Feeling Worthless? What Causes It and How to Cope

Feeling worthless can stem from trauma, stress, or depression. Discover causes and actionable tips for coping and finding mental health help.
Person sitting alone in a dimly lit room with half of their face illuminated by window light, symbolizing the emotional struggle and neuroscience behind feeling worthless

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  • 🧠 The Default Mode Network (DMN) gets too active when you think critically about yourself. This makes feelings of worthlessness stronger.
  • 🧒 Emotional neglect in childhood can change brain paths for self-worth for good (McLaughlin et al., 2014).
  • ⚠️ When people reject you, the same brain areas light up as with physical pain. This shows how much belonging matters for self-esteem (Eisenberger et al., 2003).
  • 💡 Behavioral activation makes mood better. It does this by pushing you to take small, purposeful actions, even when you don’t feel like it (Cuijpers et al., 2007).
  • 🧘‍♀️ Mindfulness and self-compassion help control the brain circuits that feed self-judgment and emotional trouble.

realistic human brain on dark background

How the Brain Shapes Self-Worth

Feeling worthless might seem like a short-lived feeling. But brain science shows it’s strongly tied to how your brain handles self-image, emotions, and memory. Your sense of worth is more than just personality. It is built into brain patterns, shaped by what you go through, your biology, and where you live.

Brain Areas That Shape Self-Worth

Knowing how the brain builds our self-image helps explain why feelings of worthlessness start. It also shows us how to work against them.

Medial Prefrontal Cortex (mPFC)

The mPFC is key for thinking about yourself. This is how you reflect on who you are. For people who often feel worthless, especially those with depression, this area gets too active. This happens when they judge themselves negatively (Nejad, Fossati, & Lemogne, 2013). This extra activity can cause loops of rumination. These loops keep replaying personal failures or flaws.

Amygdala

The amygdala handles feelings like fear and shame. When you remember something embarrassing, or expect to be rejected, the amygdala becomes active. More activity here can make emotional memories about worthlessness come back strongly. This happens even if the danger is gone.

Prefrontal Cortex (PFC)

The larger PFC helps with high-level tasks. These include making choices and controlling emotions. A PFC that works well can stop the negative feedback loops. These loops come from the mPFC and the amygdala. But under stress, or when someone has long-term emotional problems, this control gets weaker. This lets negative thoughts take over.

mri brain scan with highlighted cortex areas

The Default Mode Network and Thinking About Yourself

The Default Mode Network (DMN) has brain areas like the mPFC, posterior cingulate cortex, and angular gyrus. It turns on when your mind is resting and you are thinking inward. This includes daydreaming or thinking about your role in the world. The DMN is vital for self-awareness. But if it’s too active, especially when linked to self-criticism, it can make a constant feeling of unworthiness stronger.

You can make other brain networks stronger. Do this through things like mindfulness, good social connections, and cognitive behavioral practices. This can lower DMN overactivity and change how the brain judges self-worth.

person sitting alone in dark room

Why Do We Feel Worthless?

Knowing why worthlessness happens is important for changing it. It’s almost never about “being broken.” Instead, it’s about seeing what shapes your brain patterns and emotional state.

Biology

Chemical Imbalances in the Brain

Not enough of important brain chemicals—like serotonin, dopamine, and norepinephrine—can directly impact mood, drive, and how good our experiences feel. These chemical imbalances often come with depression. They can make it hard to feel happy or find meaning, even in things that used to bring joy.

Early Brain Growth

The brain changes easily in childhood. Bad experiences like neglect, abuse, or unsteady parenting affect how emotions are controlled. These can also cause physical changes in the brain. McLaughlin et al. (2014) say that not having enough, and being in danger, are two different kinds of hard times. They shape how a child grows in different ways. Both add to a lower sense of self-worth.

Genes and Temperament

Some people are born more sensitive to emotions or more likely to feel negative. This is because of their genes. This makes it easier for them to see neutral events as bad, or to take social hints to heart.

Psychological Causes

Depression and Anxiety

Both of these often involve strong negative self-judgment. People with depression might feel like a burden. Or they might feel like they cannot do anything good. These feelings are not only signs of the illness. They also make the inner belief stronger that you are basically “less than.”

Emotional Neglect in Childhood

Emotional neglect is often hidden. But it can hurt just as much as physical abuse. When adults do not confirm a child’s feelings, the child might start to feel invisible or rejected. This can plant the idea that they are unworthy for life.

