18 | The Shame Addiction: What the Body Carries (Part 1 of 3)
~15 MINS READ
Shame as addiction, psychedelic healing, and self-worth: why the voice that says you're broken is not your voice, what psilocybin and MDMA research reveal about shame's grip on the nervous system, and how to begin letting go.
There is a voice most people never mention.
Not in therapy. Not at dinner. Not even to themselves.
It speaks beneath the accomplishments, beneath the composure, beneath the carefully assembled life. It says: If they really knew me. If they saw what I see when I'm alone with myself. If they knew the thing I carry.
And beneath that, the impossible math of shame: the feeling that you are simultaneously too much and not enough. Too much need. Too much damage. Too much history. And not enough goodness, not enough discipline, not enough of whatever the world seems to require. Shame is the only arithmetic where you can be too much and too little at the same time.
If you've come to this post searching for how psilocybin therapy or psychedelic-assisted healing might help with shame, with toxic shame, with the quiet weight of never feeling like enough, I want you to know: you are not alone in carrying this. And what you are carrying is not a character flaw. It is a pattern your nervous system learned in the service of survival. The research is showing us, with increasing clarity, that it can change.
This is Part 1 of a three-part series on shame. I'm giving it three posts because shame is the most common thing I encounter in my work as a psychedelic guide and integration coach, more common than grief, more common than anxiety, more common than the trauma people think they're coming to heal. Shame is almost always underneath. And yet it is the thing people are least likely to name.
In this post, I'll name what shame is, where it lives in the body, and how it operates like an addiction. In Part 2, I'll turn to sexual shame, the dimension that sits underneath more broken relationships and secret lives than any other. In Part 3, I'll share what the research and the people I serve are teaching me about how shame actually heals.
In Stop Trying to Forgive, I wrote about the wound that comes from others. This is the companion piece. Because beneath the wound inflicted by others, there often lives a deeper one: the wound you carry about yourself.
Forgiveness asks: Can I release what was done to me? Shame asks: Can I release what I believe I am?
I'm writing this as someone who has walked through that second question. Not perfectly. Not once and for all. But enough to know the path is real.
“In guilt, the self is not central. In shame, the self is the focus of contempt.”
Shame Is Not Guilt. This Distinction Will Change How You Heal.
Guilt says: I did something bad. Shame says: I am bad.
That's not a semantic game. It is a different experience in the nervous system, and it leads to radically different outcomes.
Researcher June Price Tangney spent decades demonstrating the consequence: guilt predicts repair. The person who feels guilty reaches out, apologizes, and makes amends. The person drowning in shame withdraws, hides, attacks themselves, or attacks others. Neuroimaging confirms the split: guilt activates perspective-taking regions. Shame activates circuits for social pain and shutdown. Tangney's longitudinal research found that shame-proneness in childhood predicted risky behavior well into adulthood. It doesn't just feel bad. It shapes the trajectory of a life.
Brené Brown put it plainly: guilt is "I made a mistake." Shame is "I am a mistake."
This distinction matters. Because many of the people I walk with arrive carrying what they call guilt. About a marriage. A career choice. A period of their life they're not proud of. And when we look together, what's underneath is not guilt at all. It's the belief that the mistake revealed something true about who they are.
A veteran I work with said it this way: "The guilt I can handle. I did things I wish I hadn't. I can sit with that. But the shame, the feeling that those things are me, that they're all I am, that's the part I can't put down."
He wasn't confused about what he'd done. He was confused about what it meant about his soul.
That confusion is where shame lives. And it's where most people get trapped. Because you can process guilt through accountability, amends, and repair. But shame doesn't respond to logic. Shame lives in the body. And the body has its own memory.
Here's the provocative part. What if guilt is the emotion that helps you grow, and shame is the one pretending to help while keeping you small?
How Shame Gets Stored in the Body Before Language
Neuroscientist Allan Schore demonstrated that shame is encoded in the right hemisphere during the earliest attachment interactions. Before language. Before conscious memory. A parent's face turning away when the child reaches out. An emotional need expressed and dismissed.
