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What Is Shame and How Does it impact Mental Health

AAC-Managing Self Harm

What Is Shame and How Does it impact Mental Health

2 min 49 sec Helen 21 Apr 2026

Transcript

So shame is a powerful and often misunderstood emotion.

At its core, shame is the feeling that something's wrong, but not with what we've done, but who we are.

So it goes beyond guilt.

Guilt says I made a mistake, shame says I am the mistake.

The distinction matters because while guilt can motivate us to make amends or change our behaviour, shame tends to silence us and pull us inwards.

It tells us to withdraw and avoid being seen and that we are the problem.

And over time that can take a serious toll on mental health.

Shame often develops early in life, and it can come from experiences of criticism, rejection, neglect, or unrealistic expectations.

When someone repeatedly feels judged or not good enough, those experiences can become internalized.

So instead of hearing a critical voice from the outside, it becomes a bit of an internal monologue.

That internal voice can say things like you're not worthy, you always mess things up.

If people really knew you, they wouldn't accept you.

And when these thoughts repeat and ruminate over time, they shape how a person sort of behaves and responds to themselves.

So the impact of shame on mental health can be quite profound.

It is closely linked to conditions like depression and anxiety.

When someone feels like they're flawed, they may lose motivation, struggle with self-esteem, or feel hopeless about change.

Shame can also lead to social withdrawal, making people isolate themselves even when connection is exactly what they need.

And shame can influence behaviour in ways that reinforce itself.

For example, someone might avoid opportunities because they fear failure or judgment, or they might engage in unhealthy coping mechanisms like substance misuse, overeating, or perfectionism to temporarily escape those painful feelings, but those behaviours eventually create more shame.

Another important aspect with shame is that it thrives in secrecy.

The less we talk about it, the stronger it becomes.

When people feel like they can't share their struggles, they remain stuck in isolation, believing that they're completely alone.

So one of the most effective ways to weaken shame is through connection and self-compassion, which is quite often the last thing that we will feel like.

When we talk openly with trusted people, friends, therapists, or support groups, we begin to challenge the belief that we're alone or unworthy.

Being heard and accepted can directly counteract shame's message.

Self compassion is equally important.

This means learning to treat ourselves with the same kindness and understanding we'd offer someone else.

It doesn't mean ignoring mistakes or avoiding accountability, it means recognising their imperfection as part of being human.