self-esteem

She added that understanding these relationships could reveal how certain symptoms, such as poor sleep, may trigger others like reduced concentration and self-esteem.

Helen said Joe's teacher described him as "capable, but lacking self-esteem".

She joined the speakers’ circuit in the early 1990s, giving talks about work-life balance, self-esteem and time management at computer conferences and for other professional groups.

"I lost my self-esteem, my positivity and my optimism," he says.

There are concerns from researchers about whether such cosmetic surgery procedures give the self-esteem and confidence the industry advertises.