Damage to self-esteem following the loss requires which type of adjustment?

• A. External
• B. Physical
• C. Internal
• D. Spiritual

Answer: (C)

Self-esteem is an internal sense of worth, so when loss damages it, the healing work happens through internal adjustment. This means changing how you think about yourself, how you feel, and how you interpret the loss within your own mind and emotions—reframing the situation, practicing self-compassion, and rebuilding a sense of identity from the inside. External adjustments would involve changes in how you interact with others or modify your environment, which doesn’t directly restore internal self-worth. Physical adjustments relate to the body, and spiritual adjustments relate to beliefs and meaning; while these can support the process, the direct restoration of self-esteem comes from the internal work of re-evaluating oneself and coping with the emotional impact.