The document discusses the relationship between trauma, guilt, shame, and the development of anxiety and depression. It states that trauma, loss, or betrayal can cause psychological injury by harming one's self-esteem, trust in others, intimacy, power, and feelings of worth. This injury can lead to guilt, anger, and shame, trapping a person in a repetitive cycle. Over time, symptoms like anxiety and depression may develop as a way to regain control or stabilize relationships, but can become rigid behaviors that are resistant to change.