"It's so embarrassing to be this way ... I don't want anyone to know ..."
Shame - Shame can be quite disabling, and often feels like a problem in its own right. It comes as a chronically distressing side effect of many mood disorders, as well as trauma. It's a distortion, something like an optical illusion that unfairly stigmatizes the self. And it's often what brings people into therapy. How we work with shame depends on the underlying issue producing it.
Liberation from shame comes with seeing the distortions for what they are, and section by section, replacing the funhouse mirror of distress with a clear mirror that reflects your human reality.