Persistent self-criticism
Dismissing what you do well, remembering mistakes most clearly or speaking to yourself more harshly than you would speak to someone else.
Self-esteem and emotional blocks
Feeling insecure, demanding too much of yourself or becoming paralysed by decisions does not mean that you lack willpower. A cycle of self-criticism, fear of mistakes and avoidance may gradually restrict your life.
Therapy can help you understand what keeps that cycle going and develop a more flexible way of relating to yourself, making decisions, expressing needs and moving forward without waiting for perfect confidence.
Sessions available in English and Spanish
Finding the right words
Self-esteem refers to how we evaluate ourselves. It may change across situations and life stages; it is not a fixed trait and cannot be repaired simply by repeating positive statements.
‘Emotional block’ is an everyday phrase for difficulty making decisions, taking action, identifying feelings or expressing a need. Each case needs clarification: fear, guilt, exhaustion, perfectionism, conflict or a learned protective response may be involved.
How it may appear
Dismissing what you do well, remembering mistakes most clearly or speaking to yourself more harshly than you would speak to someone else.
Not trying, postponing decisions or withdrawing because of fear of failure, disappointment or being exposed.
Relying heavily on other people’s opinions, comparing yourself or changing decisions to avoid rejection or conflict.
Saying yes when you want to say no, always putting others first or feeling guilty when you express a reasonable need.
Demanding impossible certainty before starting, repeatedly checking or giving up when the result cannot be perfect.
Not knowing what you need or carrying too much until irritability, tears or exhaustion break through.
Why it continues
When a situation activates thoughts such as ‘I will not cope’ or ‘making a mistake would be unbearable’, avoiding it can reduce anxiety in the short term. It also prevents you from discovering what would actually happen and can strengthen a sense of incapacity.
Past criticism, difficult experiences, impossible expectations and relationships may all contribute, but they do not permanently determine how you see yourself. Therapy can understand the history without remaining trapped in it.
How therapy may help
Identify situations, thoughts, emotions, bodily responses and behaviours that maintain self-criticism or paralysis.
Question beliefs such as always having to please others, never being allowed to fail or needing confidence before acting.
Plan gradual, realistic steps for decisions, avoided situations and new experiences.
Practise assertive communication that respects your needs and those of other people without treating every disagreement as a threat.
Learn to recognise mistakes and difficulties without using them as evidence that you are worth less.
When to seek support
Support may be useful when insecurity shapes study, work, relationships or decisions; when avoidance is increasing; or when self-criticism comes with anxiety, depression, isolation or hopelessness.
If the change is sudden, exhaustion is severe, eating or substance use has changed, or feeling stuck coincides with medication or illness, medical or specialist assessment may be needed. In an abusive situation, safety and specialist support must take priority.
Frequently asked questions
Clear answers to distinguish a temporary difficulty from a pattern that deserves attention.
It is not a diagnosis in itself. It may be a specific difficulty or occur alongside anxiety, depression, criticism, perfectionism or relationship problems. Assessment focuses on your situation rather than a single label.
It is a broad everyday phrase, not a diagnosis. It may describe difficulty identifying emotions, deciding, acting or expressing needs. Therapy clarifies what triggers it and what function it serves.
No. It works realistically with thoughts, emotions, behaviour and relationships. The aim is a more balanced self-view and action guided by your needs and values.
It explores fear, guilt and expected consequences, practises assertive communication and tests gradual boundaries in real situations before reviewing what happened.
Yes. You do not need a finished explanation. A first session can organise what is happening, understand the context and consider whether this service is a good fit.
Yes. Sessions are available in English or Spanish, in person in Córdoba, online or in a hybrid format.
Sources and further reading
References used to prepare this information.
Pulso en Cauce
The first session is a brief, free and no-obligation meeting to get to know each other, answer questions and consider whether this space feels right for you.