Self-Esteem therapy illustration

Self-Esteem Therapists in Canada

Therapy for self-esteem helps people understand where negative self-beliefs come from, challenge patterns that keep them stuck, and build a more grounded, stable sense of who they are.

What to look for in a Self-Esteem therapist on Purple Lotus

  • Experience with negative self-beliefs, shame, or inner critic work
  • Familiarity with CBT, Schema Therapy, ACT, or self-compassion approaches
  • Comfort exploring early experiences and relational patterns when relevant
  • Clear explanation of their approach and realistic expectations for progress

22 therapists for Self-Esteem in Canada

Browse 22 therapists specializing in Self-Esteem. Find the right counsellor or psychotherapist for your needs.

Julie Cowie

Julie Cowie

Are you feeling overwhelmed or stuck and unsure of how to move forward, or unsure even what you are needing. You might feel like you need to have it all figured out, juggling academic or career pressures, navigating relationships, and trying to understand and define who you are. The weight of these expectations and pressures can feel overwhelming, leading to anxiety, self-doubt, and even burnout. I specialize in helping students, youth and young adults navigate the unique challenges of this stage of life. Let's work together to understand what you need and support you! I believe that when we validate our hard and our challenges and begin to explore how those challenges effect the present version of us, then we truly start to heal and can begin to work toward a more authentic connected self! I have a passion for working with people. I truly believe that every person has the innate ability to grow and change and live a happy and fulfilling life! Together we can work towards your goals and create the changes you deserve!

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Sam Srijani

Do you find yourself constantly on edge, overcome with anxiety, work-related stress, low self esteem, or people pleasing? Are you putting yourself on the back burner while you struggle to keep up with the demands of your busy life? Are you stuck in a cycle of setting high expectations and never feeling good enough? If you’re feeling like this you may even be experiencing guilt and shame about these feelings. Maybe you're craving the chance to shed your responsibilities and just be yourself. If you’re nodding along, you're not alone. And you've just taken an amazing step in seeking help. I'm passionate about helping you build your confidence and regain control of your life. I specialize in anxiety, relationships, self-esteem, and ADHD. My therapeutic approach is personalized to meet your unique needs. My LGBTQ+ affirming culturally sensitive approach honours your unique experience, beliefs, and identity. If you're looking for a therapist who you can be real with; who is there with you through both the tears and the laughs, please reach out! I offer a free 15 minute video consultation so we can touch base and see if we're a good fit to work together. I look forward to supporting you on your journey to your best self.

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Louis Lin

Louis Lin

Have you ever rushed out the door only to realize you forgot something or spilled coffee all over yourself? Have you ever said to yourself, “I'm tired of feeling this way/ I shouldn’t be feeling like this,” yet the feelings persist and sometimes come back stronger? These may seem like two distinct, unrelated instances I am raising, but I parallel them with how we often approach our problems: we tend to want to rush through them or judge ourselves for having the emotions and reactions to the difficulties life tosses at us. I’m here to propose an alternative: your feelings are valid, no matter what you’re seeking help for. We rarely move through life with intention and space to slow down and reflect. I see counselling as a dedicated space created for you by you to get curious about yourself, tend to the parts that need some fine-tuning and updates, and process some uncomfortable emotions that the outside world doesn’t always give space for. I offer 15-minute complimentary consultations for all clients who are interested in working with me. Looking up therapists is a big step – in my opinion, you are already halfway from where you began to where you would like to be!

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Maddie Skidmore

Maddie Skidmore

Hi! I'm Maddie, I'm a Registered Social Worker providing in person and virtual services in the lower mainland. I specialize in supporting women who are seeking to reach their goals, overcome obstacles, and create healthier relationships with themselves and others. I believe that every woman has a unique story and possesses the strength, knowledge, and resilience to achieve positive change. My approach to therapy is grounded in trust, compassion, and connection, and I strive to create a safe, non-judgmental space where women can explore their experiences and emotions. My work is holistic and integrative, drawing from evidence-based therapies such as Cognitive Behavioural Therapy, Dialectical Behavioural Therapy, and Narrative Therapy, as well as mindfulness techniques to strengthen the connection between mind, body, and spirit. I cater my approach to the needs and goals of each client, and I am committed to developing long-lasting relationships with each person I work with. Whether you are new to therapy or seeking a fresh perspective, I am dedicated to supporting women in their journey towards healing, growth, and self-discovery.

