How Therapy Can Help with Low Self-Esteem and Self-Worth
- Orly Miller

- Jul 29, 2025
- 3 min read
Low self-esteem can quietly shape the way we experience the world. It influences the relationships we choose, the risks we are willing to take, and even the way we speak to ourselves. Many people live for years under the weight of self-doubt without realising how deeply it impacts their mental health and overall wellbeing. Therapy provides a space to untangle these patterns, build a stronger sense of self, and foster genuine confidence that comes from within.
Low self-esteem often develops early, shaped by our relationships with caregivers, early experiences of success or failure, and the messages we absorb from family, school, and society. Over time, these early impressions can solidify into internal narratives. You might find yourself thinking, I am not good enough, I am a failure, or I do not deserve love. These beliefs can become so familiar that they feel like facts rather than stories that can be changed.
Therapy helps you first to recognise these patterns. Often, we are not even fully aware of the ways we criticise ourselves or limit our possibilities. Therapy invites you to bring these inner narratives into conscious awareness. Once they are visible, they can be challenged and reimagined. Understanding where low self-esteem comes from is a powerful step in loosening its grip.
A key part of this process involves shifting how you relate to yourself. Many people with low self-esteem are harsh, critical, and unforgiving toward their own mistakes and vulnerabilities. Therapy supports the development of self-compassion. Learning to treat yourself with the same kindness and understanding you would offer a friend can fundamentally change the way you experience your own worth.
In therapy, we also look at how low self-esteem affects your relationships. If you do not believe you are worthy of love or respect, you may settle for connections that reinforce that belief. You might avoid setting boundaries, struggle to ask for what you need, or remain in unhealthy dynamics. Therapy provides tools to build healthier relationships by helping you strengthen your sense of value and your ability to advocate for yourself.
Cognitive Behavioural Therapy (CBT) techniques can be especially helpful in addressing low self-esteem. CBT supports the identification and reworking of negative thought patterns that keep self-doubt alive. Through regular practice, you can learn to question the automatic beliefs that say you are not enough and replace them with more realistic and empowering perspectives.
In my work as a psychologist, I also integrate mindfulness-based and somatic approaches. Mindfulness helps you become more present to your thoughts and emotions without being overwhelmed by them. Somatic therapies reconnect you with your body, which often carries the residue of self-criticism in the form of tension, anxiety, or withdrawal. When we bring gentle awareness to both the mind and the body, healing becomes a full, integrated process.
Importantly, therapy does not seek to impose a sense of worth from the outside. It helps you uncover and strengthen the inherent worth that has always been within you. It is not about becoming someone different or better. It is about seeing yourself clearly, accepting your imperfections, and embracing your value without conditions.
If you are struggling with low self-esteem or a fragile sense of self-worth, know that you are not alone and that support is available. Therapy offers not just a way to feel better, but a path to truly knowing yourself and living from a place of deeper confidence and self-respect.
If you are ready to begin that journey, I invite you to connect. Therapy, whether online across Australia or in Melbourne, provides a compassionate space to rebuild your relationship with yourself and to reclaim a life shaped by self-trust and resilience.



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