The Most Effective Treatments for Low Self-Esteem
- Esther Nava

- Jul 16
- 4 min read
TL;DR
Low self-esteem can significantly impact mental health and quality of life. Cognitive Behavioral Therapy (CBT) stands out as the most effective and well-supported treatment, whether delivered in-person or online. Other therapies such as COMET, SFBT, logotherapy, and affirmation-based strategies also provide benefits, particularly when tailored to individual needs.
Key Takeaways
• CBT is the most effective and consistently supported treatment for low self-esteem.
• Online CBT offers accessible and impactful alternatives, especially for youth.
• COMET may be more effective than EMDR in some anxiety cases.
• SFBT, logotherapy, and affirmations provide additional options but require more study.
Introduction
Low self-esteem is a pervasive issue that affects how individuals perceive themselves and engage with the world. It can be both a symptom and a contributor to various mental health challenges, making its treatment crucial. Fortunately, several therapies have demonstrated efficacy, with Cognitive Behavioral Therapy (CBT) leading the way.
Most Effective Treatments
Cognitive Behavioral Therapy (CBT)
CBT consistently yields large improvements in self-esteem and has been effective across individual, group, and clinical settings. It has also proven beneficial for patients with comorbid conditions like psychosis and depression.
Internet-Based CBT (ICBT)
ICBT mirrors the effectiveness of face-to-face CBT while offering flexibility and broader access. Studies show it significantly improves self-esteem and reduces depressive symptoms.
Competitive Memory Training (COMET)
COMET focuses on replacing negative self-beliefs with more positive alternatives. It’s particularly useful for emotional disorders and has been shown to outperform EMDR in treating anxiety-related low self-esteem.
Solution-Focused Brief Therapy (SFBT)
SFBT emphasizes strengths and solutions over problems. It’s been shown to improve self-esteem in female adolescents more effectively than Adlerian Therapy or no treatment.
Logotherapy
By helping individuals find meaning in life, logotherapy has demonstrated effectiveness in improving coping abilities and self-esteem in adults.
Positive Affirmation Therapy
Though supported mainly by case studies, this approach uses daily affirmations to gradually shift self-perception and improve self-worth.
Conclusion
CBT, whether delivered individually, in groups, or online, remains the gold standard for treating low self-esteem. Other therapies like COMET and SFBT offer promising alternatives or complements, especially when personalized. The future of self-esteem therapy lies in integration and accessibility.
References
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