These were my comments after reading the article. What do you think?
“I don’t know, I get the impression that shame and guilt partly manifest themselves AS depression. And in PTSD which it sounds like is an aspect of this person’s illness – one of the symptoms of that being depression. It IS complicated. I don’t know that shame/guilt should be separated out. I do think of course that part of this person’s treatment plan would be as described in the article.
I have a HUGE component of shame and guilt as part of my depression. Most of that shame and guilt due to having a mental illness (I am bipolar and have general anxiety disorder as well) My depression HAS been intractable 😦 Of course, some of it incurred as a child; I related so much to the client’s issues with that, part of the fallout of being one of 8 kids. My therapist sadly says that, were it not for my lack of acceptance and guilt for having my illnesses, I would not struggle so much, and I think he’s right.”