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DSM-5 Depression: Does 'Worthlessness' Encompass Low Self-Esteem?

2024.11.24
Question:

Are there distinct types of low self-esteem beyond the feeling of worthlessness outlined in the DSM-5 for major depressive disorder?

Answer:

Yes, while the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) includes feelings of worthlessness as a symptom of major depressive disorder, low self-esteem can manifest in various distinct forms beyond this context. Here are some types of low self-esteem:

  1. Global Low Self-Esteem: This is the most common type and involves a pervasive feeling of inadequacy across multiple aspects of one's life, such as relationships, work, and personal qualities.

  2. Situational Low Self-Esteem: This occurs when an individual feels inferior or lacks confidence in specific situations, like public speaking or social interactions, but maintains healthy self-esteem in other areas.

  3. Conditional Self-Esteem: In this case, a person's self-worth is dependent on achieving certain goals or maintaining particular standards, such as physical appearance, academic performance, or professional success. Any failure to meet these conditions can lead to a drop in self-esteem.

  4. Trauma-Induced Low Self-Esteem: Individuals who have experienced trauma, such as abuse or neglect, may develop low self-esteem as a result of internalizing negative messages or feeling powerless.

  5. Social Comparison Low Self-Esteem: This type arises from constantly comparing oneself to others and finding oneself lacking. It is often exacerbated by social media use.

  6. Defensive Pessimism: Some individuals maintain low self-esteem as a coping mechanism, believing it helps them set realistic expectations and avoid disappointment.

Strategies to Address Low Self-Esteem:

  1. Cognitive Behavioral Therapy (CBT): CBT can help identify and challenge negative thought patterns and replace them with more positive and realistic ones.

  2. Mindfulness and Self-Compassion: Practicing mindfulness and cultivating self-compassion can reduce self-criticism and promote a kinder inner voice.

  3. Set Realistic Goals: Breaking down large tasks into smaller, manageable parts can make success more achievable and less overwhelming.

  4. Social Support: Building and maintaining strong relationships can provide a support network and reinforce positive self-image.

  5. Physical Activity and Self-Care: Engaging in regular exercise and practicing good self-care can improve mood and overall well-being, which in turn boosts self-esteem.

  6. Professional Help: If low self-esteem is severely impacting daily life, consulting a mental health professional for personalized strategies and support is recommended.




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