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Writer's pictureSasha Javadpour

Understanding and Addressing Guilt and Shame In Individual Therapy: The Hirsch Therapy Approach


A child hiding, feeling small and vulnerable on a therapy couch

Guilt and shame are emotions we all experience at some point in life. They can arise from a hurtful comment made in anger, falling short of personal expectations, or even the weight of societal pressures that shape how we view ourselves. At their core, guilt and shame often reflect a desire to align with our values and do right by others and ourselves – acting as a moral compass that guides how we make decisions and navigate relationships. However, they can easily become overwhelming, trapping us in cycles of self-criticism and regret.

 

Guilt and shame have a profound ability to root themselves in our psyche, influencing how we see ourselves, interact with others, and make decisions. When left unaddressed, these emotions can contribute to anxiety, depression, and a diminished sense of self-worth, making it difficult to move forward.

 

Yet, guilt and shame don’t have to define who we are. When understood and managed effectively, they can become transformative forces, offering opportunities for growth, greater self-awareness, and compassion for ourselves and others.

 

This article explores different perspectives on guilt and shame and offers practical strategies to address these emotions, regain confidence, and build emotional resilience. Whether you’re looking to recover from a mistake, navigate feelings of inadequacy, or break free from the heavy weight of self-judgment, the tools shared here can help guide you toward healing and empowerment.


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Understanding the Differences Between Guilt and Shame


Guilt

Guilt is a self-conscious emotion that arises when we believe we’ve done something wrong—whether through actions, inactions, or even thoughts that conflict with our moral values. It often stems from falling short of our own expectations or standards. Unlike other emotions, guilt focuses on specific behaviours, typically accompanied by a sense of responsibility and a desire to make amends. Thoughts like “I did something bad” often accompany guilt, motivating us to apologize, repair harm, or change future behaviour.

 

Guilt encourages us to reflect on how our actions affect others, thus playing an essential role in maintaining relationships. We are inherently wired to feel guilt when we perceive that we’ve hurt someone, making it a vital part of social cohesion and ethical behaviour. However, while guilt can be constructive, excessive guilt can become a heavy and unnecessary burden, leading to self-criticism and emotional distress.

 

Understanding guilt as both a personal and social mechanism can help us recognize its purpose without allowing it to overwhelm us. With healthy management, guilt can serve as a guide for growth, empathy, and improved relationships.

 

Shame


Shame is a deeply internalised experience that can undermine our self-worth and identity. Unlike guilt, which focuses on specific actions, shame feels more insidious, affecting how we see ourselves. It often stems from the belief that we’ve failed to meet personal or societal expectations, leaving us feeling flawed, unworthy, or inadequate. According to Brené Brown, shame is the painful belief that we are fundamentally broken and undeserving of love, connection, and belonging.

 

While guilt inspires us to take action—such as apologizing or making amends—shame tends to trigger thoughts such as “I am bad” or “I’m not good enough.” This can lead to a sense of shrinking or a strong desire to hide from others. People experiencing shame often report feeling worthless, foolish, disgusting, or inadequate, which can make it difficult to move forward. Unlike guilt, which drives us to fix mistakes, shame can leave us stuck, avoiding or denying our perceived flaws instead of addressing them.

 

Shame can be difficult to recognize because it often operates beneath the surface. It’s tied to how we judge ourselves, particularly when we feel we’ve fallen short of expectations – whether our own or those of others. This can evoke discomfort, self-doubt, and even paralyzing feelings that shape our self-evaluation. Everyone feels shame occasionally, but for some, it becomes a constant burden, making it harder to feel confident and connected.

 

The good news is that shame, while powerful, can be addressed. By understanding its impact and building self-compassion, it is possible to break free from its grip. With the right tools and support, shame can be transformed into an opportunity for growth, healing, and stronger connections with others.



Theoretical Perspectives on Guilt and Shame


The Evolutionary Perspective


Early humans existed in environments characterised by resource scarcity and high mortality rates. The best predictor of survival was social cohesion – the quality of cooperation, trust, and group identity within the community. Being positively valued in the community would mean being helped more, exploited less, and have better chances of mating with other members. People who broke societal rules would be avoided, shunned, denied help, or ostracised. From an evolutionary perspective, guilt and shame are adaptive emotions that have evolved to foster social cohesion and group survival. These emotions play a regulatory role in relationships, encouraging behaviours that align with social norms and values.

