Shame and Trauma
If you carry a quiet sense of heaviness or self-doubt that feels hard to explain, you may be holding unresolved trauma or shame. This inner ache can leave you feeling disconnected, tense, lonely, and anxious. Living with this heaviness makes it hard to feel safe in your own body or confident in your relationships.
As a trauma-focused therapist, I prioritize addressing shame and trauma with curiosity and compassion. My goal is to offer a safe space where your experiences are wholeheartedly honored. We will move at a pace that feels comfortable for you, helping you build a more mindful awareness of your patterns and develop a kinder, more supportive relationship with yourself.
Understanding How Trauma and Toxic Shame May Be Impacting You
Trauma and shame affect how you relate to yourself and others in ways that can feel confusing, frustrating, or exhausting. Unlike guilt, which tends to focus on a specific behavior (“I did something wrong”), deep-seated shame often centers on the whole self. Those who experience shame often carry beliefs like, I am wrong, or Something about me is fundamentally flawed.
Because of this, shame can feel pervasive, making it difficult to feel safe, worthy, or capable of cultivating self-acceptance and connection with others. There's a persistent sense of not being good enough, even if you're high-achieving or functioning well in life.
When it comes to unresolved trauma, shame is often an understandable survival strategy. Your nervous system is trying to keep you safe and protect you from further harm, even if it sometimes causes pain in the present.
Here are some ways shame and trauma may be showing up in your life:
Feeling like you don't know or can't express your needs: You may have learned early on that your needs were inconvenient or unlikely to be met. Over time, this can lead people to ignore their needs to attune to others. In many cases, it can also be difficult to recognize what you want, and you may feel guilty or afraid to assert yourself.
Shame around having specific emotions: Some people with trauma feel ashamed when they experience certain feelings like sadness, anger, guilt, or loneliness. You may judge yourself or assume these "negative" emotions are irrational or disproportionate.
A constant sense that something bad will happen: Trauma can result in the body staying in a state of high alert, scanning for potential threats even when things feel relatively okay. This lingering sense of dread is its own coping strategy, as your brain doesn't want to miss something critical. However, hypervigilance can make you feel disconnected from the present moment, as you may struggle with feeling consistently anxious about what the future holds.
Desires to maintain control and manage situations to avoid problems: Trying to stay in control is a way of protecting yourself from unpredictability or disappointment. This strategy absolutely offers some relief, but it can also create exhaustion and make it harder to trust others or delegate when needed.
Feeling very critical toward yourself: Trauma can result in shaping harsh inner voices that reinforce self-blame, self-criticism, and high levels of shame. This voice developed as a way to protect you or help you cope, even if it also comes with some pain.
Difficulty relaxing or resting even when you know it's important: Productivity is often praised, and rest may feel either unfamiliar or undeserved if you learned to stay vigilant to stay safe. Slowing down also sometimes comes with its own difficult feelings, including guilt, anxiety, or boredom, and these may be hard to reconcile.
Fears around rejection and abandonment: If intimacy felt either inconsistent or conditional in the past, you may resonate with having low self-esteem, and relationships can certainly trigger fears of being judged or pushed away. These fears are often rooted in early attachment experiences and may impact how safe you feel around others today.
The Connection Between Shame and Trauma
Chronic shame is often one of the most lasting imprints that trauma leaves behind. The nervous system often looks for meaning when overwhelming or painful experiences occur in environments that are meant to be supportive or protective. Rather than recognizing that something unfair happened, many people internalize the belief that they were the problem.
Shame becomes a way of making sense of trauma. Here are some ways feelings of shame and trauma symptoms may reinforce one another:
Turning distress inward rather than outward: If expressing certain emotions (anger, anxiety, loneliness, sadness) wasn't welcomed or safe, you may have redirected those emotions inward. Shame can develop as an adaptive way to contain distress, even though it comes with self-blame and emotional isolation.
Internalizing that your reactions mean that something is wrong with you: Shame often codes common trauma responses like anxiety, flashbacks, avoidance behaviors, or memory struggles as moral failures. You may judge yourself intensely for struggling, and that can intensify the shame.
Learning that acceptance is conditional: If you experienced trauma, you may have learned that love or approval depended on how well you behaved or met others’ expectations. Over time, this can lead to feeling like you must earn acceptance by being successful or low-maintenance. In your adult life, this can show up through patterns of perfectionism or people-pleasing.
Fearing being seen too closely: Shame conveys that the true self is unacceptable. It makes sense, therefore, that closeness can feel risky. Even if you long for connection and meaningful relationships, vulnerability can trigger anxiety and withdrawal. You may find yourself hiding parts of yourself even if you want to air them out.
