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Answer by Dr. Laura
PhD Mental Health Nurse & Sexual Assault Nurse Examiner
Thank you for sharing this with us. What you are carrying is extraordinarily heavy, and the fact that you have been carrying it with such seriousness and moral awareness for so many years says a great deal about who you are now.
What you are describing, this collision between who you were as a young teenager and who you are today, is one of the most painful forms of shame a person can experience. And it is important to name that shame and guilt, while they can feel like the same thing, are actually doing different things inside of you. Guilt says I did something harmful. Shame says I am something harmful. Over time, it sounds like you have moved into deep shame and shame, particularly when it lives in isolation for decades, does not lead to healing. It leads to exactly what you are describing...disconnection, self-punishment, and an inability to receive love or feel like you belong in your own life.
What happened when you were a teenager exists within a context that does not excuse it, but does help explain it, and that explanation is part of how you begin to process this honestly. You were a young, neurodivergent teenager navigating family problems, neglect, and your own experience of being exposed to by an older relative. You had received no education about boundaries or body safety. You have named all of this yourself, and you have been clear that you do not offer it as excuse, but it is still relevant to how you understand yourself across a span of more than two decades, and it matters.
You have lived for over 20 years as someone who is, by every measure you describe, safe, caring, and genuinely protective of the children and people around you. That is not a performance...that is who you became, and arguably who you were always becoming, even as a teenager who lacked the tools, the guidance, and the maturity to act in alignment with your own values. People are not static. The version of you that existed as a young teenager, undereducated, undersupported, and acting out of something you did not even fully understand at the time, is not the complete or permanent definition of you.
The OCD dimension of this is also significant and deserves real acknowledgment. OCD frequently latches onto themes of morality and identity, and it can take genuine remorse and transform it into an unrelenting loop of rumination and self-interrogation that makes resolution feel impossible. Every time you get close to a moment of self-compassion, it pulls you back. This is one of the reasons that healing this particular wound likely requires working with a therapist who understands both OCD and shame, because the combination makes it extremely difficult to break the cycle alone.
The distancing from your loved ones, the inability to receive love or feel like you belong...this is one of shame's most damaging effects. Shame thrives in secrecy and isolation. That does not mean you owe anyone a disclosure, that is a deeply personal decision. But carrying this entirely alone for decades is a significant reason it has not healed. Finding even one safe, professional space to speak this out loud could interrupt that cycle in ways that private rumination simply cannot.
You said you feel like you deserve to feel this way forever. I want to gently push back on that...not to dismiss your accountability, but because punishment and healing are not the same thing. Punishing yourself indefinitely does not repair anything or protect anyone. It keeps you locked in suffering and unavailable to the people who love you. Accountability looks more like understanding what happened and why, committing to never repeating it, and living in a way that contributes something good. By everything you have written, you have already been doing all of those things for a very long time. Thank you again for reaching out to us.
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Grounding activity
Find a comfortable place to sit. Gently close your eyes and take a couple of deep breaths - in through your nose (count to 3), out through your mouth (count of 3). Now open your eyes and look around you. Name the following out loud:
5 – things you can see (you can look within the room and out of the window)
4 – things you can feel (what is in front of you that you can touch?)
3 – things you can hear
2 – things you can smell
1 – thing you like about yourself.
Take a deep breath to end.
From where you are sitting, look around for things that have a texture or are nice or interesting to look at.
Hold an object in your hand and bring your full focus to it. Look at where shadows fall on parts of it or maybe where there are shapes that form within the object. Feel how heavy or light it is in your hand and what the surface texture feels like under your fingers (This can also be done with a pet if you have one).
Take a deep breath to end.
Ask yourself the following questions and answer them out loud:
1. Where am I?
2. What day of the week is today?
3. What is today’s date?
4. What is the current month?
5. What is the current year?
6. How old am I?
7. What season is it?
Take a deep breath to end.
Put your right hand palm down on your left shoulder. Put your left hand palm down on your right shoulder. Choose a sentence that will strengthen you. For example: “I am powerful.” Say the sentence out loud first and pat your right hand on your left shoulder, then your left hand on your right shoulder.
Alternate the patting. Do ten pats altogether, five on each side, each time repeating your sentences aloud.
Take a deep breath to end.
Cross your arms in front of you and draw them towards your chest. With your right hand, hold your left upper arm. With your left hand, hold your right upper arm. Squeeze gently, and pull your arms inwards. Hold the squeeze for a little while, finding the right amount of squeeze for you in this moment. Hold the tension and release. Then squeeze for a little while again and release. Stay like that for a moment.
Take a deep breath to end.