 

Guilt functions as a mechanism to promote prosocial behaviour. When individuals experience guilt, they are driven to repair wrongdoings and strengthen social bonds. Evolutionarily, this capacity for guilt would have increased an individual’s chances of being accepted within the group, thereby enhancing cooperation and trust.

 

Like guilt, shame also operates to safeguard social cohesion within the group, but focuses more on regulating social systems and hierarchies rather than encouraging prosocial behaviour. The discomfort experienced from shame acts as a deterrent to violating social norms, thus ensuring conformity.


Shame also encourages withdrawal and the avoidance of social interaction. According to the Information Threat Theory of Shame, people experience shame as an innate reaction in anticipation of social rejection. By withdrawing from society, individuals can shield themselves from further rejection or the further spreading of potentially devaluing information.

 

From this perspective, it could be inferred that people who are experiencing guilt or shame are experiencing a deep-rooted desire for acceptance and approval from others. This would mean that therapeutic interventions need to focus on rebalancing this desire by fostering healthier ways of relating to others without the intense emotional burdens of guilt and shame.

 


The Psychodynamic/Psychoanalytic Perspective


From a psychodynamic or psychoanalytic perspective, guilt and shame play a crucial role in shaping the self and psyche, often originating in early childhood and becoming internalized during formative years.

 

Guilt arises from the superego—the moral and ethical component of the psyche—which absorbs the rules and values of authority figures, typically parents. It reflects the tension between an individual’s instincts or desires (the id) and the moral boundaries set by the superego.

 

Shame, on the other hand, is tied to deeper, unconscious feelings of inadequacy or a fear of being inherently flawed or unworthy. According to Freud and his followers, shame often stems from unmet parental expectations or a child’s internalization of feelings of being unloved or unworthy. These experiences contribute to a lingering sense of self-doubt and vulnerability.

 

From this perspective, guilt and shame are addressed by uncovering the underlying unconscious conflicts. By exploring early relationships, unresolved conflicts, and defence mechanisms, therapists can help individuals gain insight into how these emotions have shaped their adult lives. The goal would be to reduce emotional distress by integrating painful memories and transforming self-criticism into self-compassion.

 


The Cognitive-Behavioural Perspective


From a cognitive-behavioural perspective, guilt and shame are largely the result of distorted thinking patterns and unhelpful beliefs. These emotions are responses to how we interpret our actions, thoughts, and the judgments of others.

 

Guilt often arises when individuals believe their actions or behaviours have caused harm or violated their own ethical standards. A cognitive distortion known as "catastrophizing" may play a role, where individuals assume the worst possible outcomes from their actions.

 

Shame, within the cognitive-behavioural framework, is often linked to beliefs about the self. A person might have core beliefs such as “I am not good enough,”I am a failure,” or “I don’t deserve love,” which underlie feelings of shame. These beliefs often lead to negative self-evaluations and emotional pain.

 

The management of guilt and shame, from this perspective, involves the identification and modification of cognitive distortions and dysfunctional beliefs. Cognitive restructuring techniques are used to change negative thought patterns, replacing them with healthier, more realistic ways of thinking. Behavioural techniques help clients engage in more adaptive actions to reinforce their self-worth and self-compassion.


 

The Person-Centred Perspective


According to Carl Roger's Person-Centred perspective, guilt and shame are understood through the client’s experience of self and their relationships with others. According to Rogers, unconditional positive regard (acceptance of a person without judgment) is essential for healthy emotional development.

 

According to Rogers, guilt arises when an individual feels they have failed to live up to their own moral standards or the expectations of others; and shame occurs when there is a discrepancy between a person’s self-image and their experiences. If a person feels misunderstood, rejected, or unworthy, it can lead to internalized shame. Therapy aims to help the individual explore and reconcile these feelings in a safe, supportive space.

 

From this perspective, managing guilt and shame involves helping people connect with their authentic selves. By providing an empathetic and non-judgmental environment, a therapist helps clients process guilt and shame and rebuild a more positive self-concept.




Addressing the Fundamentals of Guilt and Shame in Individual Therapy


Guilt and shame emerge as innate responses to perceived wrongdoings, rooted in our deep desire for acceptance and belonging. These emotions not only reflect our internalized rules and values but also provide valuable insight into our thought patterns, beliefs, and interpretations of the world. They shape how we see ourselves, influence our relationships, and reveal how we navigate connection, accountability, and self-perception.


From this understanding, we have identified five key principles essential to effectively managing guilt and shame: Self-awareness, self-compassion, reframing, repair, and forgiveness.

