Webb Therapy Uncategorized Continued guilt, shame, and internalised stigma correlated to alcohol and other drug use

Continued guilt, shame, and internalised stigma correlated to alcohol and other drug use

Despite significant advancements in political and health initiatives by governments and non-governmental organisations, shame, stigma, and internalized stigma continue to profoundly impact millions of lives worldwide. These negative perceptions and self-judgments can lead to feelings of worthlessness, self-blame, and social withdrawal, which in turn hinder access to services and participation in treatment.

Shame and stigma are particularly prevalent among individuals with substance use disorders, mental health conditions, and those experiencing psychosis. For instance, internalised stigma can lead to low self-esteem, depression, and hopelessness, which significantly impede recovery and emotional well-being. Even with the implementation of cognitive therapy and other supportive measures, the battle against internalised stigma remains ongoing in a similar fashion to intergenerational trauma, as though it has been built into human DNA.

Political and health initiatives have attempted to be instrumental in addressing these issues. For example, the Australian Government Department of Health and Aged Care has launched numerous programs aimed at improving health outcomes and reducing stigma. These initiatives focus on health promotion, early intervention, and disease prevention, aiming to create supportive environments for those affected by stigma.

However, the persistence of shame and stigma highlights the need for continued efforts to combat these issues especially in the workplace and within individual families. Addressing stigma therapeutically, promoting empathy and non-judgmental attitudes, and supporting individuals to view themselves beyond their conditions are crucial steps in mitigating the negative impacts of stigma.

Helping someone with a substance use disorder (SUD) while protecting yourself and your family involves a delicate balance of support and self-care. Here are some steps you can take:

1. Educate Yourself

Understanding SUD and its effects can help you make informed decisions and provide better support. Reliable sources include medical professionals, reputable websites, and support groups.

2. Set Boundaries

Establish clear boundaries to protect your well-being. This might include rules about substance use in the home, financial support, and personal interactions. Boundaries help prevent enabling behaviours and reduce stress.

3. Practice Self-Care

Taking care of yourself is crucial. Engage in activities that bring you joy and relaxation, such as exercise, hobbies, or spending time with friends. Self-care helps you maintain your mental and emotional health.

4. Seek Support

Join support groups like Al-Anon or seek therapy to process your emotions and develop coping strategies. Connecting with others who are going through similar experiences can provide invaluable support and understanding.

5. Encourage Professional Help

Encourage your loved one to seek professional help, such as counselling, therapy, or medical treatment. Treatment programs often include individual, group, or family therapy sessions, which can be beneficial for everyone involved.

6. Detach with Love

Detaching with love means setting emotional and psychological boundaries while still offering support. This approach helps you avoid becoming emotionally drained and allows your loved one to face the consequences of their actions.

7. Be Patient and Compassionate

Recovery is a journey that takes time. Be patient and compassionate with your loved one and yourself. Celebrate small victories and stay hopeful.

8. Avoid Judgment

Avoid being judgmental when discussing substance use. Offer support and understanding instead of criticism, which can help reduce feelings of shame and stigma.

References

Al-Anon Family Groups. (n.d.). Al-Anon and Alateen. Retrieved from https://al-anon.org/newcomers/what-is-al-anon-and-alateen

Australian Government Department of Health and Aged Care. (2024). Initiatives and programs. Retrieved from https://www.health.gov.au/about-us/what-we-do/initiatives-and-programs

Australian Institute of Health and Welfare. (2024). Health promotion and health protection. Retrieved from https://www.aihw.gov.au/reports/australias-health/health-promotion

Australian Government Department of Health. (2019). Alcohol and other drugs – Information for families. Retrieved from https://www.health.gov.au/resources/collections/alcohol-and-other-drugs-information-for-families

Mental Health Foundation. (2016). How to cope when supporting someone else. Retrieved from https://www.mentalhealth.org.uk/publications/how-cope-when-supporting-someone-else

Morrison, A. P., Birchwood, M., Pyle, M., Flach, C., Stewart, S. L. K., Byrne, R., Patterson, P., Jones, P. B., Fowler, D., & Gumley, A. I. (2013). Impact of cognitive therapy on internalised stigma in people with at-risk mental states. The British Journal of Psychiatry, 203(2), 140-145. https://doi.org/10.1192/bjp.bp.112.112110