Needing to be Perfect and Comparing Yourself to Others

If your inner worth depends on what you do or how you measure up to others, you live with self-worth that is always conditional. Today, with carefully chosen social media posts and high pressure to perform, it is easy to feel like you are never good enough.

Trauma Caused by Shame

Traumas that said, “You are not enough” or “You have flaws” create deep shame. If this shame is not dealt with, it changes how you see yourself. It makes you view all future experiences as if you are broken.

Society and Culture

Social Media and Online Culture

Sites made to get people to interact depend a lot on numbers: likes, shares, comments. This way of turning social feedback into numbers can teach the brain to give self-worth a score. Spending a lot of time on these sites often links to more depression and feeling not good enough.

Pressure from Culture and What is Expected

In cultures that value achievement, success shows your social value. Failure, or even just being average, can feel like a moral failure inside. This is instead of seeing it as a normal part of life.

Being Discriminated Against and Left Out

Being exposed over and over to racism, sexism, ableism, or stigmas based on who you are, directly hurts your sense of worth. Living in a society that makes your worth seem small changes how you see yourself over time. This adds a lot to feelings of worthlessness.

tired person staring out window

How to Tell if It’s More Than a Bad Day

Everyone has times when they doubt themselves or feel down. But constant self-criticism and worthlessness often show a deeper problem that needs care.

Signs of Deeper Trouble

  • You have a constant inner talk that says you are a burden, unlovable, or basically broken.
  • You pull away from friends or activities you like because of shame or feeling aimless.
  • Your sleep, energy, or eating habits change a lot.
  • You show signs of sadness, no hope, or thoughts about ending your life.

If these signs happen most days for more than two weeks, and they stop you from living your daily life, it might mean you have Major Depressive Disorder or a similar emotional problem.

woman looking in mirror with mixed emotions

How You Talk to Yourself Changes Your Worth

A lot of our mental pain does not come from life events themselves. It comes from how we understand them. This view is built from our inner story, or self-talk.

Common Ways of Thinking That Trap You

Bad ways of thinking create and make stronger the belief that we have flaws. The most harmful ways of thinking include:

  • All-or-Nothing Thinking: Seeing things as only good or only bad. Example: “If I didn’t do it perfectly, I failed.”
  • Labeling: Calling yourself by one mistake. Example: “I’m no good because I messed up this project.”
  • Mind Reading or Predicting the Future: Guessing others think badly of you, or that the future will be bad.
  • Taking Things Personally: Taking the blame for things you cannot control, such as a friend’s bad mood.

Learned Helplessness

Martin Seligman’s idea of “learned helplessness” (1975) shows what happens when we often fail and feel we have no power. We stop trying. We believe our actions do not matter. This mindset brings on feelings of helplessness, worthlessness, and sadness.

Using CBT to Stop the Cycle

Cognitive Behavioral Therapy (CBT) works on the idea that thoughts affect feelings and actions. You can find twisted thoughts. Then you can look at the proof and swap them with helpful inner talk. When you do this, you do not just feel better. You actually change your brain. Brain plasticity means that healthy ways of thinking, when used again and again, become your normal way over time.

happy person walking outdoors in sunlight

How to Build Self-Worth Again: 7 Proven Ways

To truly stop feeling worthless, you need to question your thoughts. And you need to connect with life in important ways again. These ways work best when you do them all the time.

1. Change How You See Things

Teach yourself to see tough times as chances, not as judgments of your worth. For example, instead of “I failed and that means I’m useless,” say “This is something I can learn from.” Over time, you will change how your brain naturally understands problems.

2. Practice Being Kind to Yourself

Dr. Kristin Neff names three main parts of being kind to yourself: mindfulness (knowing your pain without making it bigger), common humanity (seeing that all people suffer), and self-kindness (treating yourself as you would a friend). Studies show that self-compassion protects against anxiety and depression. It helps build a strong sense of self-worth.

3. Behavioral Activation

When you have low drive, it can make you feel stuck. Behavioral activation makes you do small, satisfying things. These might be going outside, doing hobbies, or making a phone call. Cuijpers et al. (2007) say that even small tasks can break the cycles of sadness and doing nothing.

4. Setting Goals Based on What Matters to You

Acceptance and Commitment Therapy (ACT) cares less about how you feel. It cares more about what is important to you. When you make your actions match your main values, even on bad days, you teach your brain to separate self-worth from feelings that come and go.

