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The Most Effective Treatments for Low Self-Esteem




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

Agustina, M., & Isriyanto, R. (2023). Effective logotherapy improves coping ability in low self-esteem patients. Journal of Complementary Nursing. https://doi.org/10.53801/jcn.v2i2.105

Alguzo, N., & Jaradat, A. (2021). Investigating the effectiveness of two therapeutic modalities in enhancing self-esteem among female adolescents. International Journal of Psychology. https://doi.org/10.1002/ijop.12773

Beattie, S., & Beattie, D. (2018). An investigation into the efficacy of a cognitive behavioural therapy group for low self-esteem in a primary care setting. The Cognitive Behaviour Therapist, 11. https://doi.org/10.1017/S1754470X18000168

Berg, M., Klemetz, H., Lindegaard, T., & Andersson, G. (2023). Self-esteem in new light: A qualitative study of experiences of internet-based cognitive behaviour therapy for low self-esteem in adolescents. BMC Psychiatry, 23. https://doi.org/10.1186/s12888-023-05328-0

Berg, M., Lindegaard, T., Flygare, A., Sjöbrink, J., Hagvall, L., Palmebäck, S., Klemetz, H., Ludvigsson, M., & Andersson, G. (2022). Internet-based CBT for adolescents with low self-esteem: A pilot randomized controlled trial. Cognitive Behaviour Therapy, 51, 388-407. https://doi.org/10.1080/16506073.2022.2060856

Bosbach, K., Martin, A., Stricker, J., & Schoenenberg, K. (2024). Enhancing self-esteem in adults with body dysmorphic symptoms: Experimental testing and initial evaluation of a brief internet-based training. Behavioural and Cognitive Psychotherapy, 52, 226-242. https://doi.org/10.1017/S1352465824000110

Fiska, F., Hadi, E., Dewi, E., & Kusumaningsih, A. (2024). Application of positive affirmation therapy in increasing self-esteem in a patient with low self-esteem: Case study. Health and Technology Journal (HTechJ). https://doi.org/10.53713/htechj.v2i4.219

Hall, P., & Tarrier, N. (2003). The cognitive-behavioural treatment of low self-esteem in psychotic patients: A pilot study. Behaviour Research and Therapy, 41(3), 317-332. https://doi.org/10.1016/S0005-7967(02)00013-X

Korrelboom, K., IJdema, T., Karreman, A., & Van Der Gaag, M. (2022). The effectiveness of transdiagnostic applications of competitive memory training (COMET) on low self-esteem and comorbid depression: A meta-analysis of randomized controlled trials. Cognitive Therapy and Research, 46, 532-543. https://doi.org/10.1007/s10608-021-10286-6

Kolubinski, D., Frings, D., Nikcevic, A., Lawrence, J., & Spada, M. (2018). A systematic review and meta-analysis of CBT interventions based on the Fennell model of low self-esteem. Psychiatry Research, 267, 296-305. https://doi.org/10.1016/j.psychres.2018.06.025

Maulana, I., Shalahuddin, I., & Eriyani, T. (2021). Psychotherapy reduces self-esteem schizophrenic patients: Literature review. Jurnal Aisyah: Jurnal Ilmu Kesehatan. https://doi.org/10.30604/JIKA.V6IS1.758

Morton, L., Roach, L., Reid, H., & Stewart, S. (2011). An evaluation of a CBT group for women with low self-esteem. Behavioural and Cognitive Psychotherapy, 40, 221-225. https://doi.org/10.1017/S1352465811000294

Staring, A., Berg, D., Cath, D., Schoorl, M., Engelhard, I., & Korrelboom, C. (2016). Self-esteem treatment in anxiety: A randomized controlled crossover trial of Eye Movement Desensitization and Reprocessing (EMDR) versus Competitive Memory Training (COMET) in patients with anxiety disorders. Behaviour Research and Therapy, 82, 11-20. https://doi.org/10.1016/j.brat.2016.04.002

Van Der Stouwe, E., Geraets, C., Rutgers, M., & Veling, W. (2021). Cognitive behavioral group treatment for low self-esteem in psychosis: A proof of concept study. BMC Psychiatry, 21. https://doi.org/10.1186/s12888-021-03579-3

Waite, P., Mcmanus, F., & Shafran, R. (2012). Cognitive behaviour therapy for low self-esteem: A preliminary randomized controlled trial in a primary care setting. Journal of Behavior Therapy and Experimental Psychiatry, 43(4), 1049-1057. https://doi.org/10.1016/j.jbtep.2012.04.006


 
 
 

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