Self Esteem Therapist | Sagebrush Counseling
Sagebrush Counseling  ·  TX  ·  NH  ·  ME  ·  MT

Self Esteem Therapist

Therapy for self worth, self compassion, and the internal critic — via telehealth across Texas, New Hampshire, Maine & Montana.

What This Work Is

Low self esteem rarely looks the way you'd expect.

More often it looks like someone capable and functional who is quietly exhausted — saying yes when they mean no, measuring their worth by what others think, running an internal critic that never turns off. Self esteem therapy addresses these patterns at the level they actually operate, not through positive thinking or surface reassurance.

Self Esteem Therapist Self Worth Therapy Texas Self Compassion Therapy Self Esteem Counseling Houston Self Esteem Therapist Austin Confidence Therapy Texas TX · NH · ME · MT

Private pay · $200/session · Superbills available · Evening & weekend hours

How Low Self Esteem Shows Up

You might recognize some of these.

The internal critic

A persistent voice that evaluates, criticizes, and compares. Often mistaken for high standards — usually it's shame that learned to speak like self-improvement.

Anxiety & self worth

The worry that something will go wrong is often underpinned by a belief that you are not equipped to handle it, or that your worth depends on the outcome.

Depression & self worth

Depression frequently includes a sense of worthlessness or not deserving good things. Self esteem work is often a core component, not a side concern.

People pleasing

Chronic people pleasing is a self esteem pattern — the need for external approval as a substitute for a stable internal sense of worth.

Relationships

Low self worth shapes who you choose, what you tolerate, and how much you ask for. It often keeps people in situations they've outgrown.

Imposter syndrome

The persistent feeling that your accomplishments are unearned, that you are about to be found out. Common in high-achieving communities across Austin, Houston, and Dallas.

Ready to talk through what's going on? The consultation is free and there's no pressure.

Book a Free 15-Min Consultation
Self Esteem in Relationships

Dating, divorce, and marriage.

Self esteem & dating

Dating after a breakup or divorce puts self esteem into sharp relief. Anxiety about whether you're enough. Vulnerability with someone new. Therapy addresses what shows up in the context of intimacy, not just in the abstract. Relationship therapy for singles →

Self esteem after divorce

Divorce hits self esteem hard regardless of who initiated it — the sense of failure, the identity shift of no longer being part of a couple. Self compassion therapy works with the grief and the self-blame rather than asking you to just move on.

Self esteem in marriage

Low self worth in a marriage often looks like chronic self-erasure — always deferring, never asking for what you need, losing track of who you are outside the relationship. Individual marriage counseling →

After infidelity

Betrayal devastates self esteem in a specific way. Was I enough? Did something about me cause this? Am I worth staying for? This layer gets addressed directly, not treated as a side effect that will resolve on its own.

Neurodivergence & Self Esteem

ADHD, autism, and specific self worth wounds.

Neurodivergent adults carry self esteem wounds that neurotypical therapy often misses. They have distinct sources and require a therapist who understands what they're looking at.

ADHD and self esteem

Years of being called lazy, inconsistent, or not living up to potential. Rejection sensitive dysphoria that makes criticism feel catastrophic. The wound isn't about capability — it's about a chronic mismatch between how the world is structured and how your mind works. ADHD therapist →

Autism and self esteem

Decades of social misalignment. The exhaustion of masking. Late diagnosis bringing relief alongside grief for years of unnecessary self-blame. Therapy builds a stable sense of self worth that doesn't require you to perform a version of yourself that's exhausting to maintain. Adult autism therapist →

Where I'm Licensed

Telehealth across four states.

Texas  ·  TX New Hampshire  ·  NH Maine  ·  ME Montana  ·  MT

All sessions via secure telehealth. Join from anywhere in your state — home, office, or wherever works for you.

Book a Free 15-Min Consultation
Common Questions

FAQs

What does self esteem therapy actually involve?+
It addresses the beliefs, patterns, and histories that produced an unstable sense of self worth. Not positive thinking or affirmations — actual work on where the patterns came from and how to build something more stable.
Is this available in Houston and Austin?+
Yes. All sessions are via telehealth — a secure, HIPAA-compliant video platform. Available across all of Texas including Houston, Austin, Dallas, San Antonio, and Fort Worth.
Can ADHD affect self esteem?+
Significantly. Adults with ADHD often carry years of accumulated shame from environments that didn't understand how they process. Rejection sensitive dysphoria, chronic underperformance, and the relational impact of ADHD all contribute in ways that standard self esteem work misses.
What does this cost?+
$200 per 50-minute session. $350 for 90 minutes. Private pay only — superbills available for out-of-network reimbursement. The 15-minute consultation is always free.
Is self compassion the same as self esteem?+
Related but distinct. Self esteem is how you evaluate yourself overall. Self compassion is treating yourself with basic decency when you're struggling. Self compassion work often reaches places self esteem work alone doesn't, because it doesn't require performing well.
Do I need a crisis to start therapy?+
No. Self esteem work doesn't require a rock-bottom moment to be worth doing. The consultation is a low-pressure place to see if this is a good fit.

Start with a free 15-minute call.

No commitment. Just a conversation to see if this is a good fit.