Schore's research identifies the first eighteen months to three years as the critical window, when the right hemisphere's growth spurt makes these experiences particularly formative. This is why some shame has no story attached to it. It lives in the body as sensation without narrative.
Because the experience was encoded before language, before the prefrontal cortex that might have offered some critical distance, the body believed it completely.
Edward Tronick's Still Face Experiment shows what happens when the connection breaks: the infant reaches, tries harder, and when nothing works, collapses. Parents and infants are mismatched about 70% of the time. Mismatch is normal. It's the absence of repair that does the damage.
Carl Rogers called these conditions of worth: love that depends on meeting expectations. Donald Winnicott named what grows in that soil: the False Self, a compliant persona built to survive an environment that could not receive the real child. These experiences are stored in implicit memory, felt in the body but inaccessible to narrative recall.
Bessel van der Kolk, in The Body Keeps the Score, aptly notes that trauma reshapes both body and brain, creating patterns that persist long after the events that installed them.
Research has shown that these effects can be transmitted across generations through epigenetic mechanisms. But it's not just biology. Shame also transmits relationally, parents unconsciously projecting their unresolved shame onto specific children, who carry it forward without knowing it was never theirs to begin with. Shame is not always yours alone.
Sometimes the body you inherited arrived already braced. Like a saguaro that stores water from storms long passed, except what's stored isn't nourishment. It's the old weather of someone else's judgment.
The mind moved on. The body kept the contract. And here is what happens in the body when shame takes hold. When the threat is overwhelming, and you cannot fight or flee because you cannot flee your own perceived defectiveness, the nervous system drops to its most primitive defense: shutdown. Collapse. Numbness. The desire to disappear. This is shame's physiological signature, what clinicians call a dorsal vagal response.
Stephen Porges calls this neuroception: the body's unconscious assessment of safety. When the nervous system has learned that shame is the baseline, it codes that state as home. Relief becomes the foreign territory. The mind can leave a doctrine, a relationship, a career. The body doesn't leave with it.
“The soul is not in the body; the body is in the soul.”
And the clinical insight that changed my practice: to move from that collapse back to connection, the body must first pass through mobilization. Through tears. Through anger. Through the protective energy most people have been taught to suppress. The shame narrative, I am defective, is secondary. The nervous system collapses first. Then the brain constructs the story to explain why. Story follows state. Which is why you cannot think your way out of shame. The body has to lead.
This is why psychedelic-assisted therapy shows such promise for shame. The sacrament works through the body, through the very implicit memory systems where shame first took root. Robin Carhart-Harris's team at Imperial College showed that psilocybin quiets the default mode network (DMN), the brain's self-referential narrator that generates the constant monologue of not enough, not enough, not enough. When that narrator takes a breath, something else becomes possible.
But before we get to what the research reveals, I want to tell you how shame installed itself in me.
I share my own story, and the stories of people I've walked with, not because our experiences are the same as yours. I share them because shame thrives in isolation. It convinces you that your particular wound is yours alone. Real stories of vulnerability and healing are one of the few things that break that spell. If even one detail lands and you think that's me, the isolation cracks. And that crack is where the light gets in.
What I Carried Before I Had Words For It
The shame started before I was born.
My mother attempted to take her own life while I was in the womb. And it didn't begin with her. My maternal grandmother, a foster child of Lakota ancestry, experienced profound neglect and abuse, and still carries a great deal of shame. Her parents carried it before her. This is what Rachel Yehuda's epigenetic research confirms and what Indigenous peoples have always known: trauma moves through bloodlines, through nervous systems, through the way a mother holds or cannot hold her child. Some of what I've spent my life metabolizing was never mine to begin with. It arrived already ancient.
Bruce Lipton's The Biology of Belief gave me language for this. Cells respond to their environment before genes ever express. Belief is not a thought. It is a cellular instruction. And the instruction my cells received before I ever opened my eyes was: the world is not safe. You are not wanted here.
That instruction played out across decades. Not as a conscious belief. As a body organized around threat.
