Amy Kersten, LCSW

Amy Kersten, LCSW Welcome to New Horizons Therapy — a space for healing, growth, and connection. I’m Amy, a licensed clinical social worker.

Whether you're navigating trauma, anxiety, perinatal experiences, or life transitions, you don’t have to go through it alone.

kerstenlcsw.com
06/22/2026

kerstenlcsw.com

Understanding ShameShame is a deeply painful emotion that tells us, "There is something wrong with me." Unlike guilt, wh...
06/10/2026

Understanding Shame

Shame is a deeply painful emotion that tells us, "There is something wrong with me." Unlike guilt, which focuses on a behavior ("I did something bad"), shame focuses on who we are ("I am bad").

Shame often develops from experiences where we felt criticized, rejected, ignored, or not good enough. It can be rooted in childhood experiences, trauma, difficult relationships, or messages we received about our worth. Over time, shame can become an internal voice that fuels self-criticism, perfectionism, people-pleasing, anxiety, and the fear of disappointing others.

When shame is present, we may:

Constantly worry about what others think of us.
Feel like we are never good enough, no matter how much we accomplish.
Struggle to set boundaries for fear of upsetting others.
Hide parts of ourselves or avoid being vulnerable.
Compare ourselves to others and come up short.
Feel stuck in cycles of self-judgment and self-doubt.

The challenge with shame is that it often thrives in silence. It convinces us that if people truly knew us, they would reject us. Yet shame begins to lose its power when it is met with compassion, understanding, and connection.

Healing from shame doesn't happen by convincing yourself that everything is perfect. It happens by learning to view yourself with more kindness and curiosity. It means recognizing that your struggles, mistakes, and difficult emotions are part of being human—not evidence that you are flawed or unworthy.

Therapy can help you identify the roots of shame, challenge the beliefs that keep it alive, and develop a more compassionate relationship with yourself. As shame begins to loosen its grip, there is often more space for authenticity, self-acceptance, and the freedom to live in a way that aligns with your values rather than your fears.

You are more than the stories shame tells you. Your worth is not determined by your mistakes, your productivity, or other people's opinions. You are worthy of care, compassion, and belonging simply because you are human.

Keep showing up for yourself, even when it's hard.Some days, showing up for yourself looks like making a big change, set...
06/01/2026

Keep showing up for yourself, even when it's hard.

Some days, showing up for yourself looks like making a big change, setting a boundary, or taking a step toward a goal. Other days, it simply means getting out of bed, taking a shower, eating a meal, or allowing yourself to rest.

When life feels overwhelming, it's easy to believe that if you're not making huge strides forward, you're not making progress at all. But healing, growth, and change are often built through small, consistent acts of self-care and self-compassion.

Showing up for yourself means honoring your needs, listening to what your mind and body are telling you, and treating yourself with the same kindness you would offer someone you care about. It means continuing to choose yourself, even when motivation is low, anxiety is high, or self-doubt is loud.

There will be days when it feels easier and days when it feels incredibly difficult. Both are part of the process. Progress isn't measured by perfection; it's measured by your willingness to keep coming back to yourself.

Every time you choose to care for yourself, set a boundary, ask for support, or take one small step forward, you are reinforcing the message that you matter too.

Keep showing up for yourself. The small things count, and they add up over time.

Trauma Responses and How to CopeWhen we go through difficult or overwhelming experiences, our nervous system learns ways...
05/27/2026

Trauma Responses and How to Cope

When we go through difficult or overwhelming experiences, our nervous system learns ways to protect us. Trauma responses are not character flaws or signs that something is “wrong” with you. They are survival responses that helped you get through hard situations. The challenge is that sometimes these responses continue long after the danger has passed, affecting relationships, work, parenting, and how we feel about ourselves.

Many people think trauma only comes from one major event, but trauma can also develop from ongoing stress, emotional neglect, criticism, instability, or experiences where we did not feel safe, supported, or emotionally seen.

Common Trauma Responses
Fight

The fight response can show up as irritability, anger, defensiveness, control, perfectionism, or feeling easily frustrated. Sometimes people who grew up needing to protect themselves emotionally become hyper-alert and reactive because their nervous system is constantly scanning for danger.