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Parveen Boyal

Parveen Boyal

Hi! Thanks for being here and taking the time to find someone to support you on your counselling journey. I know how difficult it can be to reach out for support, regardless of whether or not you’ve accessed counselling before. To give you a better idea of what to expect when working with me, allow me to share a bit about my approach. In my work with clients, I endeavour to create a space in which you can talk about topics and concerns that are difficult or have felt taboo. I am a big proponent of accepting and experiencing the whole spectrum of emotions and developing more compassion towards ourselves. Counselling is a collaborative process where maintaining your autonomy is the most important part of our work. We go at whatever pace feels most comfortable for you, and you will never have to try an intervention or share something that you do not feel comfortable with or ready for. I help my clients accept themselves and their emotions and connect with their values and what matters to them. On a more personal level: I am a non-disabled, cis-het, South-Asian woman. I was born in BC and currently live and work in Vancouver on the unceded and ancestral territories of the xʷməθkwəy̓əm (Musqueam), Skwxwú7mesh (Squamish), S’ólh Téméxw (Stó:lō), and Səl̓ílwətaʔ/Selilwitulh (Tsleil-Waututh) peoples. Outside of my work as a counsellor, I am an avid reader and TV binge-watcher, I love baking, and try to soak in the sun whenever I can. I like spending time hanging out with friends and family, but also cherish times when I can unwind on my own. I also engage in my own counselling sessions and have lived experience with anxiety and panic attacks, body image concerns, and grief and loss. From my own experiences as a client, I know how much of a difference it can make to find a counsellor that feels like the right fit. I invite you to book a free consultation with me to see if I’m the right counsellor for you. I look forward to meeting you soon!

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Jackie Dodd

Jackie Dodd

Hello! I'm glad you're here. I am a Registered Clinical Counsellor (#11949) with the BC Association of Clinical Counsellors, and a Canadian Certified Counsellor (#11249171) and am able to support clients who reside in within Canada. My aim in any therapy session is to support you in a way that you find helpful, while holding a safe enough space to challenge beliefs and behaviours you deem unhelpful. I have varied work experience in the field of mental health, including several years working alongside individuals who live with the lasting impacts of trauma, substance use, mental health diagnoses, poverty, and homelessness. I am Canadian born and Indian, and part of my work is rooted in my lived experience existing between cultures to support clients who face similar struggles. My Masters of Counselling Psychology degree is supplemented by additional postgraduate training in cognitive behaviour therapy, mindful self-compassion, anti-oppressive psychotherapy, narrative therapy, dialectical behaviour therapy, and strengths-based listening. I incorporate an intersectional feminist lens in my work, and am continually learning to be a more effective ally to multiple communities (including Black, Indigenous, people with racialized identities, and LGBTQ2SIA+). Outside of Counselling work, I enjoy spending time with friends, animals, and my niece and nephews. I see clients in person or virtually at my Vancouver office on Monday evenings and Fridays, and offer virtual only sessions on Thursday evenings. If you would like to know more about how we could work together or know more about what the counselling process could look like in general, I invite you to book a free 20-minute consultation session (virtual or over the phone). My hope is that I can offer support that is helpful to you! Areas of Practice: - Depression - Anxiety - Stress Management -Identity and Cultural Concerns - Mental Health Diagnoses - Difficult Life Transitions - Grief and Loss - Trauma - Substance use Approaches Used: - Strengths based listening - CBT - Mindful Self-Compassion - Anti-Oppression Psychotherapy - Narrative Therapy - Dialectical Behavioural Therapy -Intersectional Feminist Lens The land I work, live and play on is the unceded territory of the Coast Salish peoples, including the territories of the Səl̓ílwətaʔ/Selilwitulh (Tsleil-Waututh), the xʷməθkwəy̓əm (Musqueam), the Skwxwú7mesh (Squamish) and the Stó:lō Nations.

