Recognising Guilt and Shame

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When I first began working in aesthetics, I was conscious that my patients were coming to me with this real dichotomy in their heads. On the one hand, they were saying, ‘I look really tired and exhausted’, ‘I feel old’ or ‘I feel bad about myself’. However in the same breath they were also saying, ‘I feel guilty’, ‘My partner doesn’t know I’m here’, or ‘I am selfish to be spending this much money’. With a lack of data and peer-reviewed studies about the role which guilt and shame play in patients’ decisions surrounding cosmetic treatments, any discussion around it primarily revolves around anecdotal in-clinic experience. From conversations with colleagues, I know I am not alone in hearing this narrative from patients. These kinds of conversations are sadly commonplace within our clinics, but why? You wouldn’t go and have your hair cut and say, ‘I feel terrible about spending this…

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