About self-esteem
Low self-esteem affects how we see ourselves, our relationships and our decisions. Therapy helps identify self-critical thoughts, recognise strengths and build a more realistic and kind relationship with yourself.
Clinical psychologists are psychologists with specialist training in assessing, diagnosing and treating mental health problems, from anxiety and depression to more complex conditions. In some countries it is a regulated health specialty; Therapy247 checks the registration.
Getting mental health care in Macao SAR China
Public health system · Health Bureau (Serviços de Saúde)
Public psychiatric care is provided by the Health Bureau, mainly through the psychiatric department of Conde S. Januário Hospital and health centres. More information
How to check that a professional is licensed
- Health Professionals Council (Law 18/2020). Since Law 18/2020, health professionals including psychologists (requiring a master's in clinical psychology) and doctors must be accredited and registered to practise; counselling psychologists are outside this regime. Ask for the practitioner's licence.
Urgent help in Macao SAR China
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
Information reviewed in November 2026 · Sources: macaudailytimes.com.mo
Signs to look out for
Everyone doubts themselves sometimes. Low self-esteem may be holding you back when you are constantly self-critical, feel you are not good enough whatever you achieve, compare yourself unfavourably with others, struggle to accept compliments, avoid challenges for fear of failing, find it hard to say no, or feel that others’ opinions define your worth. It often accompanies anxiety or low mood.
What helps: treatments and professionals
Psychologists and psychotherapists can help you identify where your harsh inner voice comes from and develop a kinder, more realistic view of yourself. Cognitive-behavioural therapy (CBT), compassion-focused therapy, acceptance and commitment therapy (ACT) and schema therapy are commonly used. Work on assertiveness and boundaries is often included. If low self-esteem relates to body image or eating, specialised support may be needed.
When to seek urgent help
Low self-esteem alone is rarely an emergency, but it can come with depression. If feelings of worthlessness lead to thoughts of harming yourself or ending your life, contact your local emergency services or go to the nearest emergency department immediately. Seek prompt help too if you are being bullied, harassed or abused, or if you are restricting food or self-harming.
What you can do in the meantime
Notice your inner critic and ask whether you would speak to a friend that way. Write down small achievements and qualities others appreciate in you. Spend time with people who treat you well and reduce exposure to content that makes you compare yourself. Try small challenges, practise saying no in low-stakes situations, and look after your body with rest and movement.
What does a clinical psychologist do?
A clinical psychologist assesses, diagnoses and treats mental health problems in children, adults or older people. Day to day they conduct clinical interviews, use validated questionnaires and tests, formulate what keeps the problem going, and deliver evidence-based therapies. They often work in hospitals, community mental health teams or private practice, and coordinate with psychiatrists, family doctors and social services.
When to see a clinical psychologist
A clinical psychologist is a good choice for moderate to severe or persistent difficulties: anxiety disorders, depression, obsessive-compulsive problems, trauma, eating disorders, personality difficulties, or when a formal diagnosis or report is needed. If medication may be needed or there is a risk to safety, a psychiatrist should also be involved. For coaching or personal growth, other professionals may fit better.
How to choose
When choosing, check the licence and training, the approach they use and whether they have experience with what you need. Consider practical aspects too: language, price, location or online sessions and availability. The relationship with the professional matters a great deal; if after a few sessions it does not feel right, it is fine to change.
Frequently asked questions
Does the public health system in Macao SAR China cover psychological care?
Public psychiatric care is provided by the Health Bureau, mainly through the psychiatric department of Conde S. Januário Hospital and health centres.
How do I check that a clinical psychologist is licensed in Macao SAR China?
Health Professionals Council (Law 18/2020): Since Law 18/2020, health professionals including psychologists (requiring a master's in clinical psychology) and doctors must be accredited and registered to practise; counselling psychologists are outside this regime. Ask for the practitioner's licence.