This is the second in my series on the impact of self-esteem wounds. Today we’ll look at the wound’s impact on the individual’s emotional health, mood and general quality of life.

I’ve practiced outpatient psychotherapy for over 32 years and I have seen so many people who were experiencing depression that was fueled by self-esteem wounds (negative beliefs about self and negative self-talk). Now, I want to point out that depression can be caused by multiple factors including chemical imbalances, genetics and physical disorders, and should be evaluated and treated by a professional. The evaluation can begin with your primary care physician, a psychologist, counselor, social worker or psychiatrist.

So, not all cases of depression are caused by self-esteem wounds, but such wounds are often a major contributor. I will first talk to my new client about his symptoms, which can include sad mood, crying spells, decreased energy and motivation, difficulty making decisions, sleep and appetite changes, and sometimes suicidal thinking. I then try to gather information about the factors that may be driving those depressive symptoms.

The client will often share a history of negative experiences in childhood, negative beliefs about herself and hurtful relationships in adulthood. She will often blame herself for negative life events, poor choices and perceived failures. She will interpret events in the most negative way possible. She will often be angry at herself for her perceived faults.

Her negative thinking seems to be a constant companion. She says things to herself that she would never say to another human being. She abuses herself in her mind. She never even notices it, because she has done it so long.

This kind of thinking drains her mood, impacts her choices and steals any pleasure or enjoyment. One client said that her depression took the color out of her life, and that everything seemed to be black and white.

The negative impact of self-esteem wounds isn’t limited to those with clinical depression. Most people, with self-esteem wounds, are functioning quite well. They don’t look depressed. They don’t act depressed. They work beside you, attend your church, and perhaps even live in your house.

Their lives may not be severely limited by such wounds, but they suffer nonetheless. They keep their pain to themselves. You would never guess that their minds are filled with self-critical thoughts and self-doubt, but they are.

Comment:  Knowing the pain of self-esteem wounds and the prevalence of those wounds keeps me motivated to share tools for healing. Help me share this message. Share this post and share a comment on the world’s need for healing of self-esteem wounds.