Q: I’m working with a client who suffers from low self-esteem, and I feel like I’ve tried everything. Are there any Buddhist practices that might help?
A: While many therapists have begun to incorporate mindfulness into their work, additional Buddhist practices hold potential for helping clients, particularly those suffering from low self-esteem. One of the main goals of Buddhist meditation is cultivating compassion and love, and several techniques focus on developing these qualities toward oneself.
For example, Joseph, a young software engineer, came to see me to work on disarming his fierce inner critic. As he and I entered the resource-building phase of therapy, I taught him a form of metta (loving-kindness) meditation. This practice dates back more than 2,500 years, and, next to mindfulness, it’s one of the most commonly taught forms of Buddhist meditation.
When I use metta practice with clients, I generally begin by asking them to identify an image that easily inspires feelings of love, compassion, and warmth in them. Traditionally, this practice begins with using oneself as the first object of compassion, but for clients with low self-esteem, that can sometimes be too difficult. Many clients have an easier time picturing a baby, an animal, a religious figure, or a benefactor for this first step. The important thing is finding someone or something that naturally inspires uncomplicated and…