Logo of Kapi'olani Medical Center for Women & Children; An affiliate of Hawaii Pacific Health
Volume 7 Issue 2 June 2011

Kapi'olani Kids; The Latest in Children's Health From Kapi'olani Children's Hospital

Adolescence and Self-Esteem:

A Fragile Road

Wendi Hirsch, Ph.D.
Photo of  Wendi Hirsch, Ph.D.
Even confident children can lose selfesteem when they move into adolescence. It's naturally a self-conscious age when fitting in is especially important. This is when teens begin middle school and then high school, where their performance and looks are constantly judged by themselves and others.

What Affects Self-Esteem?

According to Kapi'olani clinical psychologist Wendi Hirsch, Ph.D., a teen's selfesteem reflects the difference between her ideal and her actual self. If a teen thinks there is a great disparity between these two selves, then she may have self-esteem problems.

Photo of teenage girlSelf-esteem reflects how people value themselves, and how worthwhile they feel to others. It can affect a person's behavior, confidence, and social life.

Low self-esteem problems may stem from displeasure with appearance. This is especially common in girls. Societal and cultural standards can cause teens to develop unhealthy, unrealistic views about attractiveness and body size.

Two factors seem to influence a teen's self-esteem, according to Dr. Hirsch:

  1. Accomplishments in school, sports, and other activities that are socially valued
  2. Support and approval from people they care about

How to Boost Self-Esteem

To help boost your teen's confidence, Dr. Hirsch recommends these strategies:

  • Encourage your teen to get involved in sports, hobbies, and other activities.
  • Celebrate your teens' successes. Focus on the positives, and help them do the same.
  • Teach your children to question the standards of attractiveness set forth in the media. Ask them how many people they know who really look like models or bodybuilders.
  • If your teen has a weight problem, help her or him achieve a healthy weight in a safe way. Emphasize good nutrition and an active lifestyle. Avoid making critical comments about his or her weight, even if said in jest.
  • Pay attention if your teen uses a lot of self-defeating statements. Negativity can signal low self-esteem. But reciting positive statements, such as "I can do anything that I set my mind to," may brighten one's outlook.
  • Pay attention to signs that your teen is being bullied. Unexplained injuries, feeling scared or angry about going to school, and comments about especially mean classmates should be taken seriously.
  • Avoid criticizing teens too much. When you are upset with your child, comment on his or her behaviors, not your teen. Saying "I get upset when you're on the phone for an hour" is better than "You're a phone addict." A good rule of thumb is to use this phrase: "I feel (blank) when you (blank). I'd prefer if you (blank)."

Self-esteem problems can hit adolescents hard. Teens with low self-esteem have a higher risk for depression. They're also more likely to smoke and to develop alcohol and drug problems. Help your teens feel better about themselves and develop good coping skills for times of distress. Knowing that you believe in them and are there to support them will make a big difference.

Visit www.kapiolani.org/womenand-children/health-guide.aspx and search for "depression" to learn more about this topic.



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© 2011 Krames StayWell