Influences Signs of Healthy Self-Esteem We all know that self-esteem (sometimes referred to as self-worth or self-respect) can be an important part of success. Too little self-esteem can leave people feeling defeated or depressed. It can also lead people to make bad choices, fall into destructive relationships, or fail to live up to their full potential. A grandiose sense of self-importance, on the other hand, can be off-putting to others and can even damage personal relationships. It can also be a sign of narcissistic personality disorder, a mental health disorder characterized by an excessive need for admiration and lack of empathy toward other people. Self-esteem levels at the extreme high and low ends of the spectrum can be harmful, so ideally, it's best to strike a balance somewhere in the middle. A realistic yet positive view of yourself is generally considered the ideal. But what exactly is self-esteem? Where does it come from and what influence does it really have on our li...