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Therapy with Anjum

Many people who struggle with low self-esteem do not lack effort or ability. They work hard, care deeply about others and hold themselves to high standards, yet inside they hear a harsh, constant critic. A small mistake can feel like proof of failure, a kind word can feel difficult to accept, and praise can quickly be dismissed as politeness. If this sounds familiar, it does not mean you are broken. It usually means you have learned to judge yourself far more harshly than you would ever judge a friend.

Real confidence is not loud, boastful or free from doubt. It is steadier than that. It is the ability to notice a difficulty, respond with honesty and kindness, and still take the next useful step. This article explains how self-compassion and cognitive behavioural therapy (CBT) can help build that kind of confidence, what the research says in general terms, and which practical steps you can try safely in everyday life.

What low self-esteem can feel like

Low self-esteem often shows up quietly. You may avoid speaking in meetings, delay applying for a role, or stay silent in a relationship because you expect rejection. You may compare yourself with others constantly, replay conversations for hours, or feel exhausted by trying to appear perfect. Some people become people-pleasers, agreeing to things they do not want in order to feel accepted. Others withdraw, because staying quiet feels safer than risking criticism.

These patterns can affect work, study, friendships and family life in Islamabad, Rawalpindi and elsewhere. They can also make ordinary setbacks feel personal. A delayed reply becomes evidence that you are unlikeable. A low mark becomes evidence that you are not capable. The difficulty is rarely one event alone; it is the story you tell yourself about what the event means.

Self-compassion is not self-pity

Self-compassion means treating yourself with the same warmth, patience and fairness you would offer a good friend who was struggling. It has three useful parts. First, kindness instead of harsh self-judgement. Second, common humanity: recognising that mistakes, embarrassment and setbacks are part of being human, not proof that you alone are flawed. Third, mindful awareness: noticing painful feelings without exaggerating them or pushing them away completely.

Self-compassion is not an excuse to avoid responsibility, and it is not pretending that everything is fine. A compassionate response can still be honest. It might sound like: “This did not go well, and I feel disappointed. I can learn from it without calling myself a failure.” That tone makes it easier to think clearly and to try again, whereas harsh self-attack often leads to shame, avoidance and giving up.

What the research says

Kristin Neff’s research links self-compassion with lower anxiety and depression and greater emotional resilience. In other words, people who respond to themselves with kindness during difficulty tend to cope more steadily, rather than becoming trapped in self-criticism. Paul Gilbert’s compassion-focused therapy was developed for people with high shame and self-criticism, and it draws on an understanding of how threat, soothing and drive systems shape our emotions. CBT for low self-esteem, in the Fennell model, works by testing negative self-beliefs and building balanced ones through experience. Instead of simply repeating positive phrases, a person gathers real-life evidence for a fairer view of themselves, step by step.

Practical self-help steps you can try

Try these steps slowly, one at a time. Small, repeated actions usually work better than a sudden attempt to change everything.

1. Notice the critic, and name it kindly

For one week, keep a short note of harsh self-critical thoughts. Write the situation, the thought, and how it made you feel. Simply noticing the pattern can reduce its power. You might write: “Thought: I sounded foolish in the meeting. Feeling: embarrassed and quiet afterwards.” Naming the thought as a thought, rather than a fact, creates a little space to respond differently.

2. Write a compassionate reply

Choose one recurring critical thought and write a balanced reply in three sentences. First, acknowledge the feeling honestly. Second, consider what you would say to a friend in the same situation. Third, state a fairer, evidence-based view. For example: “I felt nervous and stumbled over one point. A friend would still have understood my main idea. I prepared well, and one awkward moment does not erase that.” Read the reply aloud if you can; hearing a kinder tone matters.

3. Collect evidence for a balanced belief

Pick a belief you want to test, such as “I am not capable at work.” Each day, write down one small piece of evidence that supports a more balanced belief, such as finishing a task, helping a colleague, asking a useful question, or handling a problem calmly. Keep the list somewhere visible. Over weeks, this record becomes harder for the inner critic to dismiss than a single positive affirmation.

4. Take one small, valued action each day

Confidence often follows action, not the other way around. Choose a small action linked to something you value: sending one message you have been avoiding, speaking once in a meeting, walking for ten minutes, or practising a skill for fifteen minutes. Make the step small enough that you can complete it even on a difficult day. Afterwards, note what you did, not only how you felt while doing it.

5. Practise a brief self-compassion pause

When you notice shame or self-criticism rising, pause for a minute. Place your feet on the floor, breathe slowly, and say silently: “This is a moment of difficulty. Difficulty is part of life. I can be kind to myself in this moment.” This is not a cure for deep distress, but it can stop a spiral from gathering speed and help you choose your next step more calmly.

What happens in therapy for low self-esteem?

In therapy, you and your therapist explore where unhelpful self-beliefs began, how they are maintained today, and which experiences keep them alive. You may learn to spot unhelpful thinking patterns, test them through planned, manageable experiences, and practise self-compassion in a safe, structured way. Therapy can also help with related difficulties such as anxiety, low mood, perfectionism or relationship strain. You can learn more on the low self-esteem therapy page.

When to seek professional help

Consider seeking professional help if low self-esteem is persistent, affects your work, study or relationships, or is linked with anxiety, low mood, social withdrawal, or thoughts of harming yourself. Seek support sooner rather than later if you feel overwhelmed, unable to cope with daily life, or stuck in a cycle of shame and avoidance. A professional can help you understand the pattern, build skills at a pace that feels safe, and decide whether therapy, or another form of support, is the right next step.

A kinder way to grow confidence

Real confidence is built quietly, through kinder self-talk, honest reflection and small actions repeated over time. You do not need to become a different person. You need a fairer way of seeing yourself, and enough kindness to keep practising while that view grows.

Therapy with Anjum — by Anjum Mehmood Siddiqui, Consultant Clinical Psychologist, Personality Analyst and Psychotherapist. Therapy in Islamabad, Rawalpindi and online.

To take a first step, book an appointment with Therapy with Anjum today.

Disclaimer: This article is general information only. It is not a diagnosis and is not a substitute for professional care. If you are in immediate danger, please seek emergency help right away.

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