Duane Osterlind, LMFT

The Addicted Mind Podcast

Duane Osterlind, LMFT

  • Shame in the Gut: The Neurobiology of Affect Dysregulation and Addiction with Dr. Alexandra Katehakis

Shame in the Gut: The Neurobiology of Affect Dysregulation and Addiction with Dr. Alexandra Katehakis

Monday 9th March 2026

Explore the link between shame, affect dysregulation, and addiction with Dr. Alexandra Katehakis on The Addicted Mind Podcast.
40 minutes
Inspiring
Informative
Hopeful
Compassionate
Engaging

About this podcast

The Addicted Mind Podcast
Author:
Duane Osterlind, LMFT
Overview:
Categories:
Understanding Addiction & Recovery
Sobriety Toolkit
Recovery from Trauma
Family Recovery from Addiction
Navigating Intimate Relationships
Links:
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The Gut-Wrenching Truth About Shame and Addiction

Episode Overview

  • Shame is a biological response rooted in our gut and early experiences.
  • Chronic shaming can lead to addiction as a form of self-regulation.
  • Community support is vital for recovery from addiction and toxic shame.
  • Understanding and healing shame requires vulnerability and ownership.
  • Interactive regulation helps build emotional resilience.
"Shame keeps us stuck. It keeps us hiding. And if we can't bring it into the light, we can't heal it."
What drives someone to seek a life without alcohol? In this riveting episode of The Addicted Mind Podcast, Duane Osterlind sits down with Dr. Alexandra Katehakis to unravel the intricate web connecting shame, affect dysregulation, and addiction. Dr. Katehakis, a renowned expert in human sexuality and founder of the Center for Healthy Sex, shares her profound understanding of how shame isn't just a fleeting emotion but a deep-seated biological response rooted in our gut and early childhood experiences.
You'll learn that shame is a pro-social function embedded in our nervous system from birth, playing a crucial role in our development and social interactions. However, when chronic and unprincipled shaming occurs, it sets the stage for addiction as individuals seek solace in substances or behaviours to escape their internal turmoil. Dr. Katehakis explains how this state of affect dysregulation can lead to a cycle of addiction and shame, leaving individuals trapped in a downward spiral.
But fear not, because this episode isn't all doom and gloom. Dr. Katehakis offers hope and practical insights into healing from toxic shame and addiction. She highlights the importance of community support and interactive regulation in recovery, underscoring that we are social creatures who need others to heal. By embracing vulnerability and taking ownership of our actions, we can begin to dismantle the toxic patterns that have kept us stuck.
If you're curious about the connection between shame and addiction or seeking ways to support someone on their recovery journey, this episode is a must-listen. It offers a fresh perspective on how understanding our emotional wiring can lead to profound healing. So, are you ready to explore the transformative power of connection and community in overcoming addiction?
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