What can help:

Pause before reacting and notice what your body is feeling
Move your body to release tension (walking, exercise, stretching)
Practice grounding techniques
Learn to identify triggers without judging yourself
Develop healthy ways to express emotions instead of holding them in
Flight

The flight response often looks like overworking, staying busy, overthinking, people pleasing, difficulty resting, or constantly feeling like you need to “do more.” Many people with anxiety live in this state without realizing it.

You may feel guilty when slowing down or believe your worth is tied to productivity.

What can help:

Build moments of rest into your day
Practice mindfulness and staying present
Challenge the belief that you always need to be productive
Set boundaries around work and responsibilities
Notice when busyness is helping you avoid uncomfortable emotions
Freeze

The freeze response can leave people feeling stuck, numb, disconnected, unmotivated, or overwhelmed. You may know what you want to do but feel unable to take action. This is not laziness. Often, it is a nervous system that has become overwhelmed.

What can help:

Start with small, manageable tasks
Focus on gentle movement and routines
Practice self-compassion instead of self-criticism
Use grounding skills to reconnect with your body and surroundings
Reduce overwhelm by breaking things into smaller steps
Fawn

The fawn response often develops when people learn that staying safe means keeping others happy. This can look like people pleasing, difficulty saying no, fear of conflict, over-apologizing, or ignoring your own needs.

You may worry about people being upset with you or feel responsible for other people’s emotions.

What can help:

Practice identifying your own wants and needs
Set small boundaries and tolerate the discomfort that may come with it
Remind yourself that disagreement does not equal rejection
Work on building self-worth outside of others’ approval
Notice when you abandon yourself to avoid conflict
Healing Trauma Responses

Healing does not mean never getting triggered again. It means learning to understand your nervous system with more compassion and awareness. Over time, you begin to respond instead of react. You start to feel safer in your body, more connected to yourself, and more able to live in alignment with the life you want.

Therapy can help you explore where these patterns developed, understand how they are showing up in your life today, and learn tools to feel more grounded and regulated. Healing often begins with feeling safe enough to slow down, become curious about your experiences, and recognize that the ways you learned to survive no longer have to define how you live.

It’s often easier to believe the critical or worst-case scenario thoughts. Positive or hopeful possibilities can feel ha...
04/21/2026

It’s often easier to believe the critical or worst-case scenario thoughts. Positive or hopeful possibilities can feel harder to trust, so we push them away or dismiss them. With trauma, the mind learns to anticipate what could go wrong, making it difficult to believe that something good could happen.

When you’ve been putting in the work, there comes a moment where you start to notice a shift—maybe in how you think abou...
04/14/2026

When you’ve been putting in the work, there comes a moment where you start to notice a shift—maybe in how you think about things, how you respond, or the choices you’re making. You pause instead of react. You speak up where you once stayed quiet. You begin choosing what aligns with the life you actually want, not just what feels familiar or expected.

It can feel subtle at first, easy to overlook or even question. But these shifts matter. They’re a reflection of growth, of showing up for yourself in new ways. Change doesn’t always arrive in big, obvious moments—often, it’s found in these quieter decisions that, over time, reshape how you move through the world.

This is what the work looks like.

You’re not broken, and you don’t need to be fixed. You are enough, exactly as you are. Even in the moments when you doub...
04/02/2026

You’re not broken, and you don’t need to be fixed. You are enough, exactly as you are. Even in the moments when you doubt yourself, when things feel messy or heavy or unclear—your worth has not changed.

You’ve been through a lot. Some of it may be hard to put into words, and some of it may still live in your body in ways you’re just beginning to understand. The ways you’ve coped, adapted, or protected yourself make sense in the context of what you’ve experienced. Nothing about that makes you flawed—it makes you human.

You deserve a space where you don’t have to explain everything perfectly or hold it all together. A space where you can show up as you are, where your story is met with care, curiosity, and respect. A space where healing isn’t rushed or forced, but unfolds at a pace that feels safe and right for you.

This isn’t about fixing you. It’s about supporting you as you reconnect with yourself, gently make sense of what you’ve been through, and begin to create a life that feels more grounded, more spacious, and more aligned with who you are.

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Waynesville, MO
65583

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