Damaged Goods — Why Shame Mistakes Survival Responses for a Factory Fault

Shame and Survival Responses: why adaptive protection gets misread as personal defect

Lisa Arrigo spends much of her clinical work undoing one sentence: "What is wrong with me?" A New York Licensed Clinical Social Worker with 26 years in private psychotherapy practice, she holds that shame is what converts an ordinary survival response into evidence of a personal defect, so people end up punishing themselves for adaptations that once kept them safe. She has sat with clients who describe shutting down, over-explaining or numbing as character flaws, when each began as protection the nervous system learned early and never retired. Her forthcoming memoir, Fall Risk, traces the same misreading through her own childhood, addiction and recovery, alongside her training in EMDR and Sensorimotor Psychotherapy Levels I and II. Listeners leave with the question that replaces the old one: not what is wrong, but what happened, what did it teach, and what is needed now.

About Lisa Arrigo

Lisa Arrigo, podcast guest

Psychotherapist and Clinical Social Worker Specializing in Trauma, Attachment, and Addiction

25+ years Experience serving LGBTQ clients2 University degrees: BS & MSW4 Specialist certifications & training milestonesLicensed Clinical Social Worker New York

Lisa Arrigo has spent more than three decades helping people understand what trauma leaves behind long after the original danger has passed. A New York Licensed Clinical Social Worker and psychotherapist, her work sits at the intersection of trauma, attachment, addiction, neurobiology, shame, and the deeply human ways people learn to survive.

Her perspective is powerful because it comes from both sides of the therapeutic relationship. Lisa has devoted her career to helping others heal, while also confronting the impact of trauma, addiction, relapse, and recovery in her own life. After more than 17 years of sobriety, she experienced a cocaine relapse that nearly cost her life and left her waking in a Manhattan hospital unable to remember how she had arrived there. That experience challenged everything she thought she understood about healing and forced her to confront a difficult truth: we can have insight, language, and years of recovery behind us and still carry survival patterns that remain active beneath the surface.

That lived experience now sits alongside decades of clinical training. Lisa earned her BS from Trinity University and her MSW from Fordham University School of Social Work, followed by post-graduate study at the Westchester Institute for Psychoanalysis and Psychotherapy.

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