When I’m working with someone on healing from emotional eating, an eating disorder, and body-image struggles in my therapy practice, healing the underlying guilt and shame is always a significant part of the process. Guilt and shame are two of the most common uncomfortable emotions that seem to overwhelm and plague those who encounter challenges with food and body-image.
So many people struggle with emotional eating, eating disorders, and body-image challenges, and when we first begin the work the therapy, their struggles and patterns with food feel impossible to change. When beginning the work it feels impossible to imagine that there is a path towards healing these patterns, and therefore, to healing the extremely uncomfortable emotions of guilt and shame.
All of our emotions are messages about how we are experiencing, or responding to the present moment. There are no good or bad emotions, although some are far more desirable to experience, and some are so uncomfortable that we subconsciously work really hard to not have to feel them.
Some emotions we experience are congruent with our current experience and others are not. Guilt and shame are emotions that tend to be old, and not necessarily congruent with what is happening in the present moment. When we break it down to the root of these emotions, the message of guilt is “I did something wrong", and the message of shame is “I am something wrong.”
We can liken the experience of feeling guilty as a message from our conscience. If we did something wrong our conscience wants us to make it right, this is really useful, but only when it’s congruent with our present experience. If we ate something we deem as “bad” that does not mean we did something wrong, that does not warrant the discomfort of guilt. Shame goes deeper, Brene Brown defines it as, “Shame is that warm feeling that washes over us, making us feel small, flawed, and never good enough.” When we are experiencing guilt, we can examine it and understand fairly easily whether or not it’s congruent with our present experience. However, shame is much more uncomfortable, and more challenging to cope with for most of us.
When we experience shame, we often experience many uncomfortable emotions at the same time. When experiencing shame, there are often feelings of loneliness, isolation, and sadness as well. If shame is experienced internally as, “there is something wrong with my very being itself,” if shame is saying, “I’m small, flawed, and not good enough,” then in that moment, I’m experiencing myself as deeply unworthy. When we’ve experienced shame as a result of childhood trauma, or any trauma really, it becomes difficult to not get stuck in a shame spiral.
Many people I work with experience frustration in relation to their patterns with food. Those who struggle with binge-eating, or with feeling powerless to stop eating when they are full, or any other disordered patterns, often express feelings of guilt and shame. If guilt is experienced, we can break it down together in therapy sessions. We can explore, what is the guilt about? Did you actually do something wrong? We can then work to reframe the guilt. When it’s reframed into an opportunity to see how there can be something learned from this experience, that when I’m feeling out of control with food like this in the future, what small steps can be taken to begin to alter this pattern. Through verbal processing and reframing we can search for ways to find more grace, compassion, and therefore greater self-awareness, which is healing. When we apply curiosity to the guilt, it can be released, and we can have a greater understanding of why it happened in the first place. Once there is greater self-awareness and self-compassion, it becomes more likely that we can have the ability to handle a future similar circumstance with food more mindfully. When we can reframe the guilt, and recognize that “I didn’t do anything wrong, I can learn from this,” we feel empowered, hopeful, and more certain of our ability to change.
When people struggle with this process of healing food and body-image challenges, and they feel it’ll be impossible to change, I prompt them to consider a time when something seemed impossible, and yet they did learn it, and now it comes easily and naturally. Examples often include riding a bike, rollerskating, learning an instrument, a new skill at work, and so on. Most people can identify with this ability, and it becomes an anecdote for the guilt. When you heal your guilt, there is more room for self-compassion, more willingness to use challenges and struggles as learning opportunities rather than it becoming a shame spiral.
If the initial internal response of guilt with food struggles can be caught, reframed, and worked through in an empowering way, most people feel hopeful and ready for the challenge of learning new ways of being with food, their bodies, and themselves. They can trust that it may be daunting, however, it’s not impossible. Unfortunately, if it has been internalized over and over and over again that “I did something wrong, (guilt)” so therefore, “I’m a bad person, there’s something wrong with me (shame),” this internalized guilt becomes shame. The shame then becomes a dark cloud of pain inside and all around you. If you have experienced trauma in the past, then the shame can often feel familiar, and can lead to a state of internal suffering, anxiety, and depression, as well as an increased likelihood of an eating disorder. Shame is not logical, it’s a felt inner experience of deep pain and suffering.
Healing shame starts with naming the shame for what it is. Understanding and exploring where you picked up the negative internalized belief that “I am something wrong” in the first place is essential to healing. Healing shame begins with talking about it, naming it, and allowing ourselves to truly feel it, to learn from it, to hold it with curiosity and compassion. Only then can we begin to learn what the negative internalized beliefs are that we picked up, such as, I am unworthy, I am not good enough, I am unlovable, (just to name a few) and to heal where these beliefs were created or reinforced. EMDR therapy, Internal Family Systems Therapy (IFS), traditional talk therapy, and many other beneficial therapeutic styles, can all help work through the traumas and experiences that have created or reinforced these negative beliefs. Through the therapeutic process you can call out the shame for what it is, work through it, and ultimately heal it.
Shame is one of the most painful, and therefore one of the most likely emotions to be avoided. It takes time to learn about your personal experience of shame. To understand where you picked it up, to identify how you experience it mentally, physically, and emotionally is essential. Be patient with yourself as you learn the process of listening to your body, to your internal language, and your true self. You then can benefit from developing an awareness of your personal window of tolerance. How long can you sit with the shame before it feels as though you want to eat, restrict, check-out, numb-out, or escape altogether? This is all helpful information, best when experienced and worked through in therapy. Learning how to be with yourself within your window of tolerance allows you to grow. Know that you are learning the new and difficult skills of emotional awareness and emotional experiencing. This is not easy work. Please be patient with yourself. Just like riding a bike or roller skating, emotional awareness and experiencing are worthwhile skills to stick with, although you might get a little scuffed up along the way. Once you learn the skills and integrate them, these new ways of being with food, your body and yourself, will be yours to keep.
One thing I know for sure after talking to people in a therapy setting for more than twenty years, is that no one gets to escape feeling pain and discomfort in this life. I also know for sure that no one deserves to live in a state of shame, especially those who struggle with food and body-image struggles. Once you can understand and release your shame, reframe any guilt experienced in the moment, you will see the new learning that can take place. Once you feel a sense of hope, you can see it as a skill that you just don’t know yet, but you can learn how to be mindful and intuitive when it comes to your food choices. With this hard work you move from shame toward self-empowerment. Ultimately, the goal of healing is to feel that you are always, unconditionally worthy. The goal of healing is to know that you are the expert on what your body wants and needs, and that you are enough—now, in this present moment, just as you are existing as you.