Tag Archives: Cleveland Emotional Heath

Pack Your Bags: Are You Going on a Guilt Trip?

There is nothing that ruins joy and calmness quicker than a wave of overcoming guilt.

According to Brene Brown, the definition of guilt is that “I have done something wrong.” Guilt is an emotion that is part of both the cognitive and physical experiences of the mind and body. In other words, unprocessed or unresolved guilt can cause multiples of unnecessary psychological and physical suffering. Simply put, Guilt makes you feel bad, or worse, that you are bad (shame).

For this article, I want to start by separating “I am doing something wrong” into three different categories: 1) Remorse: I have actually done something wrong; 2) The Punishing Ego: What I am thinking and feeling is wrong; and, 3) Manipulation: allowing others to make you feel bad about yourself. 

1. Remorse: I have actually done something wrong

Let’s start with the first one: I have actually done something wrong. When you have done something wrong most of us experience remorse (deep regret). I am sure that you can think of many examples, here is one: You are having an online affair, and you got caught by your significant other.

In this situation, you can do one of two things. A) act like it was no big deal and deny your behaviors; or B) address the situation, admit and apologize (make amends) to the person that you have hurt. 

Be honest with yourself. Which response would you choose, A or B? Why do you think people would pick A? Because it can be painful and even terrifying to face your guilt. Choice A may be more common than you think. Regrettably, this is a type of avoidance that has long-term side effects.  

Avoiding what you have done wrong will not dissipate your guilt. Rather, avoidance (or denial) will perpetuate guilt for a long time; and, if you practice deflecting guilt for things you have done wrong, then the side effects become cumulative. Meaning the effects get worse over time.

However, if you know someone who states they do not feel guilty or says they feel justified in what they are doing, they may be one of three things. 1) In denial of their guilt, 2) the guilt is not in their conscious awareness (repression), or 3) they are purposely suppressing it (shame). 

Furthermore, if someone genuinely does not feel any guilt, be cautious with this person. They are likely to have a personality disorder (PD); meaning that they have difficulty functioning well in normal social interactions. For example, in addition to difficulties with feeling remorse, another symptom of a PD is a person who will make you feel bad when you have done nothing wrong (see manipulation below).


 Another tactic that some people will do to justify when they have done something wrong is scapegoating. Scapegoating is a way to make someone else feel lesser than you. Scapegoating is also a form of externalization. Externalization is a way of removing the guilt from one’s inner world by not allowing the guilt to live inside them. One way to scapegoat or externalize is to blame others for your actions or behaviors. When you externalize your guilt, you think you have distinguished it; but what you are doing is suppressing then projecting it. This means that you have taken it from your conscious awareness and buried it in your unconscious (avoidance). 

But, just because you have suppressed or buried your guilt does not mean that it goes away. 

For instance, imagine that your car is making a noise. If you ignore it, what will happen? That’s right. The noise will get louder and louder or something will malfunction or eventually break. Just like ignoring guilt for things that you have done wrong the problem does not go away. Unresolved and suppressed guilt can make you mentally and physically ill. Meaning the guilt is still there and tends to surfaces as anxiety. 

One way that humans manage their anxiety (and trauma) is through addictive behaviors, such as substance abuse or behavioral addictions (e.g., gambling, shopping, porn). These addictions help keep the guilt and related anxiety from surfacing into the conscious awareness.

Making amends for your remorse

However, making amends for what you have done can only happen when you start by being honest with yourself and admit that you were in the wrong. 

A question was posed to me: but what if the person that I have hurt is no longer alive?

I recommend writing a letter to the deceased. The letter is designed to express your feelings about what you have done rather than keeping them bottled up inside. This type of reflective writing can help to clarify your thoughts that you might not be aware of when speaking or thinking your thoughts. 

2. Punishing Ego: what I am thinking and feeling is wrong

The punishing ego (also known as the superego) is a type of guilt that is not always in your conscious awareness although it is based in similar concepts of remorse guilt – I have done something wrong. 

Here are some examples:

  • You want to break up with someone or end a bad marriage, but you are worried about what others will think of you. This guilt can be so punishing that even the thought of leaving an oppressive relationship (to have a better life) will raise your anxiety above what you can tolerate. So instead, you decide to stay put and avoid (medicate) the guilt.
  • You are angry at someone you are supposed to “only love.” When this happens, unconscious guilt tells you that you are not allowed to feel anything bad toward this person that you love. For example, you are angry at a parent, a child, or a significant other. Nonetheless, all humans have multiple and complex emotions, and acknowledging how these emotions manifest in your body prevents unnecessary guilt and suffering.
  • A colleague of mine, D. M. Stone shared her story of guilt. She stated that she was taught that “women are always supposed to be nice and the peacekeeper of the family.” This is a type of sociocultural genderizing guilt. “Women are the glue that holds the family together. Women are supposed to put their own needs aside for others. If you are confident enough to speak up [in any situation] and stand up for yourself, you are then labeled as a bitch.” This type of punishing guilt can prevent women from feeling worthy, confident, and empowered. 
  • What do you punish yourself for?

