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Toxic Shame: Causes, Effects, & How to Overcome

Silvi Saxena MBA, MSW, LSW, CCTP, OSW-C

Written by: Silvi Saxena, MBA, MSW, LSW, CCTP, OSW-C

Kristen Fuller, MD

Reviewed by: Kristen Fuller, MD

Published: January 25, 2022
Headshot of Silvi Saxena, MBA, MSW, LSW, CCTP, OSW-C
Written by:

Silvi Saxena

MBA, MSW, LSW, CCTP, OSW-C
Headshot of Dr. Kristen Fuller, MD
Reviewed by:

Kristen Fuller

MD

Toxic shame, also referred to as unhealthy shame, can feel like a reflection of your core identity. It makes you question your worth and identity, and in the long term, it can increase your likelihood of developing depression, anxiety, and other mental health issues. Fortunately, treatment can help you reframe the negative emotions associated with toxic shame.

Would you like to feel less ashamed? Therapy can help you feel less ashamed and have higher self-esteem. BetterHelp has over 20,000 licensed therapists who provide convenient and affordable online therapy. BetterHelp starts at $60 per week. Complete a brief questionnaire and get matched with the right therapist for you.

Choosing Therapy partners with leading mental health companies and is compensated for marketing by BetterHelp

Visit BetterHelp

What Is Toxic Shame?

Toxic shame is a negative self-evaluation that may stem from messages received in childhood. As the result of consistent negative feedback from parents, teachers, or other adults, kids can start to believe that their worth is dependent on external variables. As such, they question their value and turn to maladaptive coping behaviors to deal with internalized shame.

Adolescents with toxic shame often struggle to build social relationships. They also experience feelings of inadequacy and low self-esteem, making them prone to depression and self-harm. As young adults, they may search for validation, making them more likely to enter into toxic relationships.1

How Does Toxic Shame Differ From “Normal” Shame?

Toxic shame, unlike ordinary shame, is chronic. That means it’s ongoing, persistent, and lives deep within our unconscious minds. We may not even be fully aware of what we’re experiencing. Ordinary shame isn’t pleasant by any means, but it’s generally felt in response to some wrong-doing or perceived wrong-doing. Plus, it subsides in time.

The following characteristics also differentiate toxic shame from typical shame:2

  • It makes you question your worth or causes you to feel worthless
  • It makes acknowledging your emotions uncomfortable (because you’re conditioned to believe your emotions are shameful)
  • It causes depression and anxiety
  • It causes you to frame things as “I am a bad person” instead of “I did a bad thing”
  • It causes a negative inner monologue
  • It causes avoidance of further shame
  • It causes constant negative self-talk

Shame vs Guilt: What’s the Difference?

Shame and guilt are different. Shame is often an all-encompassing negative feeling about a person’s worth, leading to self-loathing and withdrawal, while guilt typically refers to a feeling of remorse for specific actions.

Nicole Kleiman-Reck, LMHC“I compare the difference between shame and guilt along the lines of how I talk to clients about the differences between a complaint and a criticism. Complaints can be productive and lead to positive change without putting the relationship in jeopardy (i.e. ‘It really bothers me when you leave your dirty dishes on the table’) versus a criticism, which insults a person’s character and can have very damaging effects on a relationship (‘You are so lazy and only care about yourself’).

Similarly, a person can feel guilty for an action such as lying, even if there was positive intention behind the lie, whereas shame is all consuming and more of a way of ‘being’ rather than a short-term feeling.” – Nicole Kleiman-Reck, MA, LMHC

What Causes Toxic Shame?

There are many potential causes of toxic shame, most of which are rooted in childhood experiences, such as different forms of abuse, neglect, trauma, or an unstable living environment.

Here is a comprehensive list of causes of toxic shame:3

  • Verbal, physical, and emotional abuse or neglect
  • Caregivers with mental health issues
  • Being in an environment where any kind of domestic abuse is occurring
  • Traumatic experiences
  • Inconsistencies with discipline
  • Emotionally unavailable caregivers
  • Mental health issues such as depression or anxiety
  • Being bullied or rejected
  • Being a victim of gaslighting
  • Narcissistic abuse

Why Is Toxic Shame Dangerous to Mental Health?

When there is an imbalance between shame and other emotions, shame can become internalized and lead you to react with anger. If these feelings become the norm, resorting to your angry automatic response may become habitual as well.

Some people may resort to using other maladaptive coping mechanisms such as alcohol, drugs, self-harm, eating disorders, or engaging in risky behavior to deflect or avoid the feelings of shame.

Toxic shame is also linked with low self-esteem and self-worth. Shame can be isolating, and when we don’t have a support system to keep our inner monologue in check, it can lead to intense feelings of anxiety, traumatic responses, depression, and mood swings.4

What to Do When You Feel Overwhelmed by Toxic Shame

There is no one-size-fits-all solution to toxic shame, but there are some ways to cope and deal with its associated emotions, including therapy, meditation, journaling, creativity, and reading.

Here are five helpful ways to deal with toxic shame:

  1. Talk to a therapist: Getting objective feedback and guidance from a professional is helpful in addressing any emotional distress you may be facing. It may be the exact thing you need to help you change your inner critic’s voice.5
  2. Meditation: Meditating can help you process emotions differently and react in a way that benefits your own personal cause. This can also help you be more mindful and remember to speak to yourself with kindness.6
  3. Journaling: Writing things down gets them out of your head. Seeing or even hearing the words can help you realize how you feel. It can also help you identify negative thought patterns and explore where they come from and why.
  4. Creative arts therapies: Channeling emotions into art can be rewarding. It helps us see through a different lens, cultivate self-love, and face inner adversity.7
  5. Reading books on the topic: Other people’s stories validate our own story and give us something to relate to. They also give us hope for something better for our futures, and give us the push or sign we may need to finally address these harmful emotions.

