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.
Sexologists help with sexual difficulties, desire, communication about sexuality, and sexual and gender identity, individually or as a couple, in a respectful and confidential setting.
Getting mental health care in Vietnam
Public health system · Public hospital system and Social Health Insurance
Mental health care is mainly provided by national psychiatric hospitals (Hanoi and Bien Hoa), provincial psychiatric hospitals and some district hospitals, with community follow-up mostly for schizophrenia and epilepsy. Depression and anxiety are treated mainly at central and provincial level. Health insurance covers most of the population, but clinical psychology services are not officially covered.
How to check that a professional is licensed
- Practising licence under the Law on Medical Examination and Treatment (Law No. 15/2023/QH15). Since 1 January 2024 clinical psychologists need a practising licence, valid for 5 years, and may practise in licensed hospitals or clinical psychology facilities. Ask for the practising licence.
- Practising licence under the Law on Medical Examination and Treatment (Law No. 15/2023/QH15). Doctors, including psychiatrists, must hold a medical practising licence. Ask for the practising licence.
Insurance and coverage
Social health insurance covers about 90% of the population and psychiatric treatment, but clinical psychology services are not officially covered.
Urgent help in Vietnam
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: gov.uk, vietnamnews.vn, english.luatvietnam.vn, english.luatvietnam.vn
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 sex therapist do?
A sex therapist helps individuals and couples with concerns about sexuality in a respectful, confidential space. Day to day they talk about desire, arousal, pain, orgasm, sexual communication, body image, identity and orientation, and the impact of illness, ageing or past experiences. They use psychoeducation, talking therapy and practical exercises, and coordinate with doctors when a physical cause needs to be checked.
When to see a sex therapist
Seeing a sex therapist makes sense when a sexual difficulty causes distress or tension, when desire differs a lot within a couple, when there is pain or anxiety around sex, after illness, childbirth or menopause, or when you have questions about identity or orientation. A medical check-up is advisable first for pain or sudden changes; trauma may need trauma-focused therapy.
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 Vietnam cover psychological care?
Mental health care is mainly provided by national psychiatric hospitals (Hanoi and Bien Hoa), provincial psychiatric hospitals and some district hospitals, with community follow-up mostly for schizophrenia and epilepsy. Depression and anxiety are treated mainly at central and provincial level. Health insurance covers most of the population, but clinical psychology services are not officially covered.
How do I check that a sex therapist is licensed in Vietnam?
Practising licence under the Law on Medical Examination and Treatment (Law No. 15/2023/QH15): Since 1 January 2024 clinical psychologists need a practising licence, valid for 5 years, and may practise in licensed hospitals or clinical psychology facilities. Ask for the practising licence.