Having a healthy level of self-esteem is a foundational aspect of having a good sense of mental wellbeing. A good sense of self-esteem can help you live up to your potential in school, at work, in relationships, and in every area of your life. People who have low self-esteem are likely to underachieve, be afraid to go for their dreams, and tend stay in unsatisfying or unhealthy relationships. They are also more vulnerable to feelings of anxiety and depression. On the other end of the spectrum, those who have an inflated sense of self-esteem often feel they are special and have a sense of entitlement that others may view as arrogant and demanding. At the extreme, these people may have narcissistic personality disorder. It may seem counterintuitive, but people who appear to have excessive self-esteem or who are narcissists may actually suffer from low self-esteem.
Low self-esteem is common. Self-esteem typically fluctuates across the lifespan. In general, self-esteem is fairly high during childhood, dips during adolescence (especially in girls), rises steadily throughout adulthood, then tends to fall steeply in old age. Research from the Dove Self-Esteem Project shows that 7 in 10 girls say they don’t measure up or aren’t good enough in some way. And 85% of women and 79% of girls say they choose not to participate in activities when they don’t feel good about the way they look.
Low self-esteem can affect boys and men too. In one study, over 80% of men said they talk about body image and point out flaws and imperfections in ways that promote anxiety.
Signs and symptoms of self-esteem issues often emerge during a person’s teens or in young adulthood. See below on this page to learn the characteristics associated with healthy self-esteem and some of the common symptoms associated with low self-esteem and inflated self-esteem.
Many factors can influence your self-esteem in a negative way, including:
We use brain SPECT imaging as part of a comprehensive evaluation, which can help determine if your self-esteem problems are related to any mental health conditions that also need treatment. At Amen Clinics, we also assess other factors—biological, psychological, social, and spiritual—that can contribute to self-esteem issues. Based on all of this information, we are able to personalize treatment, which may include helpful forms of psychotherapy, natural supplements, nutrition, exercise, and medication (when necessary).
Neuroimaging studies are teaching us more about where self-esteem lives in the brain. A 2017 study in eLife pinpointed what happens in the brain when a person’s self-esteem goes up or down. They enlisted 40 people who agreed to have their brain scanned by MRI while they were judged by strangers—either getting a thumbs up or a thumbs down. The researchers found that activity related to self-esteem occurs in the insula and prefrontal cortex, areas of the brain related to valuation and learning. In this study, the people who had the greatest fluctuation in brain activity in these areas during the social evaluation task also had lower self-esteem and were more likely to have anxiety or depression.
Self-esteem issues can manifest in a variety of ways. How can you tell if your level of self-esteem is healthy, or if you may have a problem? Take a look at the following characteristics associated with healthy, low, and inflated self-esteem.
Healthy self-esteem is associated with:
Low self-esteem is associated with:
Inflated self-esteem is associated with:
This is some of the feedback we have received from our esteemed clients.