Crippling Shame And Vocal Tics

I have a really big problem with Shame/cringing. I know this is just residue from the emotional Abuse and I could silently work on it...If it wasn t for the vocal tics that I ve developed in the last year and a bit. Basically you know when you cringe and you out of reflex say something like "OH GOD KILL ME NOW" or similar? I do that all the time when I m by myself or have been around someone for too long (and lose my control of holding them in) and it really causes me distress. Not just... Crippling Shame And Vocal Tics
https://www.myptsd.com/c/threads/crippling-shame-and-vocal-tics.65450/