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The most important thing you can do is to learn how to meditate on those inner feelings of shame and worthlessness. Such emotions, beliefs and thoughts constitute what we call the ‘Little Self’ in Mindfulness Therapy and work. This Little Self becomes isolated and disconnected from our ‘True Self’ which is our innate capacity for limitless love, consciousness, compassion and joy; our Buddha mind. Your ‘job’, if you choose to follow the path of mindfulness, is to reunite the two, and this we do through mindfulness meditation. You learn to meditate on the emotions and thoughts, the Little Self, themselves. You will probably benefit in some guidance on how to meditate like this, but it is definitely worth learning. The product of this kind of meditation work is that you will become more grounded in your True Self (boddhicitta) as you learn to love your Little Self. Hope that makes sense?
The Boulder Center for Online Mindfulness Therapy