Home | The Team | Work For Us | Travel Clinic | Meeting Rooms | Contact

prescriptions
Appointments
Register

Live Well Newsfeed

Raising low self-esteem

Raising low self-esteem

We all have times when we lack confidence and don’t feel good about ourselves.

But when low self-esteem becomes a long-term problem, it can have a harmful effect on our mental health and our lives.

Self-esteem is the opinion we have of ourselves. When we have healthy self-esteem, we tend to feel positive about ourselves and about life in general. It makes us able to deal with life’s ups and downs better.

When our self-esteem is low, we tend to see ourselves and our life in a more negative and critical light. We also feel less able to take on the challenges life throws at us.

What causes low self-esteem?

Low self-esteem often begins in childhood. Teachers, friends, siblings, parents, and even the media give us lots of messages  – both positive and negative. But for some reason, the message that you are not good enough sticks.

You may have found it difficult to live up to other people’s expectations of you, or to your own expectations.

Stress and difficult life events, such as serious illness or a bereavement, can have a negative effect on self-esteem. Personality can also play a part. Some of us are simply more prone to negative thinking, while others set impossibly high standards for themselves.

How does low self-esteem affect us?

The problem with thinking we’re no good is that we start to behave as if it’s true. “Low self-esteem often changes people’s behaviour in ways that act to confirm the person isn’t able to do things or isn’t very good,” says Chris Williams, Professor of Psychosocial Psychiatry at the University of Glasgow. 

If you have low self-esteem or confidence, you may hide yourself away from social situations, stop trying new things and avoid things you find challenging.

“In the short term, avoiding challenging and difficult situations makes you feel a lot safer,” says Professor Williams. “In the longer term, this avoidance can actually backfire because it reinforces your underlying doubts and fears. It teaches you the unhelpful rule that the only way to cope is by avoiding things.”

Living with low self-esteem can harm your mental health, leading to problems such as  depression and anxiety. You may also develop unhelpful habits, such as  smoking and  drinking too much, as a way of coping.

How to have healthy self-esteem

In order to boost self-esteem, you need to identify and challenge the negative beliefs you have about yourself.

“You need to look at your beliefs, how you learned them and why you believe them,” says Professor Williams. “Then actively begin to gather and write down evidence that disconfirms them.”

Learn to spot the negative thoughts you have about yourself. You may tell yourself you are "too stupid" to apply for a new job, for example, or that "nobody cares" about you. Start to note these negative thoughts and write them down on a piece of paper or in a diary, suggests Professor Williams. Ask yourself when you first started to think these thoughts.

Next, start to write down evidence that challenges these negative beliefs: "I am really good at cryptic crosswords" or "My sister calls for a chat every week". Write down other positive things you know to be true about yourself, such as "I am thoughtful" or "I am a great cook" or "I am someone that others trust". Also write down good things that other people say about you.

Aim to have at least five things on your list and add to it regularly. Then put your list somewhere you can see it. That way, you can keep reminding yourself that you are OK.

“It’s about helping people recognise they have strengths as well as weaknesses, like everyone else, and begin to recognise those strengths in themselves,” says Professor Williams.

“You might have low confidence now because of what happened when you were growing up,” he says. “But we can grow and develop new ways of seeing ourselves at any age.”

Other ways to improve low self-esteem

Here are some other simple techniques that may help you feel better about yourself.

Recognise what you are good at 

We are all good at something, whether it’s cooking, singing, doing puzzles or being a friend. We also tend to enjoy doing the things we are good at, which can help to boost your mood.

Build positive relationships

If you find certain people tend to bring you down, try to spend less time with them, or tell them how you feel about their words or actions. Seek out relationships with people who are positive and who appreciate you.

Be kind to yourself

Professor Williams advises: “Be compassionate to yourself. That means being gentle to yourself at times when you feel like being self-critical. Think what you’d say to encourage a friend in a similar situation. We often give far better advice to others than we do to ourselves.”

Learn to be assertive

Being assertive is about respecting other people’s opinions and needs, and expecting the same from them.

One trick is to look at other people who act assertively and copy what they do. “It’s not about pretending you’re someone you’re not,” says Professor Williams. “It’s picking up hints and tips from people you admire and letting the real you come out. There’s no point suddenly saying, ‘I’m going to be Chris Hoy’, but you might be able to get your bike out and do a bit of cycling for the first time in ages.”

