Shame is distinct from guilt. Guilt says 'I did something bad.' Shame says 'I am bad.' This internalized sense of defectiveness, often rooted in trauma, abuse, abandonment, or a lifetime of critical messages, drives a wide range of behavioral health struggles. Toxic shame is a core driver of addiction (substance use as escape from shame), eating disorders (shame about body), depression, anxiety, PTSD, and self-harm. At Tellurian, shame is treated not as a character flaw but as a clinical condition, one that responds to evidence-based therapy, compassionate clinical relationships, and community support. We help patients distinguish truth from shame-based distortions, rebuild self-worth, and develop healthier relationships with themselves and others.
Tellurian treats shame across a continuum of care — from individual outpatient shame counseling to intensive day treatment and residential programs where shame is addressed as part of comprehensive behavioral health care. Our clinicians draw on evidence-based approaches that directly address shame, self-worth, and identity, helping patients develop a more compassionate and accurate self-understanding.
Tellurian's shame programs support individuals experiencing:
Some of the Treatments We Incorporate:
Shame work at Tellurian begins gently — with a trauma-informed intake process designed to make you feel safe before the deeper work begins. Your clinician will help you identify shame triggers, understand the origins of shame-based beliefs, and systematically rebuild a more accurate and compassionate self-narrative. Group therapy is an important component, as hearing others' stories and being witnessed in your own is powerfully healing for shame.
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Designed for patients who need slightly more involved treatment than standard outpatient care.
A short-term Community-Based Residential Facility dedicated to crisis stabilization and patient support.
A residential facility for short-term stays, the TCCC is licensed under DHS 83 for Crisis Stabilization.
The least restrictive care option at Tellurian, involving therapies that match a patient’s progress toward recovery.
Our most involved program, qualified to address every disorder that we treat.
