This article explores the co-occurring conditions associated with low self-esteem in individuals with autism spectrum disorders. The social and communication impairments common in autism may hinder the formation of social identity and developmental processes. The study reveals that depression is a prevalent co-occurring symptom, identified in 4 out of 12 selected articles. Other associated symptoms include internalizing and externalizing issues, aggression, helplessness, stress, damaged personal identity, low sense of power, conduct problems, anxiety, low happiness levels, hyperactivity, behavioral disorders, and suicidal thoughts. The findings highlight the significance of self-esteem in the mental health of individuals with autism. The conclusion suggests that developing a strong social identity may contribute to psychological well-being in autism, emphasizing the need for therapists to identify the root causes of low self-esteem for targeted treatment. The article underscores the relevance of self-esteem concepts in the autistic population, opening avenues for therapeutic intervention.