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Kaitlin Wu

Kaitlin Wu

Hi there! I am an able bodied and second generation Chinese Canadian immigrant, living and working on the stolen lands of the səl̓ílwətaʔɬ (Tsleil-Waututh), Sḵwx̱wú7mesh (Squamish), and xʷməθkʷəy̓ əm (Musqueam) Nations. I particularly enjoy supporting marginalized communities and neurodivergent individuals who may be struggling with experiences of invalidation, life transitions, family conflict, relationship challenges, anxiety, and low self-worth. I support folks navigate their own identities by creating a holistic understanding of their history, cultural narrative, and relationship with themselves and others. I understand the complexity of juggling dual cultural identities or not feeling like you belong in either groups. I approach each session with compassion and curiosity as I prioritize my client's safety when processing and unpacking their lived experiences. I strongly value creating a safe, nonjudgmental, healing space where individuals feel valued, heard, and empowered to step into their transformative self-worth. I pull from various therapeutic modalities and lean towards a more person-centred, intersectional, and social justice-framed approach. I also enjoy utilizing inner-child work in my sessions! I believe in empowering my clients to unlearn biases, prejudice, and oppressive narratives to help them reclaim their truth. I would be honoured to be a part of your healing journey as we cultivate a safe space together. Please feel free to email me to book or if you have any questions! I am also more than happy to provide a 15 minute complimentary consultation! Now accepting ICBC clients! 12 free sessions for ICBC clients within the first 12 weeks of the accident.

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HB

Hayley Barlow

Do you have anxiety, depression or low self esteem issues that are interfering with your ability to live a life that feels authentic to you? Have you gone through a traumatic event that is leaving deep imprints on both your mind and body? Are you experiencing thoughts or behaviors that leave you feeling disconnected from yourself or your relationships with others? If any of the above resonates with you, please know that you have the ability to reclaim your power, rewrite the narrative of your life, and live a life that feels inherently meaningful. It is so hard to be human sometimes, I get it. Fortunately, you don't have to go through any of these challenges alone. My name is Hayley and I am a counsellor who works with both teens and young adults experiencing a wide range of issues. I offer a warm, validating and nonjudgmental environment that helps individuals explore their thoughts, feelings and behaviors that are creating imbalance or emotional uncertainty in their lives. I am a firm believer that there is nothing to be "fixed", because there is nothing inherently wrong with you. You have simply been responding to what has happened to you in life. And you have the capacity to not only heal, but rediscover the relationship you have with yourself and others. I am simply here to walk alongside you as you embark on your journey towards healing and transformation. During our sessions, I take a holistic approach that incorporates various evidence-based therapeutic modalities that ultimately focus on the mind-body connection. I often use principles and interventions from both CBT and somatic therapy to help individuals overcome their challenges, realign with the lost parts of themselves, and learn to cope with difficult thoughts or emotions. If you are ready to begin your journey towards healing and are interested in setting up a complimentary 15 minute consultation, please feel free to contact me. I would love to help you get there.

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Ellen Lu

Ellen Lu

It takes courage to heal and create change within yourself. By being here, you have already taken a significant step towards transforming your life. As your counsellor, I am committed to working alongside you in collaborative exploration to cultivate your natural intuition and strengths, empowering you to feel embodied in your true self. My therapeutic approach is rooted in cultural humility, compassion, and curiosity. As a proud Taiwanese-Canadian woman and second-generation immigrant, I bring a deep understanding of the cultural and intergenerational challenges that many bicultural individuals face. This perspective allows me to help clients expand their cultural narratives and harness their unique strengths and insights to foster growth and resilience. With over a decade of experience as a strength coach, Olympic weightlifting coach, and Registered Kinesiologist, I possess an understanding of the intricate connection between physical and mental health. My passion lies in supporting youth and teen athletes, helping them navigate issues such as performance anxiety, perfectionism, and belonging. Additionally, I am dedicated to supporting adults who are facing challenges related to anxiety, depression, trauma, imposterism, and cultural identity. In our sessions, you can expect a warm, empathetic, and grounded clinician who understands the importance of giving voice to your experiences. I hold space for you to show up as you are and firmly believe in your internal wisdom and capacity for growth. Through our work together, I aim to help you cultivate a more compassionate and accepting relationship with yourself, embracing all parts of you. When I’m not seeing clients, I enjoy lifting weights and spending time with my family and friends over a good meal. I love to reconnect with myself through nature walks with my dog, listening to music, and karaoke!