When to Find Professional Help for Healing Toxic Shame

It’s always better to find help for toxic shame before it becomes too overwhelming. As emotions related to toxic shame become greater, they can hinder your ability and drive to find help, even if you are open to the idea. Due to the complex nature of shame and how it impacts and triggers other mental health issues, find help at the first sign of struggle and get support right away.5 If you start thinking, “Do I need therapy?” it’s probably time to start seeing a therapist. 

How to Find a Therapist

One great way to find a therapist for toxic shame is by searching an online therapist directory. Reading reviews and looking at clinician bios to understand their scope of practice can give you an idea of whether their experience suits your situation. Many therapists offer a free phone consultation and online therapy, both of which allow people an opportunity to get help during the pandemic.

Another way to locate a therapist is by referral, which can come from a trusted loved one or a physician. Healthcare providers often have access to a network of other providers who can be helpful. Going through your physician is a great way to keep them in the loop about any treatment options.

Final Thoughts

Toxic shame is a painful experience, but it’s possible to manage its symptoms and even recover fully. In addition to receiving professional mental health, you may also want to do some of your own research about the condition, its symptoms, causes, and potential treatment options.

Additional Resources

Education is just the first step on our path to improved mental health and emotional wellness. To help our readers take the next step in their journey, Choosing Therapy has partnered with leaders in mental health and wellness. Choosing Therapy may be compensated for marketing by the companies mentioned below.

Online Therapy 

BetterHelp Get support and guidance from a licensed therapist. BetterHelp has over 20,000 therapists who provide convenient and affordable online therapy.  Complete a brief questionnaire and get matched with the right therapist for you. Get Started

Online Psychiatry

Hims / Hers If you’re living with anxiety or depression, finding the right medication match may make all the difference. Get FDA approved medication prescribed by your dedicated Hims / Hers Healthcare Provider and delivered right to your door. Plans start at $25 per month (first month)*. Get Started

Journaling (with pen and paper)

The 6-Minute Diary – Keeping a journal promotes mindfulness, happiness, and gratitude. The 6-Minute Diary uses the principles of positive psychology to inspire and encourage you to live your best life. Available in 7 Colors

Reduce Drinking

Sunnyside Want to drink less? Sunnyside helps you ease into mindful drinking at your own pace. Think lifestyle change, not a fad diet. Develop new daily routines, so you maintain your new habits for life. Take a 3 Minute Quiz

Mental Health Newsletter

A free newsletter from Choosing Therapy for those interested in mental health issues and fighting the stigma. Get helpful tips and the latest information. Sign Up

Choosing Therapy partners with leading mental health companies and is compensated for marketing by BetterHelp, Amazon, Hims / Hers, and Sunnyside. *Hims / Hers Disclaimer: Subscription required. After first month, price is $85/month for a monthly subscription or $49/month for a three-month subscription ($123 for first order, $147 billed quarterly thereafter). Subscription automatically renews unless you cancel at least 7 days before renewal is processed.

For Further Reading

  • Center for Healing Shame
  • Healing Tree
  • Project HEAL

Toxic Shame Infographics

Toxic Shame Toxic Shame Definition Toxic Shame vs Ordinary Shame

Causes of Toxic Shame Toxic Shame and Mental Health Getting Help for Toxic Shame

Ways to Manage and Cope with Toxic Shame

Sources Update History

Choosing Therapy strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • Bath, H. (2019). Pain and the unspoken emotion: Shame. International Journal of Child, Youth and Family Studies, 10(2-3), 126-141.

  • Dyer, K. F. W., Dorahy, M. J., Corry, M., Black, R., Matheson, L., Coles, H., Curran, D., Seager, L., & Middleton, W. (2017). Comparing shame in clinical and nonclinical populations: Preliminary findings. Psychological Trauma: Theory, Research, Practice, and Policy, 9(2), 173–180.

  • Lim, C., & Barlas, J. (2019). The effects of Toxic Early Childhood Experiences on Depression according to Young Schema Model: A Scoping Review. Journal of Affective Disorders, 246, 1-13.

  • Saraiya, T., & Lopez-Castro, T. (2016). Ashamed and Afraid: A Scoping Review of the Role of Shame in Post-Traumatic Stress Disorder (PTSD). Journal of Clinical Medicine, 5(11).

  • Friel, J.A. (2016). What Detoxifies Shame in Integrative Psychotherapy? an Interpretative Phenomenological Analysis. British Journal of Psychotherapy, 32(4), 532-546.

  • Vanderheiden, E. (2019) “Nothing I Accept About Myself Can Be Used Against Me to Diminish Me”—Transforming Shame Through Mindfulness. Transforming Shame Through Mindfulness. In: Mayer CH., Vanderheiden E. (eds) The Bright Side of Shame. Springer, Cham.

  • Thompson, P., & Jaque, V. (2018). Shame and Anxiety: The Mediating Role of Childhood Adversity in Dancers. Journal of Dance Medicine & Science, 22(2), 100-108.

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We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.

January 25, 2022
Author: No Change
Reviewer: No Change
Primary Changes: Updated for readability and clarity. Reviewed and added relevant resources. Added “Guilt vs Shame: What’s the Difference?”
March 4, 2021
Author: Silvi Saxena, MBA, MSW, LSW, CCTP, OSW-C
Reviewer: Kristen Fuller, MD
Show more

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