National Institute on Drug Abuse. (2020). Family support in addiction recovery. Retrieved from https://www.drugabuse.gov/publications/principles-adolescent-substance-use-disorder-treatment-research-based-guide/family-support-in-addiction-recovery

Substance Abuse and Mental Health Services Administration. (2015). Substance use disorders. Retrieved from https://www.samhsa.gov/find-help/disorders

Wood, L., Byrne, R., Burke, E., Enache, G., & Morrison, A. P. (2017). The impact of stigma on emotional distress and recovery from psychosis: The mediatory role of internalised shame and self-esteem. Retrieved from https://repository.essex.ac.uk/21927/1/woodpr2017.pdf

Your Room. (2021). Shame and self-stigma. Retrieved from https://yourroom.health.nsw.gov.au/whats-new/Pages/Shame-and-self-stigma.aspx

Related Post

Welcome to Webb TherapyWelcome to Webb Therapy

Webb Therapy is a casual, affirming, and confidential, talking therapeutic process dedicated to supporting people who are experiencing anything, and want to talk about it. Webb Therapy offers a warm and integrative counselling service based in Sydney City. Led by Mitch Webb—a registered counsellor with the Australian Counselling Association.

  • Substance use disorders, addiction, and recovery
  • Emotion regulation, stress management, anxiety, depression, and behavioural change

Mission & Goals
Webb Therapy is dedicated to offering a safe space for you to share your inner experience and learn how to navigate psychological and emotional pain, elevate self‑awareness, and build sustainable positive change – whether it’s improving relationships, setting meaningful goals, or ending patterns that no longer serve you.

Facebook Presence: Webb Therapy
The Facebook page encapsulates Webb Therapy’s core ethos: “Unlearn. Learn. Accept. Embrace. Change. Grow. Increase Self‑awareness,” reinforcing its person‑centred, self‑development focus.

Please Phone 0488 555 731 to schedule a booking.
Price: $120.00 for a 60 minute session.
Please enquire if you are a low income earner or receiving Centrelink benefit.

How to Process Fear and Trauma Stored in the Human BodyHow to Process Fear and Trauma Stored in the Human Body

Understanding Body-Stored Trauma

When a person experiences trauma, the body and nervous system may remain “stuck” in survival responses such as fight, flight, freeze, fawn, or collapse. The body doesn’t always recognise when the threat has passed, leading to persistent muscle tension, dysregulated breathing, altered posture, chronic pain, or hyper-vigilance. Neuroscience research (e.g., Porges’ Polyvagal Theory) shows that the autonomic nervous system plays a central role — trauma can trap the body in sympathetic arousal (fight/flight) or dorsal vagal shutdown (freeze/collapse). Processing trauma therefore often involves restoring nervous system flexibility and safety.

Disclaimer

The following information provided is for educational and informational purposes only. It is not a substitute for professional medical, psychological, or therapeutic advice, diagnosis, or treatment. Processing trauma and intense emotions can be complex and may bring up distressing feelings or memories. It is strongly recommended that you seek guidance and support from a qualified, trauma-informed mental health professional when exploring or applying these practices.


Effective Approaches for Processing Stored Fear and Trauma

1. Somatic Awareness and Regulation

From Somatic Experiencing (Peter Levine) and other body-oriented therapies

  • Notice sensations (tightness, trembling, heat, pressure) without judgment.
  • Track activation and settling: notice when your body feels heightened vs. calmer.
  • Allow incomplete defensive responses (e.g., pushing, shaking, running motions) to gently complete under safe, guided conditions.
  • Gentle shaking or trembling can discharge residual survival energy.

2. Breathwork

  • Diaphragmatic breathing calms the vagus nerve and lowers cortisol.
  • Longer exhalations (e.g., inhale 4, exhale 6) signal safety to the nervous system.
  • Box breathing (4-4-4-4) or 4-7-8 breathing can reduce anxiety and help regulate heart rate variability (HRV).

3. Movement Practices

  • Trauma-informed yoga emphasizes interoception (awareness of internal sensations) and choice — essential for rebuilding body trust.
  • Dance, rhythmic movement, or martial arts can help release frozen energy and restore agency.
  • Walking, swimming, tai chi, or qigong provide grounding, rhythm, and bilateral stimulation.