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Suzanne Paszkowski

Suzanne Paszkowski

Maybe you have tried therapy before and it has helped you work through certain feelings or get through a specific crisis. But maybe you still find yourself repeating the same behaviors in subtle ways—perhaps until they become not so subtle and you find yourself back in therapy, in the midst of another crisis, one that eerily echoes your past experiences. You want not just to work through present issues, but also to delve deeper into your personality and life experiences to come to a better understanding of who you are, where you come from, and what your values are—with the goal of becoming the person you want and are able to be. Together, we will explore your past and present, thoughts and feelings, in order to help you gain a more holistic understanding of yourself and your potential. My background is in ancient philosophy and I am training to become a psychoanalyst because I believe that talk therapy can lead to genuine connection and enable self-discovery and self-understanding. If any of the above sounds intriguing, please feel free to contact me. I am open to new clients, especially those looking to dig deeper. Therapy can be truly transformative; sometimes it just takes finding the right person to connect with.

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Diana Ben

Diana Ben

Hi, I’m Diana! As a first‑generation African Canadian, I understand the complexity of navigating cultural identity, family expectations, people‑pleasing, autonomy, and the stigma surrounding mental health. Many clients come to therapy feeling overwhelmed by unprocessed trauma, anxiety, and the pressure to hold everything together. They often feel alone in their experiences, struggle with confidence, and second‑guess their decisions and experiences. My goal is to offer a non-judgmental, compassionate, culturally sensitive space where you feel heard, respected, and supported. I help you understand the roots of your thoughts, emotions, and patterns so you can shift them with intention. My work focuses on identity, self‑awareness, and healing from trauma and anxiety in a space that feels grounding and supportive. My approach blends insight, compassion, and practical tools to help you create real, sustainable change! Therapy with me is about understanding yourself more deeply so you can move through life with clarity and confidence. I believe insight is a powerful tool for healing; it helps us break old cycles and create new possibilities by moving beyond the feeling of “I don’t know why.” If you’re ready to explore your inner world with support, I’m here to help!

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Peter Reid

Peter Reid

I work with LGBTQ2S+ adults who are tired of being "hooked" by their own minds—that loop of anxiety, the "not good enough" narrative, or that "stuck" feeling. Whether you’re navigating a life transition or just feeling "flat," I help you get your hands back on the steering wheel of your life.

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Natalie McMullen

Natalie McMullen

Top Specialities: trauma, anxiety, attachment issues I believe our life events shape us into who we are today. We weren’t BORN with an inner critic, perfectionism, or people-pleasing tendencies! Something happened in our lives that taught us those behaviours. Maybe we learned that it’s less painful to avoid confrontation than to risk rejection or failure. Maybe we learned that to ensure safety, we must be hypervigilant, constantly looking out for threats. Those behaviours likely helped you survive at one time, but now, they might be causing chronic anxiety, difficulties in your relationships, and low self-esteem. I will help you understand your emotions and unlearn beliefs and coping behaviours that are no longer serving you. We’ll learn how your past and present experiences are contributing to the issues you want to let go of, and carve a path forward. Therapy can help you process your experiences and develop coping skills to manage your reactions and emotions. I have experience helping with anxiety/stress/burnout, trauma, relationship/attachment issues, self-esteem, depression, emotion regulation, and borderline personality disorder. I’m especially passionate about treating developmental/attachment trauma to improve self-esteem, foster safety and security, and move towards secure attachment patterns. My Approach/Style As a therapist, I have a friendly, authentic, and warm demeanour. I believe a strong connection with your therapist is of crucial importance, so I take extra care to ensure I’m understanding your needs and perspective. (This doesn’t mean I’ll never challenge you!). I’m also happy to share appropriate information about my own life if helpful and relevant. I believe everyone has inner wisdom and resilience. I respect your autonomy, so I will always support you in coming to your own conclusions and finding your own solutions. But I also don’t shy away from sharing different insights and perspectives, or giving guidance and advice if needed. Types of Therapy After spending some time getting to know you, I’ll apply the therapy techniques that best suit your concerns. I use techniques informed by schema therapy, inner child work, IFS, ACT, CBT, DBT, EFT, mindfulness, and attachment theory. I am also trained in EMDR (eye movement desensitization and reprocessing) therapy, which is an evidence-based and WHO-recommended treatment for trauma and PTSD. If you’d like to learn more, please reach out for a free consultation! *Please note, I am located in Toronto, and my working hours are as follows: Tuesday and Wednesday: 11am-7pm Eastern Time Thursday: 1pm-7pm Eastern time Friday: 10am-5pm Eastern Time

