
Pascale Dellefield
I am licensed as a Marriage and Family Therapist in California since 2006. I have 23 years of professional work...
21 years experience California

Deciding to look for support is a brave step, and you’re in the right place to find professionals experienced with guilt and shame. You deserve a compassionate, nonjudgmental space to explore what’s weighing on you and to find practical ways forward.
Online therapy can make connecting easier – offering flexibility, privacy, and convenience so you can meet from home or on your schedule. Browse the listings below to explore profiles and find someone who feels like a good fit for you.

I am licensed as a Marriage and Family Therapist in California since 2006. I have 23 years of professional work...
21 years experience California

I’m an Integrative Counsellor/Psychotherapist licensed in the UK (working with clients all over the world), with over 15 years of...
13 years experience United Kingdom

Hello, my name is Patience and I would be honoured to help you. I believe in your ability to thrive...
4 years experience United Kingdom

Hi! My name is Patrice Bazer and I am a Licensed Clinical Social Worker located in Casper, Wyoming. I earned...
9 years experience Wyoming

I have been a counselor since 1991 and licensed in Texas for the past 6 years. I specialize in PTSD,...
25 years experience Texas

I became a Licensed Marriage and Family Therapist in 2003. I received my Bachelor of Arts degree in General Psychology...
24 years experience Florida

I am licensed in Arizona with over 25 years working as a Licensed Clinical Social Worker with the last 7...
7 years experience Arizona

I am licensed in North Carolina with 19 years of professional work experience. I have experience in helping clients with...
19 years experience North Carolina

I am a Licensed Professional Counselor (LPC) in Colorado, specializing in grief and loss, trauma, and crisis intervention. I was...
31 years experience Colorado

I am licensed in Michigan with 5 years of professional work experience. I have experience in helping clients with stress...
6 years experience Michigan

I am a BACP registered counsellor licensed in the UK with over ten years of professional work experience. I have...
10 years experience United Kingdom

As a licensed therapist in Wyoming, I specialize in supporting individuals navigating complex emotional landscapes. My practice centers on helping...
7 years experience Wyoming

Hello! Thank you for reading my profile. I graduated from USF in 2002 with my masters in counseling and have...
10 years experience Florida

I have been licensed for 12 yrs as a marriage and family therapist, I have been employed at a county...
12 years experience California

Pat is so kind and understanding. I feel heard and also received really helpful advice. She is so caring. With...
32 years experience Illinois

I am licensed mental health therapist that has been working in the mental health field for the last 7 years...
3 years experience Washington

Patricia Brooks is a Licensed Professional Counselor who received her Bachelor of Arts in Psychology from the University of Nebraska...
11 years experience Missouri

I am licensed in Louisiana with 12 years of professional work experience. I have experience in helping clients with depression,...
12 years experience Louisiana

Life does not always go according to plan and it sure can be messy sometimes. It is nice when you...
26 years experience Florida

I am a fully qualified Psychodynamic Counsellor and a registered member of the BACP. I work with adults from a...
3 years experience United Kingdom

I am licensed in Florida with 20 years of professional work experience. I have experience in helping clients with stress...
25 years experience Florida

I am a Counselling Practitioner and member of the BACP (UK) with over 17 years of experience. I have trained...
20 years experience United Kingdom

I am licensed in California with 4 years of professional work experience. I have experience in helping clients with stress,...
4 years experience California

Hello! My name is Trisha and I am a Licensed Clinical Social Worker with over 20 years experience as a...
25 years experience New York

I am licensed in New York with 39 years of professional work experience. I have experience in helping clients with...
39 years experience New York

I am licensed clinical social worker licensed in Arizona with over 18 years of clinical work experience. I have a...
18 years experience Arizona

Are you ready to experience positive growth and change? You want life to be different and better. But you just...
8 years experience Florida

I am a licensed clinical social worker with over 20 years of experience working in clinical practice. I work with...
25 years experience Utah

I am a Licensed Professional Counselor, Located in Lynchburg, VA. I have over 20 years of mental health experience. I...
5 years experience Virginia

I have been working in the field of mental health for nearly 25 years, doing Assertive Community Treatment at first,...
25 years experience Michigan

Find your peace and purpose on the path to healing. I am licensed in Texas with 4 years of professional...
5 years experience Texas

I am licensed in California with 7 years of professional work experience. I have experience in helping adult, teens and...
7 years experience California

PATRICIA LEE, LCSW I am a Licensed Clinical Social Worker in the state of Oregon with 22 years of combined...
24 years experience Oregon

I am licensed in Colorado with 8 years of professional work experience. I have experience in helping clients with stress,...
8 years experience Colorado

I have helped individuals , couples, and families to have better communication and overall better relationships. I have helped individuals...
4 years experience California

Licensed in Oklahoma with over 10 years of professional experience, I specialize in helping clients navigate stress, anxiety, relationship issues,...
10 years experience Oklahoma

My approach to therapy is Christ-based, finding ways to integrate our understanding of God’s love for us with what it...
24 years experience Indiana

Feeling isolated, sad, anxious, confused? Or are you struggling with a difficult personal or work relationship? Sometimes life is just...
11 years experience Oregon

As a licensed therapist in Illinois, I bring over two decades of compassionate clinical experience supporting individuals through complex life...
20 years experience Illinois