My birth parents couldn't get along, and they separated while I was still an infant. As the eldest, I became the emotional anchor, the child who read the room and absorbed what others couldn't. Therapists call this parentification. I just knew my needs were secondary. I was adopted into a new guardian, given a new name I didn’t feel connected to, the first of many I would carry and shed. The adoption provided stability and love. But no legal document can address the preverbal body of a child who has already learned: the people you belong to can disappear.
I say this without judgment. The people who raised me were passing forward wounds they never had the chance to heal. And my mother has also been one of the deepest sources of love in my life. Her love has felt unconditional in a way I can only describe as angelic. The same woman who carried that much pain also carried that much devotion. Both are true. As I've learned to listen more intently to her, and to the stories never spoken aloud, I've discovered how much generational shame my family line has carried, silently shaping lives no one thought to question. The full spectrum of what we have lived through together has taught us how to deepen our caring and healing in ways the easy road never could have. I am grateful for all of it.
“Toxic shame is no longer an emotion that signals our limits. It is a state of being, a core identity.”
How the Pattern Repeated
Across every season I'm about to describe, I was simultaneously building a life I'm deeply proud of. I served my country, earned leadership, worked as a diplomat, built organizations, raised children I love fiercely. Shame flattens a life into its wounds. The wound and the strength grew in the same soil.
But the pattern kept finding new material.
Neurodivergence. Bullying. A religious tradition built on legalism that taught me I was born fallen, giving cosmic authority to what my nervous system already believed. Marlene Winell's research found that religious trauma can mirror PTSD. I wrote about this in Beyond Belief.
In early adolescence, a sexually traumatic event became the most formative shame experience of my life. I didn't have language for it. I didn't have anyone to tell. What I couldn't name for decades: the trauma installed an operating system, a conviction that something about me was fundamentally wrong. Not damaged by what happened. Wrong in some way that existed before it, as if the experience had merely confirmed what was already true. That's shame's cruelest trick. It reverses the causality.
It tells you: This happened because of what you are.
In the past, occasional periods of returning to porn or alcohol became ways to numb and confirm the story. A cycle that mirrored addiction precisely because it was one. The behaviors were never the problem. They were the body's best available answer to a pain it had no other language for. Breaking these cycles required not willpower but honesty, and learning that the need underneath was not shameful. It was human.
The U.S. Marines. Selected for leadership in basic training, then humiliated and removed when they discovered I enlisted as a musician. Later, combat, and the weight of having participated in killing. I carry that. Not as an abstraction. As a weight, I negotiate many days. Moral injury is distinct from PTSD precisely because shame, not fear, is the organizing emotion. I wrote about this in War After War.
Intimate partners who carried a great deal of shame themselves, and whose attachment patterns fit mine, which I chose because the shape was familiar. A separation from the mother of my children that echoed the departure of my own father. Years before it were other major life events. Homelessness. Bankruptcy. Each season confirmed the original instruction: something about you is wrong.
The most delicate work shame asks of us is to hold accountability for real harm without collapsing into the belief that you are irredeemable.
What These Experiences Made Possible
These were not separate wounds. They were the same wound wearing different clothes across different decades. Lipton's insight matters: when the body receives the same signal repeatedly, it builds itself around it. Shame is not just a feeling. It is a structure. And restructuring requires new experience at the level of the body.
That is what ceremony, integration, and years of relational healing have made possible. Not perfectly. Not once and for all. What changed was not the weight itself but my relationship to it. Through ceremony, through years of integration, I stopped letting shame define the whole of who I am.
I am learning to metabolize what previous generations carried forward, not because they were incapable, but because they didn't have the space or the tools. Part of my work now is creating that space for the people I serve, for my family, and for my children, so that what was passed to me does not have to pass through me unchanged. Bringing consciousness to inherited pain is how the cycle begins to turn. These experiences stretched my capacity to sit with pain in its many forms: the veteran, the survivor, the person leaving a religion, the parent who made a choice they can't undo, the descendant carrying grief they didn't create. My life prepared me to hold what others carry, not because I have answers, but because I have been in enough of those rooms to know the way through is not around.