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Yaroslav Grechkin

Yaroslav Grechkin

Hi there and welcome! I’m Yaroslav (or Y for short), a Registered Psychotherapist (Qualifying) with the CRPO. Life can feel incredibly heavy when you're carrying the belief that you're somehow not good enough. You may find yourself constantly second-guessing your decisions, comparing yourself to others, struggling with self-criticism, or feeling overwhelmed by shame. Perhaps you've spent years trying to be what everyone else needs you to be, while quietly wondering why you still don't feel worthy, confident, or at peace. You are not alone. Many of the struggles we experience—whether it's self-doubt, shame, relationship conflict, or feeling disconnected from those we love—are deeply human responses to difficult life experiences, unmet emotional needs, and the challenges that come with navigating relationships, family life, and personal growth. These struggles do not mean there is something wrong with you. They often reflect the ways you've learned to cope, survive, and make sense of your experiences. As a therapist, I bring not only professional training but also a deep understanding of what it means to navigate life's challenges, uncertainty, and the ongoing work of self-discovery and growth. Like many people, I have experienced moments of self-doubt, vulnerability, and the complexities that come with balancing relationships, responsibilities, and personal well-being. These experiences have strengthened my belief that healing happens not through perfection, but through self-compassion, connection, and the courage to face our struggles with curiosity rather than judgment. I help individuals, youth, and couples create lasting change by addressing the deeper emotional patterns that drive distress and disconnection. I offer in-person therapy in Hawkesbury and virtual therapy across Ontario, providing a warm, supportive, and non-judgmental space where you can show up exactly as you are. My work with individuals and youth focuses on overcoming feelings of inadequacy, shame, self-criticism, anxiety, and emotional pain through the evidence-based approaches of Emotionally Focused Therapy (EFT), Compassion-Focused Therapy, and Schema Therapy. Together, we explore the origins of painful beliefs such as "I'm not good enough," understand the emotions beneath the struggle, and develop a more compassionate relationship with yourself. As therapy progresses, many clients begin to experience greater self-acceptance, emotional resilience, confidence, and freedom from the patterns that have kept them stuck. For couples, I specialize in helping partners navigate parenting challenges, communication difficulties, recurring conflicts, and emotional disconnection. Parenting can place enormous pressure on even the strongest relationships, often leaving couples feeling more like teammates managing responsibilities than partners deeply connected to one another. Using Emotionally Focused Therapy (EFT), we identify the negative cycles that create distance and frustration, helping both partners better understand their own needs and each other's experiences. Through this process, couples often strengthen their emotional bond, improve communication, rebuild trust, and rediscover a sense of connection and partnership. My approach is collaborative, compassionate, and grounded in the belief that every person has the capacity for growth and healing when they feel emotionally safe, understood, and supported. Therapy is not about fixing you—because you are not broken. It is about helping you better understand yourself, heal old wounds, and develop new ways of relating to yourself and the people who matter most. Whether you're struggling with shame, low self-worth, anxiety, relationship challenges, or the demands of parenting, you don't have to navigate it alone. Meaningful change is possible, and support is available. If you're ready to take the next step toward greater self-compassion, confidence, and connection, I invite you to reach out. Contact me today to book a consultation and discover how therapy can help you create the lasting changes you're looking for.

