“I know I shouldn’t compare myself, but I can’t stop.”
For many young people, body image concerns don’t exist in isolation. They develop within a larger environment of constant comparison, feedback, and exposure to idealized images.
Research continues to highlight the relationship between social media use, self-esteem, and body image in adolescents. A recent study examining TikTok use found that self-esteem was an important factor connected to adolescents’ perceptions of their bodies, suggesting that the impact of social media is closely tied to how young people view their own worth.
This is an important shift in how we think about social media.
The question isn’t only:
“How much time is this teen spending online?”
The deeper questions are:
“What messages are they absorbing?”
“How does their online experience affect how they see themselves?”
“What happens to their confidence when they compare their real life to someone else’s highlight reel?”
For therapists, supporting teens with body image concerns means creating space to explore identity, self-worth, and the emotional impact of comparison. It means helping young people recognize that their value extends far beyond appearance.
It also means helping parents and caregivers move beyond monitoring apps and start conversations about the meaning behind what teens are seeing and feeling online.
Social media is part of many adolescents’ daily lives, and our goal isn’t to help teens become disconnected from it. Rather, our goal is to help them build a sense of self strong enough that their worth isn’t determined by what appears on a screen.