The duality of relationship with self and others can lead to toxic shame, self blame, and self hate. This toxic self-relationship can trigger feelings of abandonment, depression, fear, shame, and depression. It can also result in a fear of others, impacting the ability to seek comfort and interact with people comfortably, sometimes leading to social anxiety. Survivors may learn to control this fear outwardly but still struggle with interacting and require recovery to improve.

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