T actually talked about this this morning. Tha main things as he sees it are my self loathing, self-hatred, and delusion (his word, not mine) that I don't deserve a full and happy life.

stopdog - my T talks about shame all the time, too, but he views it as an affect that's not really possible to fix by itself. The underlying world-view has to change so that I don't react with shame, it's not the reaction that needs to be suppressed.