Dr. Meredith Lynn Hansen, PsyD

Closely related to family therapy, couples therapy is a type of counseling that seeks to help couples improve their relationship. A therapist may teach each partner in the relationship specific skills, such as managing or expressing their emotions, conflict resolution, communication skills, and problem solving. Both people in the couple need to be committed to learning new skills themselves as well as putting effort into supporting the relationship. The typical goals of couples therapy are to decrease conflict, unhappiness, and resentment, as well as increase communication, intimacy, and connection.

Couples therapy may be offered privately, at a university, or in a group practice. It is usually short-term therapy, lasting a few weeks until the participants have learned new skills and have the ability to repair their relationship. Its effectiveness depends on the willingness of both participants to commit to therapy and make the relationship a priority. For many couples it can be extremely helpful.

Humans begin to gain self-esteem in childhood from being cared for by adults and reaching natural milestones such as learning how to tie one's shoes. Self-esteem evolves through adolescence and adulthood, and can change drastically based on one's positive and negative experiences. It's important to develop healthy self-esteem to navigate through challenges, make decisions, and gain motivation to pursue interests.

Self-esteem issues can influence one's emotions, behavior, relationships, and world view. Self-esteem issues frequently arise from low self-esteem. Low self-esteem can be caused by factors such as trauma, caregiver neglect, abuse, bullying, and academic, social, or professional difficulties. Stressful life events such as parental divorce, caregiver conflict, and financial problems may also contribute to low self-esteem. In recent years, researchers have highlighted the influence of social media in negatively impacting adolescents' mental health. Common signs of low self-esteem include:

• Focusing on failures instead of accomplishments
• Feeling triggered when making mistakes
• Constantly comparing oneself to others in a negative way
• Lacking confidence

Excessive self-esteem can also be problematic in that it can hinder one's ability to form relationships with others. People with extremely high self-esteem may appear to be conceited or entitled. Some researchers suggest very high self-esteem can lead people to engage in more risk-taking behaviors. Causes of excessive self-esteem are less well-known, but may include upbringing, personality, and cognitive biases.

Fortunately, self-esteem issues can be readily addressed at any time. Positive self-affirmations recognizing one's own accomplishments can raise low self-esteem. Accepting one's own weaknesses and imperfections can benefit those with both low and high self-esteem. People with self-esteem issues often find therapy is an effective means to improve their self-esteem and mental health. Cognitive behavioral therapy (CBT) can help people with self-esteem issues identify and change destructive patterns of thought. Support groups, family counseling, and antidepressant medication may also help with self-esteem issues.

Maintaining a positive outlook and belief in oneself can go a long way towards forming healthy self-esteem. Developing a strong sense of self can be important for well-being and contributes to overall happiness and success in life.

These problems and others can make a workplace seem toxic. For example, a worker may be propositioned with "quid pro quo" harassment, when a superior seeks sexual favors in exchange for a job benefit. Beyond being highly inappropriate, this sexual harassment can cause the targeted employee to suffer from damaged self-esteem, emotional distress, and other mental health problems. Different workplace issues, like low salary or dangerous work conditions, can threaten a worker's financial and even physical health.

One of the most common forms of workplace issues is bullying or abuse from coworkers. It can occur in a number of situations, from high performers facing threats from jealous coworkers, to a worker receiving unreasonable requests from a supervisor. Workers may be too fearful to confront work abusers and complaints to HR departments and supervisors can be unfruitful or even detrimental, leading to incidents going unreported.

Mental health therapy can mitigate the negative emotions and behaviors arising from workplace issues. Therapists may listen to people's workplace issues and provide advice for how to navigate a number of work-related problems. Online counseling can be particularly helpful in the modern workplace. Direct access to a therapist throughout the day can help alleviate recurring pressure and anxiety arising from one's job. In some cases, therapists may encourage some to seek other job prospects and opportunities.