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Emily Hiram

Emily Hiram

I offer therapy for adults who feel stuck in patterns with food, their bodies, or their relationships with themselves. Many of the people I work with are thoughtful and self-aware, yet still find themselves caught in cycles of emotional eating, body dissatisfaction, or feeling like they’re “never quite enough.” You might understand the why of your struggles, but still feel pulled back into the same patterns—and that can be frustrating and exhausting. My approach to therapy goes beyond surface-level strategies. Together, we’ll take the time to understand the underlying patterns that are shaping your experience—often rooted in earlier relationships, life transitions, or ways you’ve learned to cope. I draw from a relational, psychodynamic lens as well as Internal Family Systems (IFS), which helps us gently explore the different “parts” of you—like the part that criticizes, the part that copes through food, or the part that feels overwhelmed. I work from a weight-inclusive, non-diet perspective, meaning we won’t focus on changing your body. Instead, we’ll work toward building a more compassionate and sustainable relationship with food, your body, and yourself. I also support clients navigating major life transitions, including the shift into motherhood. Returning to work, changes in identity, and the emotional complexity of this stage can bring up feelings that are hard to make sense of alone. Therapy with me is collaborative and paced in a way that feels manageable. You don’t have to have everything figured out before you begin—we’ll make sense of things together.

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Lia Marks

Lia Marks

Lia is a Registered Social Worker, Psychotherapist who supports individuals facing anxiety/depression, life transitions, parenting challenges, trauma and attachment difficulties. Whether you’re having trouble managing stress, understanding your emotions and behaviours, or want to develop coping skills, it is helpful to have a sounding board to support you. She provides a non-judgemental space to explore how your past experiences have influenced your current ways of coping. Through this process, she can assist you in developing new strategies to manage complex thoughts and feelings. Lia works from a trauma-informed, collaborative perspective to help you make the changes you want to make in your life

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Melanie Brooks

Melanie Brooks

I provide individual therapy to children, adolescents, and young adults experiencing anxiety, emotional dysregulation, interpersonal challenges, and life transitions. Those who have difficulty managing stress, understanding their emotions and behaviours, may find it helpful to work through challenges and develop coping skills to navigate life experiences during therapy sessions. My approach to therapy offers a warm, collaborative, and non-judgmental approach with an emphasis on the therapeutic relationship. I strive to create a safe space working alongside children, adolescents, and families to establish goals and a plan to achieve them in hopes of creating meaningful and sustainable change!

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Chinwendum Onyeocha

Chinwendum Onyeocha

I help clients explore why their mind functions the way it does, especially when they feel stuck in patterns of overthinking, anxiety, low self-esteem, relationship challenges, ADHD-related difficulties, or emotional overwhelm. My approach is warm, collaborative, and grounded in curiosity, helping clients better understand their thoughts, emotions, and behaviours while developing practical tools for change. When working with me, clients can expect a safe, non-judgmental space where we move at a pace that feels supportive. Together, we will work toward greater clarity, emotional awareness, self-compassion, and confidence in how you navigate your life.

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Megan Hill

Megan Hill

I offer a space where you don’t have to figure it all out on your own. I invite all parts of you forward, taking a calm, intuitive, and reflective approach to help you understand where these patterns come from and reconnect with the parts of you that need care. Together, we will work toward greater balance, confidence, and emotional ease in your everyday life.

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Christine Peddle

Christine Peddle

I (she/her) have been practicing therapy since 2016. Originally from Newfoundland and Labrador I’ve made the West End of Toronto home and St. Joseph’s Health Centre my primary workplace where I work as a Child and Family Therapist. I have countless trauma trainings, plus DBT, CBT, DDP, EFFT, Psychodrama for Traumatic Stress, and exposure to Gestalt Therapy. I participate in psychoanalysis and am a true believer in the healing relational aspect of therapy. I know the importance of an intersectional approach to personal growth, and I seek to help you discover wholeness versus the elusive permanent wellness. Relational dynamics are my expertise, they play important roles in how we see ourselves and live our lives.