Start saying 'no'

People with low self-esteem often feel they have to say yes to other people, even when they don’t really want to. The risk is that you become overburdened, resentful, angry and depressed.

“For the most part, saying no doesn’t upset relationships,” says Professor Williams. “It can be helpful to take a scratched-record approach. Keep saying no in different ways until they get the message.”

Give yourself a challenge

We all feel nervous or afraid to do things at times. People with healthy self-esteem don’t let these feelings stop them from trying new things or taking on challenges.

Set yourself a goal, such as joining an exercise class or going to a social occasion. Achieving your goals will help to increase your self-esteem. 

Where to find help for low self-esteem

You may feel you need some help to start seeing yourself in a more positive light. Talking therapies, such as counselling or cognitive behavioural therapy, can help. Your GP can explain the different types and tell you what’s available in your area.

Read more about the different types of therapy.

You can also refer yourself for counselling or therapy. Use the NHS Choices Services Directory or visit the  British Association for Counselling & Psychotherapy website to find a registered counsellor and therapist near you.

Hear Dr Williams' podcast about tackling unhelpful thinking.

 

 

Health benefits of rock climbing

Health benefits of rock climbing

Rock climbing used to be considered the preserve of adrenaline junkies, but in recent years it has broken into the mainstream.

A growing number of people in search of new experiences and outdoor adventure have been getting a taste for the crag in climbing centres around the country.

The British Mountaineering Council (BMC) estimates there are about 5 million visits to climbing walls each year in the UK.

Find out about rock climbing’s unique physical and mental challenge, how to get started and the life skills it provides.

What is rock climbing?

Rock climbing was originally used by experienced climbers to practise skills needed for scaling difficult sections of a mountain. By the 1980s it had evolved into a globally popular leisure pursuit in its own right, practised indoors and out with many variations such as:

  • bouldering: ropeless climbing at low heights, often above safety mats
  • sport climbing: climbing up rock faces dotted with bolts for climbers to clip into
  • soloing: climbing on your own and usually without a rope
  • traditional or "trad" climbing: climbing up unmarked routes using your own safety gear
  • ice climbing: climbing ice-covered rock faces and frozen waterfalls

Who can do rock climbing?

Anyone can rock climb. At beginner level, it caters for people of all ages, fitness levels and abilities, including mental and physical impairments. There are courses for children as young as five and it's not unusual to see people climbing well into their 80s.

Despite its image as an athletic sport, you don’t need to be super-fit to rock climb. Good technique is more important than physical strength, although the more you climb the stronger and fitter you will become. Good footwork, body positioning and problem solving will get you up many more climbs than just brute strength. Many climbing centres have specialist instructors who have experience with rehabilitation and working with all kinds of physical and mental disabilities.

What muscles are worked?

Climbing uses lots of muscle groups, both in the upper and lower body. Your back, abdominal and leg muscles all get exercised as well as your fingers, shoulders and arms. Regular climbing can improve stamina as well as muscle strength. In addition, all the reaching and stretching for holds improves flexibility and agility.

What skills are developed?

Each climbing route is like a puzzle, which requires patience, planning and analysis to complete. Beginners will typically work out their ascent as they go up, but with experience they learn to visualise their climb and spot tricky sections before reaching for their first hold.

Over time, regular rock climbing can help develop concentration, determination and problem-solving skills. As you improve, you will naturally want to push yourself further and try harder climbs or climb outdoors.

The amount of goals you can set yourself is limitless. Setting yourself goals and meeting them gives you a great sense of achievement, which in turn can help build everyday self-confidence.

While on one level rock climbing is an individual pursuit, it also has a very social component because you’re never alone (or shouldn’t be). You’ll either be climbing with a group of friends, schoolmates, colleagues or family. You tend to develop strong friendships with your climbing partners due to the level of trust involved and through sharing challenges and experiences.

Rock climbing and dyspraxia

Anecdotal evidence suggests climbing works well for people with dyspraxia (a developmental co-ordination disorder) because the environment is stable (especially if using a designated climbing wall) and the individual only has to think about how to move themselves in relation to the environment. 

