This article triggered these thoughts. I don't know if it should/could also be on Itsa Village.
I believe that this sort of Toxic Shame/Guilt can be brought about by religious teaching quite apart from any specific condition.
It is my experience.
I'm beginning to understand it; I'm no where near overcoming it. The 'it' being mostly shame, but edged by guilt.
Not because I am lesbian, but because I am ... shameful & guilty... the inherent nature of humans under a christian god.