4. Grounding and Safety Techniques

  • 5-4-3-2-1 sensory awareness: notice 5 things you see, 4 you touch, 3 you hear, 2 you smell, 1 you taste.
  • Physical grounding: press feet into the floor or hands together to anchor in the present.
  • Temperature shifts: splash cold water on your face or hold something cool to help reset the vagus nerve.
  • Progressive muscle relaxation: systematically tense and release muscle groups to discharge tension.

5. Body-Based and Integrative Therapies

  • EMDR (Eye Movement Desensitization and Reprocessing): integrates traumatic memories while maintaining nervous system regulation.
  • Sensorimotor Psychotherapy: combines talk therapy with somatic tracking to integrate body and mind.
  • TRE (Tension & Trauma Releasing Exercises): uses controlled tremors to release neuromuscular tension.
  • Craniosacral therapy or trauma-informed massage: helps restore body awareness and parasympathetic balance (only with trained practitioners).

Core Trauma-Informed Principles

  • Safety First: Healing begins with safety, not with re-exposure. Always prioritize a sense of internal and external security.
  • Go Slowly: The nervous system can only integrate what it can tolerate; going too fast risks retraumatisation.
  • Pendulation: Gently move between sensations of discomfort and sensations of safety or ease to build regulation capacity.
  • Titration: Work with small, manageable amounts of traumatic material at a time.
  • Empowerment and Choice: Trauma takes away control — healing restores it. Always honor your body’s “yes” and “no.”
  • Professional Support: A trauma-informed therapist or somatic practitioner can provide containment, attunement, and safety when processing deep trauma.

Additional Evidence-Based Practices

  • Mindfulness and Compassion Practices: Mindful awareness (without judgment) helps integrate sensations and thoughts, while compassion training (e.g., self-soothing touch, loving-kindness meditation) rebuilds safety within.
  • Expressive Writing or Art Therapy: Offers symbolic release of emotions and stored memories.
  • Safe Social Connection: The vagus nerve responds powerfully to co-regulation — gentle eye contact, shared laughter, or supportive presence from trusted people.
  • Sleep, nutrition, and gentle routines: A regulated body supports a regulated mind; simple self-care anchors healing.

There’s nothing ‘fake’ about ‘faking it until you make it’There’s nothing ‘fake’ about ‘faking it until you make it’

When to Fake It Till You Make It (and When You Shouldn’t)

Faking it for the right reasons can change you for the better. Here’s why.

Posted Jun 27, 2016By Amy Morin

One day, a client came to see me because she felt socially awkward. She knew that her inability to make small talk was holding her back both personally and professionally. As a shy person, she hated going to networking events. But making connections was vital to her career.I asked, “What do you usually do when you go to a networking event?” She said, “I stand awkwardly off to the side and wait to see if anyone will come talk to me.” I asked her, “What would you do differently if you felt confident?” and she said, “I’d initiate conversation and introduce myself to people.”

Right then and there, she discovered the solution to her problem: If she wanted to feel more confident, she had to act more confident. That wasn’t quite what she wanted to hear. She’d hoped for a solution that would immediately make her feel more confident. But the key to becoming more comfortable in social situations is practice.Her instinct was to wait until she felt more confident, but that confidence wasn’t going to magically appear out of thin air—especially if she was standing around by herself. However, if she started talking to people like a confident person, she’d have an opportunity to experience successful social interactions, and each of these would boost her confidence.

Acting “As If”

Acting “as if” is a common prescription in psychotherapy. It’s based on the idea that if you behave like the person you want to become, you’ll become like this in reality:

1. If you want to feel happier, do what happy people do—smile.

2. If you want to get more work done, act as if you are a productive person.

3. If you want to have more friends, behave like a friendly person.

4. If you want to improve your relationship, practice being a good partner.Too often we hesitate to spring into action. Instead, we wait until everything feels just right or until we think we’re ready. But research shows that changing your behavior first can change the way you think and feel.