5. Mindfulness Meditation

Doing mindfulness often has been shown to lower DMN activity. It also helps you step back from negative self-judgment. Even short daily practices, like body scans or focused breathing, help quiet the “mental noise” of judging yourself.

6. Writing About Your Feelings

Writing in a journal for just 15 minutes a day about painful feelings can lead to health benefits that last a long time. This kind of writing lets you work through experiences. It helps you make thoughts clearer. And it can change how you understand your life’s story.

7. Good Feedback from Others

People need to connect. When someone gives you a compliment, or says you matter, dopamine rushes in the brain. Get into the habit of trading thanks with people around you. If low self-worth twists how you see yourself, let others show you something truer.

diverse group hugging and smiling

Who You Are, Your Group, and Feeling Like You Belong

No one grows up alone. Our self-worth becomes clear through relationships, messages from society, and stories from our culture.

The Pain of Not Connecting

Eisenberger, Lieberman, & Williams (2003) found that being left out makes the same brain areas light up as physical pain. This is true especially for the anterior cingulate cortex. This means being ignored, rejected, or unseen does not just “hurt feelings.” It actually hurts. Being alone for a long time can send the message: “You don’t matter.” This then gets stuck in how we see ourselves.

Making Safe Places Where You Belong

To build self-worth again, you need to find or make places where people see and respect who you are. These might be:

  • Groups for support or shared interests based on who you are or what you have been through.
  • Therapy methods that support cultural, queer, or neurodiverse experiences.
  • Friendships that value being real over doing well.

therapist and client talking on couch

Don’t Face This Alone: How to Get Help

You are not weak because you need support. You are smart for asking for it. And there are strong, proven therapies made just for the feelings you have.

Therapies That Help with Worthlessness

  • Cognitive Behavioral Therapy (CBT): Changes bad thought patterns.
  • Dialectical Behavior Therapy (DBT): Puts together mindfulness and managing emotions.
  • Acceptance & Commitment Therapy (ACT): Tells you to act with a purpose, even when you feel bad.
  • Eye Movement Desensitization and Reprocessing (EMDR): Deals with trauma. This is often used when past hurts weaken who you are and how you value yourself.

Where to Start

  • Talk to your main doctor about who to see.
  • Look at therapist lists like PsychologyToday.com or TherapyDen.com.
  • Call mental health groups that charge less or base fees on income.
  • Reach out to crisis text lines or suicide hotlines for help right away. They can also connect you to experts.

friend giving hug and support

If Someone You Love Feels Worthless: What You Can Do

If you see warning signs in someone close to you—like pulling away, saying bad things about themselves, or having no hope—do not ignore them. You do not have to “fix” anything to help.

How to Show Care

  • Confirm their feelings, don’t try to save them: “That sounds really tough” means more than advice you didn’t ask for.
  • Listen with full attention: Just being there can break their belief that they do not deserve to connect with others.
  • Tell them they matter honestly: Say they are important in clear, real ways: “You mean a lot to me because…”
  • Help them get help: Offer to look for therapists or sit with them while they make a key phone call.

You Are Not Broken

Feeling worthless does not mean something is wrong with you. It means something needs your focus and care. Your feelings are real, but they are not how your life must always be. Your brain can heal. Your story can change.

You might not feel it now. But there are tools, people, and chances that can help you get back your worth. They have helped millions. They can help you too. You are not alone, and you are not past fixing.


References

Nejad, A. B., Fossati, P., & Lemogne, C. (2013). Self-referential processing, rumination, and cortical midline structures in major depression. Frontiers in Human Neuroscience, 7(666). https://doi.org/10.3389/fnhum.2013.00666

McLaughlin, K. A., Sheridan, M. A., & Lambert, H. K. (2014). Childhood adversity and neural development: Deprivation and threat as distinct dimensions of early experience. Neuroscience & Biobehavioral Reviews, 47, 578–591. https://doi.org/10.1016/j.neubiorev.2014.10.012

Eisenberger, N. I., Lieberman, M. D., & Williams, K. D. (2003). Does rejection hurt? An fMRI study of social exclusion. Science, 302(5643), 290–292. https://doi.org/10.1126/science.1089134

Cuijpers, P., van Straten, A., & Warmerdam, L. (2007). Behavioral activation treatments of depression: A meta-analysis. Clinical Psychology Review, 27(3), 318–326. https://doi.org/10.1016/j.cpr.2006.11.001

Seligman, M. E. P. (1975). Helplessness: On Depression, Development, and Death. San Francisco: W.H. Freeman.

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