Therapy for Low Self-esteem and Lack of Confidence

The term “self-esteem” refers to your personal assessment of your worth, and your attitude towards yourself. If your self-esteem is high, you are likely to consider yourself to be competent and worthy of love and respect. If you suffer from low self-esteem, you may feel that you are not worthy of consideration, love or respect, and you are likely to underestimate your own capacities and skills.

Unsurprisingly, low self-esteem can have considerable repercussions in every area of your life, from work to romance. For some people low self-esteem is more subtle and only triggered in certain areas of their life, for example only in intimate relationships, group situations or public speaking.
If you have low self-esteem, there may be some level at which you feel yourself unworthy of promotion or of being loved. You may find it hard to ask for help when you need it, feeling that an admission of need is another sign of failure. When you are criticised, you are likely to overreact. You might find it difficult to make decisions, always worrying that you will make a mistake.

For many, problems with self-esteem are very literally stopping them from being as happy as they could or should be, without healthy levels of self-esteem, it is very difficult for anyone to have a fulfilling life.

Do I need help with my self esteem issues?

All areas of life may be difficult if we lack self-worth. It may be hard to set and achieve goals that move your life forward or to take on new challenges that make life interesting.

Low-self esteem may also have a negative impact on your health, leading to self-sabotaging behaviours include eating disorders, self harm, and addictive habits like using drugs or alcohol.

If you are experiencing exhaustion, lack of motivation, feelings of failure, or thinking negatively about your abilities and opportunities, and wishing life was better then you are probably suffering from low self-esteem and a lack of confidence, and you may benefit from psychological help.

Signs of low self-esteem

  • Being self-critical, self-loathing and self-judging
  • A feeling of being unloved and unlovable
  • Comparing yourself negatively to others
  • Finding difficulty in asserting yourself
  • Doubting yourself and finding it difficult to make decisions
  • Thinking that you are to blame for things that are not your fault
  • Fear of being ridiculed
  • Mistrusting others – even those who show signs of affection

Low self-esteem can have a debilitating impact on living the life that you would like to live.

Psychotherapy for low self esteem in London

While issues with self-esteem can often be traced back to experiences of childhood and adolescence, someone who has problems in this area now really needs to learn a new way of seeing themselves, and their place in the world. This is where therapy can make a big and very positive difference, regardless of the origins of the issue.

Improving self-esteem, especially when feelings and thoughts of low self-worth have existed for a while, may take some time. There are a multitude of reasons that low self-esteem and low confidence could have developed and psychotherapy can help you explore how your lack of confidence may have evolved from your early experiences or more recent events, as well as reviewing how your day-to-day life is being affected and how you would like things to change.

Several therapeutic approaches can be useful in the treatment of low self-esteem, but the hallmark of the psychoanalytic approach is the close relationship that develops between the therapist and client creating that secure base from which the individual can grow.

Some useful resources for dealing with low self esteem

Mind have some excellent ‘confidence tips’ on how to build / increase / boost your confidence, thereby building your self-esteem
MIND Charity’s Guide to Self-Esteem

Considering starting therapy can be a difficult step to take but finding someone who is able to understand can feel like a relief.

Agata Pisula

I offer a confidential, safe and highly professional relationship in a caring and containing environment where you can discuss whatever may be troubling you and clarify areas of difficulty without fear of judgment.

Get in touch

It’s important that you feel comfortable with the therapist so please call or email me to arrange an initial brief telephone conversation. We will then meet for a consultation during which we will explore how we may work together before making a longer term commitment to ongoing therapy.


M: 07388 842 590

Chiswick and West London

Oxford House24 Oxford Road NorthLondonW4 4DH

Holborn & West End London

City Therapy Rooms, 33 Furnival Street
London EC4A 1JQ

Bloomsbury and Central London

CFP, 60 Bloomsbury St, London WC1B 3QU