I name all of this not because my story is special. I name it because shame convinces every one of us that our story is uniquely disqualifying. That is the loneliest lie shame tells. And it is a lie.
“Sometimes it is necessary to reteach a thing its loveliness.”
The Masks Shame Wears
Shame almost never looks like shame. It arrives in disguise:
Perfectionism. Brown named this with precision: "When perfectionism is driving, shame is always riding shotgun."
Overwork. The executive who said he wanted "work-life balance" and what we found underneath was terror of stillness.
Rage. Terry Real's work on covert male depression revealed what I recognized in myself: when a man can't tolerate feeling small, he makes himself large.
Numbness. A woman I walk with felt nothing for years. After her first ceremony, she wept for hours. Not from sadness. From the shock of feeling anything after so long.
Spiritual achievement. In my Silicon Valley years, I collected ceremonies the way others collect accolades. Robert Augustus Masters called this "avoidance in holy drag." I've written about this in Psychedelic Preparation. I recognize this mask because I wore it for years. It nearly cost me the very relationships the medicine was supposed to help me deepen. What finally broke the pattern was the humility of realizing that more ceremonies would not save me from myself. Restraint, integration, and the slow work of showing up in daily life did.
The curated self. Social media creates a digital version of what Winnicott described decades before anyone had a profile. The gap between the person you perform online and the one who exists at 3 a.m. is the same gap shame lives in.
Richard Schwartz, creator of Internal Family Systems, maps this architecture. The parts carrying shame are exiles, locked away by protector parts whose job is to keep us from feeling that pain again. Perfectionism, rage, overwork, numbness, spiritual performance: all protectors. The healing work is not about overpowering them. It is about earning their trust so they will step aside.
This is especially visible in neurodivergent individuals, whom I can personally relate to, whose masking, the constant suppression of natural coping, the vigilant performing of neurotypicality, is the False Self in its most literal and exhausting form. Research estimates that children with ADHD receive 20,000 more corrective messages than their peers before age twelve. Twenty thousand invitations to internalize: something about how I naturally am is wrong.
The more competent you are at managing life, the harder shame is to detect. High-functioning people don't look ashamed. They look successful. And that performance becomes the most effective hiding place shame has ever found.
Shame hides across dimensions that most people never connect. Body shame. Financial shame. Parenting shame. Identity shame. And sexual shame, which I'll give its own post in Part 2, because repressed desire is not just painful. It is dangerous.
But there is another dimension that rarely gets named: the shame that arrives when you step outside what society has decided is normal.
When I changed my name, I stepped outside a boundary most people don't even know exists. When I left a diplomatic career to follow my heart and later left a high-paying career as a mental health executive to become a psychedelic guide, I crossed another. When I speak openly about psilocybin as a sacrament, I receive pushback. Sometimes it's the silence in a room. The relative who changes the subject.
That's shame being used as a social enforcement tool. It happens to the woman who leaves a marriage everyone thought was perfect. The veteran who speaks honestly about war. The person who comes out at forty. The professional who walks away from a six-figure career. The person in recovery who tells the truth at a dinner party and feels the temperature drop.
Society doesn't just inherit shame. It deploys shame against anyone who questions the script or chooses a path the group hasn't approved. Families do it. Religious communities do it. Professional cultures do it. The message is always the same: get back in line, or feel what it costs to be different.
Gabor Maté, whose work on addiction and trauma has shaped how I understand my own life and the lives of the people I serve, asks the question that reframes everything:
“The question is never ‘Why the addiction?’ but always ‘Why the pain?”
How Shame Operates Like an Addiction
Here is the teaching that changed everything for me: shame operates in the nervous system the same way addiction does. Not metaphorically. Mechanistically.
Dickerson and Kemeny analyzed 208 studies and found that social-evaluative threat, the fear of being seen and found lacking, produces the largest cortisol spikes of any stressor tested. Larger than physical pain. Your body treats the possibility of being truly known as more dangerous than being hit. And when shame becomes chronic, it doesn't just feel like it's killing you. It drives a biological cascade, cortisol resistance, systemic inflammation, accelerated cellular aging, that actually shortens lives.