How I Treat Chronic Shame and Complex Trauma
Chronic shame and complex trauma require compassionate therapy that prioritizes safety, attunement, pacing, and respect for your needs. Healing shame or trauma is never about forcing insight or pushing yourself to move on. Instead, therapy is meant to be a warm and consistent space to understand how your experiences shape you and how to slowly build a different relationship with yourself.
My work is always grounded in the belief that all symptoms make sense. Together, we will focus on creating greater emotional safety and expanding your innate capacity to stay present with your inner experiences. Some core elements of my work include:
Understanding that how you feel shame is a survival response: We will explore how shame developed as a way of protecting you in past situations or relationships. By understanding- and having compassion- for its origins, we can begin to soften its grip rather than simply reframing or fighting against it.
Building self-compassion toward your needs and inner world: Trauma work involves cultivating a kinder and more supportive relationship with yourself. This, too, softens self-criticism and allows you to be more caring when shame gets activated.
Exploring attachment and relational patterns: We will gently unpack how early relationships may continue to influence negative feelings, boundary difficulties, and closeness. This insight can help you feel more empowered in how you relate to others.
Strengthening emotional tolerance: Learning to trust that you can manage difficult situations is often a key part of overcoming shame and trauma. We will work on how to take care of yourself if you're experiencing hypervigilance or shutdown-like responses. You will develop strategies that support you in feeling grounded and connected without bypassing your emotional experience.
Integrating insight with practical support: As understanding deepens, we will also focus on cultivating coping skills to help you manage difficult situations. These may include self-compassion exercises, mindfulness techniques, boundary work, and other skills to support your overall regulation.
Frequently Asked Questions
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Sometimes it's less about labeling experiences as traumatic events and more about trusting that felt sense that something within you feels heavier or more unresolved than you want it to be. Trauma isn't defined by the event itself. Instead, it's about how your mind and body were impacted and how safe you feel in your body, relationships, and overall present state today.
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Trauma recovery can be a gradual process, and it is normal to experience some difficulties and even setbacks along the way. Over time, recovery opens space for more self-kindness and greater emotional awareness. There's more of a consistent capacity to ground yourself when difficult feelings or triggers show up.
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Emotional safety and trust are sacred parts of all therapy, and these hallmarks are essential components of trauma work. Together, we will pay attention to what you're experiencing in the present while gently exploring how past experiences may have shaped some of your thoughts, beliefs, behaviors, and needs. Pacing is very important- you will never be pressured to revisit painful memories or talk about something that feels too uncomfortable.
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When it comes to emotional processing, you are always in control of what you share and when you share it. Therapy is not about disclosure for its own sake, and healing does not require you to retell every detail of what happened. Instead, we focus more on what feels relevant and safe, trusting that your system and the therapeutic relationship will guide the appropriate pace of the work.
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I use an integrative approach grounded in compassion-focused therapy, psychodynamic therapy, and attachment-based work. When helpful, I also draw from cognitive-behavioral therapy to support emotional regulation and grounding. My approach is always tailored to you, as my goal is to help you feel safer, more supported, and less alone in your inner experience.
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Trauma therapy works best when it is consistent and collaborative. Pacing with care always matters. You never need to perform or explain things perfectly. You can show up honestly as yourself and share your reactions and needs however you desire.
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Trauma is a risk factor for all mental health concerns, including mood disorders, anxiety disorders, self-harm, disordered eating, substance use, and more. If you're struggling with one or more of those concerns, your system is doing its best to cope with overwhelming or unsafe conditions.
In therapy, I don't treat each concern in isolation. Instead, we will work collaboratively to explore how various symptoms connect to your history and current stressors. We will develop a flexible treatment that honors the full scope of your experience and focuses on what feels most supportive and relevant to your emotional well-being.
Therapy for Shame and Trauma in New York
I offer shame and trauma therapy for adults in New York state. My therapeutic practice is rooted in compassion and curiosity for your needs and pace. There is an overarching focus on helping you feel safer within yourself and your relationships.
I do understand that reaching out for therapy can feel vulnerable, especially if you have spent years minimizing your pain or managing things on your own. Traumatic experiences don't always have clear language or memories attached to them, and that's okay. Therapy does not require you to have everything figured out. We will gently make sense of your experiences in a way that feels grounded.
If you're interested in exploring whether working together feels like a good fit, I invite you to reach out for an initial, complimentary consultation.