The Dyspraxia Foundation says people with dyspraxia often have difficulty planning their movements, which makes it hard when they have to accommodate a changing environment as well as organising themselves, for example in team sports such as football.

Climbing is great for building upper limb strength and stability, something that some people with dyspraxia often lack and which affects functional fine motor skills such as using cutlery, handwriting and so on. Rock climbing can be done when it suits the individual, rather than having to fit in with other team members. This can be useful as some people with dyspraxia get very tired towards the end of the day or week because of the physical effort they put into getting through their day.

Climbing is also a social activity as it has to be done in pairs. This can be great for people with dyspraxia who may struggle to communicate and be sociable in a larger group because of their physical difficulties and, for some people, slow processing speed and communication difficulties. 

Rock climbing and mental health

Evidence shows that physical activity of any kind can help people with depression. Some scientists think that being active can help improve wellbeing because it brings about a sense of greater self-esteem, self-control and the ability to rise to a challenge.

That is certainly the experience of Jake McManus, 41, who has suffered from depression all his life. He says rock climbing has helped him to better manage his condition and to live a near-normal life.

“When you’re on a climb, you’re in the moment, you’re entirely focused on the task at hand, and your mind is clear of all other thoughts,” says Jake. “It’s a wonderful escape.” Apart from the sense of achievement he gets from climbing, the sport has also taught him not to fear failure. “In climbing, failure is the path to improvement,” he says. “With my depression, there were days I feared to leave the house.”

Climbing has created a new dynamic for Jake, involving strong friendships, adventure and travel, healthy living and positive thinking. In a way, climbing has become Jake’s rock, a solid foundation on which he has rebuilt his life. He has set up Climb Out to share his journey and help others get outdoors and "climb out" of their problems.

What if I’m scared of heights?

“It’s natural to be scared of heights,” says Tina Gardner of the BMC. “Instinct tells us that falling from a high place will hurt. Respecting that fear keeps you alive.” She says reviewing all the precautions prior to climbing is a good way to reassure a nervous climber, for example, checking their knot is tied correctly. Gardner says the more you climb, the more confident in your own ability you will become. “You don’t want to lose that fear completely,” she says. “Over time, climbers simply learn to manage it.”

Is rock climbing safe?

Climbing can be as safe or risky as you like. There are different styles and levels – it’s all about choice and experience. You are very unlikely to get injured climbing on an indoor wall with someone holding the climbing rope below you. 

German researchers found that climbing had a lower injury incidence than many mainstream sports such as basketball, sailing or football. Indoor climbing had the fewest injuries per 1,000 hours of participation, according to the 2010 study published in the Journal of Sports Medicine.

How do I get started in rock climbing?

Typically, people get their first taste of rock climbing at an indoor climbing wall by tagging along with a mate who’s already into climbing. Many centres run introductory climbing sessions for different age groups, with all equipment provided, including climbing shoes and a harness. You can a find a wall near you on the BMC website.

Joining a climbing club is another common way in and has the advantage of providing you with a pool of potential climbing partners. At some point, you may want to experience climbing outdoors and get your hands on real rock or the crag. The BMC’s Climbing Outside booklet (PDF, 2.1Mb) is written for climbers "stepping out" for the first time. If you want to start outdoors, you can hire an outdoor climbing instructor.

What equipment do I need?

To climb at an indoor wall, all you need are tight-fitting trainers or climbing shoes and comfy, unrestrictive clothes. All other equipment can usually be hired on site. As you progress you’ll probably want your own climbing shoes, harness, chalk bag, belay device and karabiner. Get advice from an expert before going on a shopping spree.

'I blew myself up at festival campsite'

'I blew myself up at festival campsite'

Georgina Chalmers’ festival weekend nearly ended in tragedy when a camping gas canister blew up in front of her, leaving her scarred for life.

She was attempting to attach a pierceable gas canister to her camping stove, but the two devices failed to connect properly and gas began escaping.

The leaking gas connected with the naked flame of a nearby camping stove, sparking an explosion that burned 28% of Georgina’s body.

She was airlifted from the Camp Bestival site in Dorset and spent two weeks in a burns unit “wrapped up like a mummy”, as she puts it.

Now Georgina, 27, from Milton Keynes, wants to use her story to warn people about the risks of using pierceable gas canisters.