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What is Self-Esteem?

Low self-esteem is not a personal flaw or a fixed trait. It is usually a set of beliefs people develop over time, often shaped by early relationships, criticism, comparison, or experiences that left them feeling inadequate, unlovable, or not enough. These beliefs can operate quietly in the background, influencing how someone approaches relationships, work, conflict, and daily decisions. Therapy for self-esteem focuses on understanding where those beliefs came from and working through them at their root.

Several therapy approaches are used for this work, including Cognitive Behavioral Therapy (CBT), Schema Therapy, Acceptance and Commitment Therapy (ACT), and self-compassion-based approaches like Mindful Self-Compassion (MSC). The right fit depends on what is driving the low self-esteem. For some people, the main issue is a harsh inner critic fuelled by perfectionism. For others, it is a deep-seated belief about being unlovable, often tied to attachment or early relational experiences. A therapist working in this area will help identify the pattern and choose an approach suited to it.

Work in this area tends to be practical and reflective. You might track situations that trigger self-criticism, examine where certain beliefs originated, or practise responding to yourself differently. Progress usually involves developing a more accurate and compassionate self-view, rather than simply thinking more positively.

Who this approach may help

Persistent self-criticism or inner critic

People who experience a constant internal voice that judges, dismisses, or undermines them, especially in situations involving performance, relationships, or comparison to others.

Difficulty asserting needs or setting limits

People who consistently prioritize others, struggle to say no, or feel unworthy of having their own needs met, often linked to beliefs about being less important than others.

People-pleasing or seeking external validation

People who depend heavily on praise or approval from others to feel okay about themselves, and feel destabilized when that approval is absent or uncertain.

Shame, embarrassment, or a sense of being fundamentally flawed

People who feel a pervasive sense of inadequacy or defectiveness that is not tied to a specific event but feels like a core part of who they are.

Low self-esteem linked to anxiety or depression

People whose anxiety or depression is closely tied to negative self-beliefs, including fear of judgment, hopelessness about their own worth, or difficulty accepting good things that happen to them.

What happens in a session?

  1. 1

    Map out the pattern

    You and your therapist identify what situations tend to trigger self-criticism or self-doubt, and what that experience looks like for you, whether it shows up as shame, withdrawal, overwork, or something else.

  2. 2

    Trace where it came from

    Together, you explore the origins of these self-beliefs. Often they formed in response to specific relationships, environments, or experiences, and understanding that context is part of shifting them.

  3. 3

    Examine the beliefs directly

    You look closely at the beliefs themselves. Are they accurate? Are they applied consistently? Where did the evidence for them come from? This is not about replacing them with false positivity, but about seeing them more clearly.

  4. 4

    Practise a different relationship with the inner critic

    Depending on the approach, this might involve cognitive restructuring, self-compassion exercises, defusing from self-critical thoughts, or working with the inner critic as a part of yourself with its own logic and history.

  5. 5

    Build new patterns over time

    Change in this area tends to happen gradually. Sessions track what shifts as you practise responding differently to yourself and to situations that previously reinforced low self-esteem.

How it compares to other approaches

Cognitive Behavioral Therapy (CBT)

CBT addresses negative self-beliefs by identifying and challenging distorted thinking patterns. It is practical and structured, with homework between sessions. Self-esteem work in CBT focuses on evidence-testing and cognitive restructuring. It is effective for self-esteem tied to perfectionism or specific situations.

Schema Therapy

Schema Therapy targets deeply held beliefs, called schemas, that often originate in childhood. It is useful when low self-esteem feels core and pervasive rather than situational. It combines cognitive, behavioural, and experiential techniques and tends to be more exploratory than standard CBT.

Acceptance and Commitment Therapy (ACT)

ACT does not try to change negative beliefs directly. Instead, it helps people step back from self-critical thoughts and act in line with their values regardless of what those thoughts say. It is useful for people whose self-esteem is entangled with perfectionism or anxiety.

