The document discusses managing troubling emotions. It notes that shame grows in conditions of secrecy, silence and judgment. It provides four steps to deal with troubling emotions: 1) identify the emotions, 2) get permission and reframe to feel allowed to have them, 3) add supportive resources, and 4) test your ability to feel the emotions freely. The overall message is about giving oneself permission to feel difficult emotions and managing them in a healthy way.