“Although I had taken precautions, I didn't fully appreciate the risks of pierceable gas canisters,” she says.

“I don't think they should be on sale. I'm not a reckless person – if I managed to blow myself up, so could anyone.”

Georgina was cooking lunch with friends Felix and Jen at Camp Bestival in July 2013, where they were running a children's craft stall, making art with stickers.

“I was cooking pasta on a camping stove,” she says. “When the gas ran out I reached for a spare canister. It didn't have a safety valve, just a dimpled top that had to be pierced.”

Having read the instructions, Georgina proceeded to slot the blue cartridge into the handheld stove.

“I tried to engage the clips on the stove, but couldn't get it to take,” she says.

The canister had been pierced though and as Georgina grappled with the device, she could hear the hiss of escaping gas.

“I could see the escaping gas changing the colour of the air around it,” she says.

The canister slipped from her hands and fell. Within moments, the gas caught the flame of another cooker about three metres away and ignited into a ball of fire.

“I just had time to leap up, turn and run,” she says. “Witnesses later told me they saw a ball of flame, two metres across, rise into the air. My tent, three metres from the explosion, was in tatters.”

Her screams raised the alarm and assistance was swift. People came running, carrying containers of water.

“They tipped it over my head and soon I was standing in a puddle, which soothed the burnt soles of my feet,” she says.

While Felix suffered minor burns, Georgina was burnt all along her right side and her back, and had to take six weeks off from her job.

“Most of my eyelashes had gone and much of my right eyebrow, along with lots of my hair. My fingers had ballooned to twice their usual size,” she says.

She didn’t need a skin graft, but some burns took up to six weeks to heal and have left her with permanent scars.

"I am always thinking about safety, that's what I do in my job,” says Georgina, a project manager for level crossing safety improvements at Network Rail.

“But this could happen to anyone who uses pierceable canisters without a safety valve," she says.

Iain Geddes of the Camping and Caravanning Club says if you’re not familiar with the appliance, read the instructions fully and, ideally, practise how to use it.

“Pierceable cartridges are a cheap and reliable way of carrying fuel and, like any other gas appliance, can be hazardous if not used correctly,” he says.

Further safety advice can be found on the Camping and Caravanning Club’s website.”

'My family's deaths were a wake-up call'

'My family's deaths were a wake-up call'

After both her father and brother lost their lives to heart disease at a young age, Helen Cleary knew she had to get her act together.

Approaching middle age, the mother of three was overweight and unfit and couldn't go up a flight of stairs without losing her breath.

Sport or exercise had never been her thing – school-age memories of punishing cross-country runs and being picked last for team games have a lot to answer for.

But since taking up running with Couch to 5K and parkrun, Helen is a person reborn. She's lost 22kg (3.5st), dropped three dress sizes, and feels healthier, younger and more confident at 50 than she did in her 30s.

The south Londoner is proud to call herself a runner and, whether she's running or volunteering, she explains how parkrun has given her a new sense of belonging.

'Now that I've graduated from Couch to 5K, I need a focus to make me run during the week, and parkrun is perfect for that'

Helen Cleary

Why did you start Couch to 5K?

I was overweight and unfit. I couldn't go upstairs without having to catch my breath and I was embarrassed to go for a walk with my sisters, as I was wheezing after a very short distance while they were striding along. All of that, plus the fact my father and brother both died young with heart problems, made me realise I had to get my act together.

What impact did their deaths have on you?

Dad had a heart attack at the age of 55. He had his first one when he was my age. My older brother died at 37 from  dilated cardiomyopathy. He was overweight and unfit at the time. I always worried about it. I think that now I'm only five years away from my father's age when he died, it has really hit home that I won't live forever and if I carried on the way I was, it would be sooner rather than later. 

How has Couch to 5K changed you?

I have lost three and a half stone and gone down three dress sizes by running and changing my eating habits completely. Now I go running two evenings a week with my husband and do parkrun when I can on Saturdays. I recently turned 50, and I think I am healthier and much more confident now than I was in my 30s. I feel younger now, too. Running upstairs is no longer a problem.

How active were you before starting Couch to 5K?

Apart from walking the dogs, I wasn't at all active. Even the dog walking wasn't very strenuous, as I tended to stroll around the park. I never did anything else apart from that, and would just collapse on the couch in the evenings.