Mindful Self-Compassion (MSC)

MSC is a structured program developed by Kristin Neff and Christopher Germer that teaches skills for treating yourself with the same kindness you might offer a friend. It focuses less on analyzing where beliefs came from and more on building compassion as a practice.

Attachment-Based Therapy

When low self-esteem stems from early relational experiences, such as inconsistent caregiving, emotional unavailability, or criticism in close relationships, attachment-based therapy may be a better fit. It addresses self-worth through the lens of connection and relational safety.

How to choose a Self-Esteem therapist

Questions to ask before booking:

  1. 1

    Ask what approach they use for self-esteem specifically and why. A therapist should be able to describe their method clearly, whether that is CBT, schema work, ACT, or self-compassion based, and explain why it suits your situation.

  2. 2

    Ask whether they see self-esteem as a standalone concern or whether they typically explore what underlies it, such as early experiences, relational patterns, or linked anxiety and depression.

  3. 3

    Ask how they handle the inner critic. Some therapists work to challenge it, others work to understand its function, and others help you step back from it. Knowing their approach helps you assess the fit.

  4. 4

    Ask what progress looks like in their experience and how long this kind of work typically takes. Self-esteem work can be short-term for specific patterns, but deeper schema-level work often takes longer.

  5. 5

    If shame is a significant part of your experience, ask whether they are comfortable working with shame directly. Some therapists are more comfortable in this territory than others.

  6. 6

    Ask whether they offer any structured practices or exercises between sessions. Active work outside of the therapy hour often matters for this type of change.

When this may not be the right fit

If you are experiencing severe depression, active suicidal thoughts, or a mental health crisis, stabilization and safety planning come first. Self-esteem work is generally most effective once there is some stability in place.

If your low self-esteem is closely tied to trauma, a therapist may recommend beginning with trauma-focused work before or alongside self-esteem work, particularly if trauma symptoms are active.

Self-esteem work alone may not be sufficient if there is an underlying condition like major depression, an eating disorder, or OCD that is driving or significantly shaping negative self-beliefs. In those cases, a therapist will typically treat the primary condition as part of or before focusing specifically on self-esteem.

If you are looking for quick reassurance rather than deeper change, therapy may not meet that need. The work tends to involve sitting with discomfort, examining difficult patterns, and practising different responses, which takes time.

Related specialties

Frequently asked questions

What does therapy for self-esteem actually involve?

Therapy for self-esteem focuses on identifying and working through negative beliefs about yourself, understanding where they came from, and building a more grounded self-view. Depending on the approach, this can involve thought-challenging exercises, exploring early experiences, self-compassion practices, or working with the inner critic directly.

How long does it take to see results from self-esteem therapy?

It depends on the depth and origin of the self-esteem issues. Situational self-criticism tied to specific patterns may shift in a few months of regular sessions. More pervasive beliefs rooted in early experiences, sometimes called schemas, typically take longer to work through. A therapist can give a more specific estimate after an initial assessment.

Is low self-esteem a mental health condition?

Low self-esteem is not a diagnosis on its own, but it commonly occurs alongside conditions like depression, anxiety, and eating disorders. It can also be a primary concern that significantly affects quality of life without meeting criteria for a specific diagnosis. Therapy can address it in either case.

What is the difference between self-esteem, self-confidence, and self-compassion?

Self-esteem refers to how you value and regard yourself overall. Self-confidence is more specific to your belief in your ability to do things well. Self-compassion is about how you treat yourself when you struggle or fail. They are related but distinct, and different approaches in therapy may target one more than the others.

Can therapy for self-esteem be done online?

Yes. Many therapists offer self-esteem work through video sessions, and this format works well for talk-based approaches like CBT, ACT, and self-compassion programs. Some people find it easier to be honest about self-critical thoughts when talking from their own space. Check each therapist profile for available formats.

How is self-esteem therapy different from positive thinking or coaching?

Therapy examines why negative self-beliefs formed, how they are maintained, and what keeps them in place, rather than replacing them with positive statements. The goal is a realistic and stable self-view, not simply a more optimistic one. This tends to produce more durable change than affirmations or mindset coaching alone.

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