As part of the process of adolescence, teens naturally have to deal with their feelings of self-worth. As teens develop both physically and emotionally, and as their awareness of self changes, it can be tempting for teens to compare themselves with others as part of the natural desire to feel accepted by their peers. For many teens this gives rise to a struggle with self-doubt, concerns about their appearance, and low self-esteem. Low self-esteem can make teens susceptible to a variety of issues ranging from feelings of inferiority and failure, poor performance in school, withdrawal, and poor lifestyle choices to feelings of grandeur, all of which cause parental issues and concerns. Before teens can begin to improve their self-esteem, they must first believe that they can change it.