eng Science and Education Publishing American Journal of Nursing Research 2378-5586 2018-09-11 6 6 359 370 10.12691/ajnr-6-6-3 AJNR2018663 article Amany Mohamed Saad amany1234564@yahoo.com 1 Wafaa Osman Abd El Fatah 2 Eman Hassan Mahmoud 3 Community Health Nursing Department, Faculty of Nursing, Helwan University, Egypt Psychiatric Mental Health Nursing Department, Faculty of Nursing, Helwan University, Egypt Pediatric Nursing Department, Faculty of Nursing, Helwan University, Egypt Adolescence is an essential phase of human development and is characterized by significant physical changes and maturation, so the adolescents face different problems in dealing with these rapid changes which affect their satisfaction with their bodies and self-esteem. Aim: The aim of this study was to determine the effect of counseling enrichment sessions for adolescents about their body image and self-esteem. Design: A quasi-experimental design was used. Setting: The study was conducted in Zahraa Helwan preparatory secondary girls school at Wadi Hof. Sample: Purposive sample including 180 adolescent girls. Tools: A semi-structured interview questionnaire was used to collect the data and involved four parts: Part 1. Demographic characteristic data, Part 2. Anthropometric measurements. Part 3. Body Image test, and Part 4. Coopersmith Self-esteem Inventory. Results: There was a positive relation between body image and self-esteem pre and post counseling enrichment sessions which mean that, the girls' body image was affected dependently on their self-esteem. Also body image and self-esteem were improved post counseling enrichment sessions with highly statistically significant difference. Conclusion: The counseling enrichment sessions for body image and self-esteem have positive effect on adolescents. Recommendations: Therapeutic programs to guide those who have unsatisfied body image to optimize consensus, improve their mental health and self-esteem. And teachers, parents, and school nurses should receive periodically education related to the development of secondary sexual characteristics during puberty of adolescents. http://pubs.sciepub.com/ajnr/6/6/3/ajnr-6-6-3.pdf counseling enrichment sessions adolescents body image and self-esteem