How did you hear about parkrun?

I walk the dogs in Nonsuch Park [Sutton, south London] and happened to be there one Saturday when it was on. I signed up but didn't do anything about it for a year, as I didn't think I could run. My husband started doing parkrun and I didn't go with him to start with as I didn't want to make a fool of myself, but I went to cheer him on. I got talking to a couple of volunteers one Saturday and they persuaded me to give it a go, even if I didn't finish the course. So far I've done 20 parkruns.

Did you start parkrun after completing Couch to 5K?

No, I started parkrun probably two or three weeks into Couch to 5K. I sort of followed the podcast as I ran round the course, then, when it was finished, I just walked and ran the rest of the way.

Have your running times improved since starting parkrun?

Definitely! The first parkrun I did soon after starting Couch to 5K gave me a time of 44 minutes and 35 seconds. I was over the moon when I first got a time of under 40 minutes, and my best time has been 35:22, which was in May [2014]. I have had a month of not running due to illness and birthday celebrations, but I got back into it a couple of weeks ago, and today I did a fun 5km run in Seaford and my time was around 37 minutes, which was better than I had been expecting.

Do you run with friends or family?

My husband goes regularly – his 50th run was on July 12 [2014]. As he is much faster than me, he will often find me when he has finished and do the last bit of the course with me.

Have you made new friends doing parkrun?

Nonsuch parkrun is incredibly friendly. There are several people I chat to there who I consider friends. I've also started volunteering regularly, and the main volunteers and race directors all know me now. Next weekend we are having a "goldenrod party", where a group of runners and volunteers are going to help clear the park of this invasive weed.

'I have lost 3.5 stone and gone down three dress sizes by running and changing my eating habits completely'

Helen Cleary

Why do you volunteer?

The event organisers told us they would like everyone to try to volunteer three times over a year. The first time I volunteered, I had shin splints and was resting for a couple of weeks, and my husband was going to run so it was a way of still being involved. Now I volunteer because I enjoy it. I like being part of the parkrun family. The regular volunteers are a good crowd. Also, I'd love to be that person who convinces someone to take their first steps in parkrun, just like I was.

How does parkrun keep you motivated?

Now that I've graduated from Couch to 5K, I need a focus to make me run during the week, and parkrun is perfect for that. I know I'm not the best I can be yet, and trying to improve my time is a fabulous way to keep me pushing myself.

What do you like about parkrun?

Apart from the completely new social life I have now, I like the atmosphere, the feeling of belonging, the thrill of getting a new personal best, and the feeling of being part of something big. I like the challenge it gives me, and of course I like seeing all my friends there.

What does it mean to you to be able to call yourself a runner?

I am actually in awe of being able to say that. I think back to the kid I was at school, who was always picked last in games, hated cross country and road running, and would have said even then that I can't run. I like calling myself a runner, even though I am not at all fast and still have a lot of improvements to make. It also gives my husband and myself a shared interest and time together when we go out running. The fact that at 50 I can say I am a runner is really a rather fantastic feeling.

Free Pain Management Course

Would you like to learn easy skills and techniques to help manage and live with your pain more effectively?
more

Become a Practice Health Champion!

Are you interested in health and would like to encourage others to improve their health and wellbeing?
more


Great Horton

Great Horton Surgery

The Ridge Medical Centre
Cousen Road
Bradford
BD7 3JX

Tel: 01274 425600
Fax: 01274 425610

Email Enquiry
Opening Times & Google Map

Wibsey

Wibsey Surgery

93 Smith Avenue
Wibsey
Bradford
BD6 1HA

Tel: 01274 425600
Fax: 01274 425610

Opening Times & Google Map

Manningham

Manningham Surgery

Westbourne Green Community Health
50 Heaton Road
Bradford
BD8 8RA

Tel: 01274 425600
Fax: 01274 425610

Opening Times & Google Map

Buttershaw

Buttershaw Surgery

Royds Healthy Living Centre
20 Ridings Way
Off The Cresent
Buttershaw
Bradford
BD6 3UD

Tel: 01274 321888
Fax: 01274 322029

Opening Times & Google Map

Website Designed & Developed by DMD Design & Marketing Ltd