The Biggest Mistake Most People Make

Faking it until you make it only works when you correctly identify something within yourself that’s holding you back. Behaving like the person you want to become is about changing the way you feel and the way you think.If your motives are to prove your worth to other people, however, your efforts won’t be successful, and research shows that this approach actually backfires. A study published in the Journal of Consumer Research found that people who tried to prove their worth to others were more likely to dwell on their shortcomings. Ambitious professionals who wore luxury clothing in an effort to appear successful, and MBA students who wore Rolex watches to increase their self-worth just ended up feeling like bigger failures. Even worse, their attempts to project an image of success impaired their self-control. They struggled to resist temptation when they tried to prove that they were successful. Putting so much effort into faking it used up their mental resources and interfered with their ability to make good choices.

How to “Fake It” the Right Way

Acting “as if” doesn’t mean being phony or inauthentic. It’s about changing your behavior first and trusting the feelings will follow. As long as your motivation is in the right place, faking it until you make it can effectively make your goals become reality. Just make sure you’re interested in changing yourself on the inside, not simply trying to change other people’s perceptions of you.

Same-sex dating challenges when you’re over 30Same-sex dating challenges when you’re over 30

1. High selectivity is normal, especially as we get older

When you enter the post-20’s dating world, your life experience has shaped your preferences. You’ve likely developed clear ideas of what you want in a partner, both in terms of personality and compatibility.

  • This means it’s natural to not feel interested in most people you date.
  • Selectivity isn’t a problem—it often reflects self-knowledge and maturity.

2. Same-sex dating dynamics can be tricky

  • In male same-sex dating, especially in places like Sydney, there can be a stronger focus on physical attraction in initial meetings.
  • That can make it harder to find someone you genuinely click with emotionally or mentally, because a lot of initial dating chemistry may feel superficial or performance-based.

3. Emotional vs. physical attraction

  • Your emotional and intellectual connection becomes [more] key to your interest.
  • You may feel attracted physically to some, but if the emotional or personality resonance isn’t there, you simply won’t want to continue. That’s perfectly normal.

4. Reciprocity matters a lot

  • Humans are wired for reciprocal interest: when it’s not returned, our brains often disengage emotionally to protect ourselves from disappointment.
  • This can make dating feel discouraging because your standards and their feelings don’t always align.

5. Psychological patterns that could be at play

  • High self-awareness: You know what you want and won’t settle.
  • Emotional caution: After multiple dates where interest isn’t reciprocated, your mind may naturally limit attachment until someone truly matches your criteria.
  • Confirmation bias in dating: You notice quickly when someone isn’t “right,” which is good for avoiding poor matches—but can also make you feel like genuine connections are rare.

6. This is very common for mature adults dating

  • Many people in their late 30s–40s experience the same thing.
  • Your dating pool is smaller because you’re looking for someone with very specific qualities (age, personality, emotional intelligence, compatibility).

Practical advice for dating in this context

a. Broaden [wisely] your dating strategies

  • While selectivity is good, small adjustments in mindset can increase your chances:
    • Look beyond initial “type” indicators and give people a bit more time to reveal personality.
    • Join social groups or interest-based communities (sports clubs, arts, volunteering, LGBTQ+ meetups). Often chemistry develops in shared activity contexts rather than first-date settings.

b. Focus on quality interactions

  • Instead of increasing quantity, increase meaningfulness: fewer, more intentional dates with people you have some natural overlap with (values, lifestyle, humor).
  • Online apps can be helpful, but try to filter for shared interests or mutual values to save time and emotional energy.

c. Work on internal calibration

  • Reflect on what triggers your strong attraction. Are there patterns (personality, energy, humor, confidence)?
  • This helps to recognize potential even if it’s not immediately intense, and also helps articulate your preferences clearly to prospective dates.

d. Manage expectations

  • It’s normal for the dating ratio (you like → they like) to be low, especially with high selectivity. Patience is key.
  • Celebrate the small wins: every connection you explore, even if it doesn’t last, builds social and emotional insight.

e. Emotional self-care

  • Rejection is part of the process and rarely personal—it’s more about compatibility.
  • Maintain supportive friendships, hobbies, and self-affirmation to avoid over-investing emotionally in every date.

Mindset shift suggestion

Instead of thinking:

“There are very few people I want to see again, and they don’t feel the same way”

Try:

“I’m selective and I know what I want. Meeting the right person may take time, but each date helps me understand myself and my preferences more clearly.”

This subtle mindset shift reduces pressure and anxiety, while keeping your standards intact.