Guilt has a way of burying many emotions, and emotions are very human. Everyone experiences some kind of emotion all the time. This type of repression (avoiding/burying emotions) is very cultural (meaning we learn from role models and socialization). And, just like remorse guilt, repression (out of conscious awareness) of emotions (anger, fear, guilt, shame) can cause or exasperate chronic pain and chronic illness. Often, medical providers will treat patients complaining of chronic symptoms with medication or surgery without first asking the patient, “Tell me, what is going on in your life.”

3. Manipulation: Allowing others to make me feel bad about myself 

When someone is saying or doing something to you to make you feel guilty, this is a form of manipulation. For example, “you’re the one who put me in a bad mood.” (As stated earlier, manipulation can sometimes come from someone that is abusive and may have a PD; but not always).

Another example of manipulative behavior is when someone uses terms such as always or never; “you are never there for me” or “you are always nagging at me.” This is often heard when couples are arguing and are trying to make the other feel bad (guilt).

Fortunately, you are the one who gets to choose how to respond to manipulative guilt. Ideally, the response toward manipulation should be to never engage with the manipulation. However, what people tend to do is feed into it the manipulation. You likely defend yourself, maybe get angry, even take on the behaviors of the manipulator just to get them to back off. However, the person who is trying to manipulate you to feel bad has not earned your explanation. In other words, practice not engaging with the manipulator.

Remember, manipulation words that make you feel bad can be very harmful and are emotionally abusive.

What Guilt Does to the Mind and Body

When you are feeling guilty, the guilt can contribute to recurring deficits thinking (putting yourself down). For example, you may be ruminating (living in the past) and/or, worrying about something that has not yet happened, may not happen, and acting as if it is happening (anxiety).

Guilt is one of many emotions; emotions live in your body. Unprocessed emotions (such as guilt) are the same as avoided emotions (suppressed). Experiencing your emotions (not expressing) is a human necessity. Emotions are there, whether you avoid them or not. And, as explained earlier, unprocessed (avoided) emotions (guilt, shame, anger, sadness, etc.) can cause or exasperate physical pain and/or illness sometimes known as chronic symptoms or medically unexplained symptoms.

Kicking Guilt to the Curb!

Getting rid of your guilt allows you to feel more joy and experience less human suffering. But remember, you cannot change what you are not aware of and do not accept (seek counseling). And what are the consequences of experiencing a long life filled with guilt and other disruptive emotions?

So, what can you do? Kick your guilt to the curb. Give it up. Do not let it own you. Make amends if you need to. Pay attention to how often you feel bad. Ask yourself why am I letting this consume me? Also, ask yourself, does your feeling guilty serve a purpose? What are the benefits of my guilt? Maybe maintaining your guilt is what is keeping you connected to your loved ones?

Using Mindful Awareness

Mindful awareness is simply being aware of what is happening in the present moment without judgment. In the case of experiencing (rather than avoiding) your guilt, the goal is to practice and develop mindful awareness of your guilt from an intrapsychic perspective. In other words, paying attention to the physical experience of your emotions in the present moment without judgment (or guilt :-).

Acknowledging guilt 

Being mindfully aware of when you are feeling guilty. What type of guilt are you experiencing? Is it remorse, the punishing ego, or due to manipulation? Maybe it is a combination? Where do you experience the guilt physically in your body? For instance, did you have shortness of breath, racing heart, tightness in your chest, tightness in your stomach, sternum, neck, back, or head?

Facing guilt 

Start by asking yourself: how is this [guilt] serving me? Then answer yourself by saying: It’s not! By just asking and answering yourself, it can be profoundly helpful. Facing and processing guilt also changes the wiring of your brain (neural connections). And it is a great way to reduce unnecessary suffering. 

Remember, do not defend yourself to someone who is using manipulation to make you feel bad about yourself or is telling you that you are doing something wrong when you are not (it is their opinion/reality, not yours; do not take it on). Most importantly, own up to your guilt if you have actually done something wrong. Make the necessary amends. Make your life one that is guilt-free.

Please share this article on your social media. You never know, you could really help someone that is feeling alone in their psychological pain and grief.

For more help, click here to register for a counseling appointment. (585) 432-0313 clevelandemotionalhealth@gmail.com

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The Importance of Grieving

Loss of a loved one

When we lose someone whether from death or the end of a relationship, it is important to allow yourself to feel all of the emotions related to that loss. These emotions can feel like despair, disorientation, rejection, loneliness, sadness, pain, and anger. If you avoid your emotions, they will not go away. They will haunt you. And, as a result of avoiding emotional grieving, it can negatively impact your life including relationships, future relationships, goals, and plans.