I am licensed in Pennsylvania with over 30 years of professional work experience. I have experience in helping clients with...
39 years experience Pennsylvania
Guilt and shame can feel crushing and confusing. They can make you replay past mistakes, avoid important relationships, or doubt your sense of self. If these feelings are getting in the way of your daily life, work, or relationships, finding a therapist who understands guilt and shame can help you move toward greater self-acceptance and healthier choices. This page explains what guilt and shame are, common situations that bring them up, how online therapy can help, and practical steps for finding the right therapist.
Guilt and shame are related but distinct emotional experiences. Guilt usually focuses on specific actions or behaviors – feeling bad about something you did or failed to do. Shame, by contrast, centers on the self – feeling fundamentally flawed, unworthy, or exposed.
Both emotions can be adaptive when they prompt reparative action or signal that a boundary was crossed. They become problematic when they are persistent, disproportionate, or prevent you from forgiving yourself and moving forward. Chronic guilt and shame can be linked to high self-criticism, social withdrawal, anxiety, depression, and difficulties in relationships.
Certain therapeutic approaches are commonly used to work with guilt and shame. Cognitive-behavioral strategies can help you challenge harsh self-judgments and test unhelpful beliefs. Compassion-focused therapy helps cultivate self-compassion and reduces self-criticism. Acceptance and commitment therapy supports clarifying values and taking committed action despite painful feelings. Trauma-informed approaches and processing therapies, including EMDR for some people, can be important when guilt or shame is rooted in traumatic experiences.
People seek therapy for guilt and shame for many reasons. You might be struggling with guilt after a relationship ended, a parenting decision, or a workplace error. Shame can arise from family messages, cultural or religious expectations, identity conflicts, or experiences of bullying and abuse. Some people carry shame linked to addiction, past legal issues, or social stigma.
Common patterns include ruminating about past actions, avoiding people or situations that trigger embarrassment, apologizing repeatedly without feeling relief, or feeling undeserving of care and success. Those patterns often lead to isolation, second-guessing, and emotional exhaustion. Therapy helps untangle the origins of these feelings, develop more balanced self-appraisals, and build practical skills for repair and resilience.
Online therapy makes it easier to connect with clinicians who specialize in shame and guilt without the constraints of geography. If you live in an area with limited specialized care, online sessions expand your options so you can find someone with relevant experience and a therapeutic style that fits you.
For many people, talking about shame feels safer from the privacy of home. The convenience of video, phone, or secure messaging can reduce barriers like transportation, scheduling conflicts, or physical mobility issues. Some people find it easier to open up through text-based sessions or messaging when emotions feel overwhelming in real time.
Online formats also support continuity of care. If you travel, move, or have changing work hours, virtual appointments make it easier to keep therapy going. This consistency is especially important when working through deep-seated guilt or shame that benefits from steady, ongoing support.
Online therapy offers flexibility that in-person sessions may not. You can often schedule appointments outside typical office hours and join sessions from safe, familiar spaces. This can reduce anxiety about leaving home or facing a waiting room, and it can help you engage more consistently in treatment.
Virtual therapy can also broaden your choices. You are not limited to therapists in your city, so you can find clinicians with specific training in compassion-focused work, trauma-informed care, or cultural competence that matters to you. Many people report feeling more comfortable being candid online, which can speed up the therapeutic process.
That said, some people prefer in-person interaction for the immediacy of face-to-face connection. If you value physical presence, sensory cues, or a particular office environment, in-person therapy can be a good fit. The right choice depends on your needs, comfort, and practical circumstances.
Your first few sessions will likely involve assessment and goal-setting. A therapist will ask about the history of your guilt and shame, triggering situations, how these emotions affect daily life, and any safety concerns. From there, you and the therapist will develop a plan that may include cognitive techniques to challenge shame-based beliefs, exercises to build self-compassion, and behavioral steps to make amends or set healthier boundaries.
Expect structured tools like thought records, exposure tasks, or role-playing to practice repair conversations. You may be offered journaling prompts or exercises to increase awareness of self-critical thoughts. Therapy often blends insight with skill-building so that you learn new ways to respond when guilt or shame arise.
Progress is usually gradual. You may feel relief early on, but deeper shifts in core self-feelings often take time. Regular attendance, trying suggested exercises, and honest communication with your therapist about what does or does not feel helpful will support steady change.
When searching a directory, look for therapists who list experience with shame, self-criticism, trauma, or related concerns. Read provider profiles to learn about their therapeutic approaches. If self-compassion or reparative work feels central to you, seek clinicians trained in compassion-focused therapy, acceptance and commitment therapy, or trauma-informed care.
Consider cultural competence and values. Shame is often tied to cultural, religious, or family expectations, so finding a therapist who respects and understands your background can be important. Check whether the therapist offers different formats, such as video, phone, or messaging, to match your communication preferences.
Most therapists offer an initial consultation or intake session. Use that conversation to ask about their experience with guilt and shame, typical treatment strategies, session frequency, and how they handle crises. Trust and rapport matter more than perfect credentials. If someone’s style doesn’t feel right, it is okay to try another therapist until you find a good fit.
Reaching out for help with guilt and shame is a brave and practical step. You do not need to have everything figured out before seeking support. A helpful first move is to make a short list of what you hope to change, and note any days or times that work best for sessions. Use a directory to find therapists who specialize in shame or related areas and check their availability for online sessions.
If you ever feel overwhelmed or are thinking about harming yourself, contact local emergency services or a crisis line right away. Otherwise, know that many people find relief and greater self-compassion through therapy. Finding the right online therapist can create a safer space to understand your feelings, repair where needed, and build a kinder relationship with yourself.