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Helping Clients Talk About Shame

Ruth Lanius, MD, PhD, provides three cues that can help therapists detect shame’s presence. Then, she shares a simple question that can help clients begin to open up about feelings of shame. Working with clients who suffer from deep feelings of shame can be a delicate and nuanced process – for a few reasons . . .To start, shame can disguise itself in a number of ways. It can hide beneath anger, outrage, self-sabotage, or abusive relationships. What’s more, clients often develop a set of defenses that can make it difficult for them to talk about, or even admit to, feelings of shame. When that’s the case, here are two things that might help. First, we need to be on the lookout for signs that can clue us in to the presence of shame – even when it’s subtle. And second, we need strategies that can help clients feel comfortable talking about it. This video comes from the NICABM blog. Check it out here: www.nicabm.com/blog