It is never too late to grieve

It is never too late to grieve a loss. This week’s guest post is a beautiful example of the author using letter writing to grieve the loss of his grandmother who died several years ago. Thank you for reading and please don’t forget to comment and share. You never know, you may be helping somebody!

By Nathan Conrad

Dear Grandma,

Let me start by saying that I miss you so much. It was times like these that I relied on you the most. You were always there to listen. I wish you didn’t have to go the way you did. You deserved to go quietly and peacefully in your sleep.

I know how scared you were. And, to be honest, I was scared for you too. But, I was strong, I was strong for you and for mom too. I was by your side the whole time putting on a strong face, but my heart was breaking. I wasn’t ready to lose you and neither was mom.

You were so much more…

You were much more than just a grandma, you were one of my closest friends. I wish I would have spent more time with you, but we both know how my job [first responder] was.

That day, the day you died, changed me. The ambulance was no longer a calling. It became just a “job.” Every time I had to ride with a patient in the back, it took me back to that day, and, would break my heart all over again.

There wasn’t enough whiskey…

There wasn’t enough whiskey or that other “junk” to fill the void you left, but I sure tried. I know why you left the hard choices that day up to me. I was just as stubborn as you and you know I would follow your wishes to the letter. And we both know that mom could not have handled the guilt.

I miss you every day. I miss our talks, our music, especially Elvis and Willie. No one could make a bacon and egg sandwich like you, and no one ever will.

I was the one…

I wanted you to know, that I was the one who put your ashes in the grave and I wrapped your urn in your favorite blanket.

I am two months sober now

I am sure you know that I have gotten myself into trouble. You were right about my loser friends. I want you to know that I am two months sober now and I am learning what is important now. I am going to try my best to be a better son and grandson to take care of my family like you took care of us.

You still have the biggest heart of anyone I have ever known and I am trying my best to be like you. I hope I will get to see you again one day, but for now, your spirit will always be with me.

I Love you, love, your favorite grandson

For more information on counseling, please contact me, Catherine Cleveland at (585) 432-0313 or email me at clevelandemotionalhealth@gmail.com.

What I Like About Myself

By Ellen Edmond

This week I welcome and thank our guest blogger, Ellen Edmond for her insightful narrative. Please enjoy, share, and feel free to comment. And, don’t forget to subscribe (lower right).


Simple request [from my counselor], if I remember: write 10 things I like about myself. And you added, write it in a narrative. Busy week & out of state family still here but will try.

Hmmm, this is more difficult than I thought. It shouldn’t be. I have family and friends…perhaps I focus on taking care of them instead of me?? Well, it’s time for me. Relax, breathe slowly and gently. Enjoy how it feels physically. My shoulders are relaxing, now my tummy. I uncross my legs and think about me…

I can’t change overnight…

I am becoming more patient. I can’t change overnight but I can accept this now. When I start becoming impatient and angry, I am learning to stop and breathe slowly, feeling my shoulders relax. “Patience is a virtue.” 

I have an inner strength/courage, which I sometimes don’t think I have. Who took care of Dad when he was failing, then dying? Who was at his deathbed by herself? And I cherish that moment as Mom left to seek another sister while knowing that’s what Dad wanted her to do. I am still grateful I was there no matter how many tears I shed. I now take care of Mom and relish every good day.

What I like bout myself

I am a good friend. I keep secrets, hate rumors. I cook and bake for them. I listen without interjecting, well, most of the time. 

I try to be an open book; I cannot pretend to be someone I’m not, and I trust others to do/be the same. (I wonder if this is true since apparently I don’t think that much of me as others do.) But I did say “try”.

I am trying hard not to blame myself for things I have no control over. I did not cause the car crash that killed my baby brother. #1…I was only 3 or 4. I did not start World War II. I do not start the fires in California. Absurd!

I know how to throw a good (if not great) party where everyone enjoys themselves. (It’s a talent…) 

I have been managing our budget and our real estate budget (when we had the agency) for years and kept it afloat even with unforeseen financial challenges. This stresses me out. But when one of us is satisfied paying late fees and the other isn’t, then the other had to take over. Now the other, me, is going to share the responsibility. I like being in control but I am learning how good it feels to have someone to share the load.

I am there for our children and their families. So I am a mom, grandma (nana), caretaker, tickler & friend. Our son’s wives call me for advice, to share family moments and activities. They call me Mom.


I may be feeling weak, but, ultimately, I am strong when I have to be. This homework assignment has become self-reflection and, although I could go on, I won’t. I will continue internally.

Maybe I like myself better than I thought I did. I DO.

Thank you, Ellen!

If you would like to be a guest blogger, please email me your submission at clevelandemotionalhealth@gmail.com. If you would like to schedule an appiontment, register on the secure portal or call me at (585) 432-0313

An Argument for NOT Taking Medication

Skills over Pills!

This video is part of what I am studying as part of my contemporary trends class in my University of Rochester doctoral program. Please comment.

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