All In The Mind

Healing from self-hatred

Jan 10, 2026
Dr. Blaise Aguirre, a child and adolescent psychiatrist and Harvard Medical School professor, explores the depths of self-hatred and its origins. He explains how pervasive self-loathing differs from normal shame and reveals the impact of childhood trauma. Listing practical strategies, he emphasizes separating identity from learned self-hatred. Aguirre shares anecdotal success stories where reducing self-hate led to decreased suicidality, offering hope that these negative patterns can be unlearned. Ultimately, he reassures that self-love is a natural path back to a healthier self-view.
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INSIGHT

Self-Hatred Warps Life Events

  • Core self-hatred becomes a global self-narrative that interprets events as proof of inherent flawedness.
  • Even good events are dismissed as luck while bad events reinforce the belief of being fundamentally bad.
ANECDOTE

Late Arrival Triggered Severe Shame

  • A patient was so ashamed of being ten minutes late she thought Dr. Aguirre should slap her for disrespecting him.
  • Her adoptive parents' relentless perfectionism taught her lateness deserved punishment and reinforced self-hate.
INSIGHT

Sensitivity Makes Criticism Stick

  • Highly sensitive people glue external labels into their self-concept more readily than less sensitive peers.
  • This heightened emotionality makes criticism stick and increases risk for learned self-hatred.
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