ones who are not persistent in their practice and who won't stick with simple methods and techniques at home. They are the ones who give up. If a person is motivated to end the years and years of crippling anxiety, then counselling treatments provide the methods, techniques, and strategies that come together to lessen the anxiety and make the world a much more enjoyable place. Many people have been through the crippling fears and constant anxiety that low self-esteem produces, and have come out healthier and happier on the other side. You can too.

Treatment of Low Self-esteem by Medication

For social anxieties or phobias, medications can help to reduce the tensions associated with entering the fearful situation, to bring a racing heart and sweaty palms under control, and to reduce some shyness.


Doctors use several classes of medications that are beneficial, individually or in combination. The drugs with the longest history of use with social phobias are the beta adrenergic blocking agents, also known as beta blockers. The most commonly used are propranolol (Inderal) and atenolol (Tenormin). The patient can take propranolol as needed or in dosages of 10 to 20 mg three to four times a day, or atenolol in dosages of 25 to 100 mg once daily. Surprisingly, controlled research studies have not supported the widespread anecdotal reports of success with beta blockers. It's possible that their best use is for occasional mild social anxieties.


The high potency benzodiazepines clonazepam (1-4 mg per day) and alprazolam (1.5 to 6 mg per day) may also be effective. A combination of a beta blocker and low dosages of clonazepam or alprazolam could be best for some individuals.


Current research suggests that the monoamine oxidase inhibitors (MAOIs), especially phenelzine, are most highly effective medications for treating social phobias. In studies, about 70% of subjects improve significantly within four weeks. Occasionally, however, a social phobic can experience an exaggerated response to an MAOI and become too talkative, outgoing or socially uninhibited. In that case the prescribing physician will lower the medication dosage or stop it altogether.


One approach to drug treatment that experts recommend for social fears is to begin by taking a medication only as needed. If patients are anxious only about specific events and if they experience primarily physical symptoms (sweating, racing heart, etc.), then about one hour before the event, they can take propranolol or atenolol. Propranolol seems to work better for occasional problems, while atenolol may work better for continued problems. If their symptoms are more cognitive (they worry about their performance or the judgment of others), then they can take alprazolam one hour before the event. If they have a mix of these symptoms then a combination of these medications may be more helpful. Benefits of these drugs should last about four hours.


If the social anxiety is more general, unpredictable and widespread, then patients may need to take one of these medications on a daily basis. If it is not helpful within two to three weeks, they can taper off the drug and switch to an MAOI such as phenelzine, at 45-90 mg per day. Keep in mind that an MAOI can take from four to six weeks to work.


A number of medications are currently under investigation and may prove to also be helpful. These include fluoxetine (Prozac) and other serotonin selective reuptake inhibitors (SSRIs)

On this page:


What is Low Self-esteem?     Self Treatment   Treatment through Counselling                 Treatment by Medication   Self-esteem Affirmations

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