Then the cycle begins. Shame triggers numbing. The numbing provides temporary relief. The relief generates guilt. The guilt collapses back into shame. Researcher Joshua Grubbs' work on moral incongruence names the mechanism precisely: it's not the behavior itself that predicts the suffering. It's the gap between what you believe about yourself and what you do. The wider the gap, the louder the voice that says: See? This is who you really are. Research confirms this: high shame actively delays recovery from substance use.
The nervous system prefers the familiar, even when the familiar is painful. You can understand your shame perfectly and still wake up inside it every morning. Because the body doesn't heal by understanding. It heals by experiencing something different.
That "something different" is what this series is about.
A necessary honesty. A 2025 study in Nature found that 42% of participants experiencing post-psychedelic difficulties reported these seemed connected to early trauma. The sacrament is not a shortcut around shame. It is a doorway into it. And that doorway requires preparation, safety, and someone willing to stay with you on the other side. If you're considering this path, my free Ceremony Readiness Guide is where I'd suggest starting.
Shame is a doorway, not a sentence. But only when it's met with the one thing it has spent your whole life convincing you that you don't deserve.
“Compassion directed toward oneself is true humility.”
Compassion.
Think about that for a moment. The very thing that could heal you, your own kindness toward yourself, registers as danger. When shame has been the baseline since childhood, self-compassion becomes the threat. The body has to learn, slowly and relationally, that it is safe to receive care.
This is the practice I live. In my own life, in my own relationships, in the moment-by-moment responsibility to choose love for others, and most importantly, to start at home with myself. Compassion, imperfect, practiced, verb-not-noun compassion, is the most reliable medicine I've found for the voice that says not enough.
How to Start Working with Shame
Name it. To another human being who can hold it without fixing it. Shame cannot survive being spoken in safe company.
Feel it. Notice where shame lives in the body. The collapsed chest, the dropped gaze. Then see if the body is willing to shift, even an inch.
Stay. When shame surfaces, the instinct is to run, numb, or perform. The practice is to remain.
If this post may support someone you know, I'd be grateful if you shared it.
And if you're carrying something you haven't been able to name out loud, let's talk.
From my Heart to yours,
Yeshua Adonai
Psychedelic Guide
aboutyeshua.com
Yeshua is a psychedelic guide based in Portland, Maine, and Phoenix, Arizona. USMC combat veteran, former diplomat, and serial social entrepreneur devoted to mental health innovation, he has spent two decades exploring contemplative traditions across the world and learning to trust his own experience along the way.
Frequently Asked Questions
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Guilt says I did something bad. Shame says I am bad. Guilt motivates repair. Shame produces withdrawal, self-attack, or numbing. Most people arrive in my practice calling their experience guilt, and what we find underneath is shame.
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A 2025 study of 679 participants found that 68% experienced acute shame during psilocybin sessions, and the majority showed significant decreases in trait shame months later. But the container matters enormously. Without proper preparation and integration, the experience can increase shame rather than resolve it.
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Because it does. Shame encodes in the right hemisphere before language develops, stored in implicit memory. This is why talk therapy alone often cannot resolve deep shame, and why body-based approaches show particular promise.
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The nervous system prefers the familiar, even when the familiar is painful. The cycle mirrors addiction: trigger, shame spiral, numbing, temporary relief, more shame, repeat. Tremblay and colleagues confirmed that high shame actively delayed recovery from substance use.
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Yes, through approaches that reach the body: somatic therapies (Peter Levine's Somatic Experiencing), Richard Schwartz (Internal Family Systems), psychedelic-assisted therapy with proper preparation, and relational healing with safe witnesses.
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Someone who has done their own shame work and can name it honestly. Someone who insists on thorough preparation and long-form integration. The molecule opens the door. The relationship is what heals. More in Choosing a Psychedelic Guide.