 


Self-Awareness


Self-awareness is the foundation for addressing guilt and shame. It involves recognizing and understanding the thoughts, emotions, and behaviours associated with these feelings. By cultivating mindfulness and paying attention to internal triggers, individuals can identify the sources of their guilt or shame – whether they stem from realistic assessments of harmful actions or internalized unrealistic standards. Journaling, therapy, or reflective practices can help increase self-awareness and clarify whether these emotions are rooted in present circumstances or past experiences.

 

Therapy offers a safe and structured environment to build self-awareness. Here, clients can explore the origins of their guilt and shame. Therapists can help uncover unconscious patterns, clarify emotional triggers, and provide tools to foster greater awareness and insight.

 


Self-Compassion


Self-compassion is the practice of treating oneself with kindness and understanding, especially during moments of emotional pain or failure. It allows individuals to acknowledge their imperfections without harsh self-criticism. This involves recognizing that everyone makes mistakes and experiences feelings of inadequacy. By fostering self-compassion, individuals can soften the intensity of guilt and shame, making it easier to address these emotions constructively. Practices like affirmations, guided meditations, or simply speaking kindly to oneself are powerful tools for building self-compassion.

 

Therapists can guide clients in developing self-compassion with dialogue that challenges harsh self-criticism, builds a kinder inner dialogue, and normalizes feelings of imperfection as part of the shared human experience.

 

Reframing

Reframing involves shifting one’s perspective to view guilt and shame in a healthier and more constructive light. For guilt, this might mean seeing it as an opportunity to learn and grow rather than as evidence of personal failure. For shame, reframing can involve challenging the belief that one’s worth is tied to mistakes or external judgment. This process often requires unpacking distorted thinking patterns and replacing them with more balanced and compassionate narratives.

 

A therapist can help clients re-evaluate dysfunctional beliefs and perspectives, introducing healthier and more adaptive ways of interpreting events. This process encourages clients to view guilt and shame as opportunities for growth rather than as reflections of their character.

 


Repair


Repair emphasizes taking action to address harm caused to others or oneself. For guilt, this might involve offering a sincere apology, making amends, or engaging in actions that rebuild trust and connection. When shame is involved, repair may focus on rebuilding one’s sense of self-worth, which includes setting healthy boundaries, seeking support, or engaging in activities that foster self-respect and self-esteem. Repair is not only about fixing external relationships but also about restoring inner peace and balance.

 

Therapy can support the repair process by helping clients navigate difficult conversations, offering tools for effective communication, and exploring ways to make meaningful amends. Therapists may also help clients process and release residual guilt, enabling them to repair relationships without being paralyzed by shame.

 


Forgiveness


Forgiveness is essential for resolving both guilt and shame. Forgiveness of oneself involves letting go of excessive self-blame and accepting past mistakes as part of being human. Forgiving others, when appropriate, allows individuals to release resentment that can amplify shame. This process doesn’t mean condoning harmful actions but rather choosing to free oneself from the emotional burden of guilt and shame. Forgiveness often requires time, effort, and self-reflection, and can be supported by guided meditations, spiritual exploration, or therapy.

 

Therapists can play a crucial role in guiding individuals toward forgiveness of themselves and others. Therapy can help clients process unresolved emotions and release the weight of guilt or shame. Here, clients can develop healthier perspectives and move forward with greater emotional freedom.



What Hirsch Therapy Can Do For You


When understood and managed effectively, guilt and shame can become powerful catalysts for personal growth, healing, and deeper connections with others. By exploring these emotions from various perspectives, we gain valuable insight into how they shape our self-perception, relationships, and actions. With the right tools and strategies, such as self-awareness, self-compassion, reframing, repair, and forgiveness, we can transform guilt and shame from sources of distress into opportunities for transformation. By addressing these emotions with care and intention, we foster emotional resilience, cultivate healthier relationships, and embrace a more compassionate and empowered sense of self.

 

At Hirsch Therapy, we recognize that each individual’s experience with guilt and shame is unique. Through our holistic approach, we aim to create a safe and compassionate environment where clients can examine and process these complex emotions.


Our goal is to help individuals transform guilt and shame from debilitating forces into opportunities for personal growth, self-acceptance, and deeper connections with themselves and others.

 

If you are ready to begin your therapeutic journey with us, you may follow the link to book your Individual Therapy Session.


We also offer a 15-minute free online consultation as a risk-free opportunity to clarify any uncertainties or concerns you may have.

 

You can also contact us anytime. We are always happy to support your journey in any way we can.

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