Understanding Shame in Therapy
Navigating the Shadows of Shame
Shame is powerful and often sits quietly in the background, chipping away at how we see ourselves and connect with others. It can stop us from opening up in therapy, even though those hidden pieces are often the most important for healing.
But it doesn’t need to be that way…
How Shame Manifests
The Hidden Burden of Shame in Therapy
Compassionate Healing
What is Shame?
I often describe it to clients alongside guilt. If guilt is an emotion that says “I did something bad”, shame is one that says “I am bad” or “there is something wrong with me”. It can leave us feeling unworthy or undeserving of love and support.
For many of my clients, shame was ‘gifted’ to them in childhood through family dynamics, cultural expectations, trauma, bullying or relationship breakdowns. Kids often believe “it must be my fault,” and that belief can stick. Shame then grows in silence because we’re too ashamed to talk about it.
It makes us hide parts of ourselves and believe that if others knew the ‘truth’ about us then they would hate, turn away from or abandon us.
Steps to Overcome Shame
How it Shows up in Therapy
Even when we’ve made the brave decision to seek help, shame can still tag along to the party.
You might feel your problems aren’t serious enough, worry your therapist is judging you, struggle to share past experiences or think you’re weak for needing support.
It can be especially true that people feel shame for entering therapy where clients have seen or experienced stigma or silence around mental health.
Gentle Approaches to Shame
Working Through Shame with Care
As therapists, we understand how painful and how common shame is. We work with it gently by:
My role isn’t to judge or minimise, but to help you untangle what you’ve been carrying.
Exploring the Path to Healing
Moving Beyond Shame
The good news is that shame can be worked through. Some first steps:
You’re Not Alone
Finding Comfort in Connection
If shame has kept you from therapy or made you hold back, you’re not the only one. With the right support, those feelings can feel less overwhelming. Shame often tells us to keep quiet, but as BrenéBrown says, shame needs secrecy, silence and judgment to survive. Sharing your experience with someone who listens can loosen its grip.
You don’t need to have it all figured out to begin — just the courage to take that first step. Why not contact me or Becky to see how we could support you?
I also highly recommend Brené Brown’s TED Talk Listening to Shame: Watch here.”*
You Are Not Alone
Finding Support in Your Journey
Chrissy Orson
I’m Chrissy Orson – a psychotherapist and EMDR practitioner specialising in trauma, relationship issues and living with chronic health conditions. I work with adults and young people online and in person in Saddleworth.
If you enjoyed this blog, visit www.chrissyorson.co.uk to learn more about me and how I work.

