Addiction may be America's most neglected disease. According to a Columbia University study, "40 million Americans age 12 and over meet the criteria clinically for addiction involving nicotine, alcohol, or other drugs." That's more Americans than are suffering from heart disease, diabetes, or cancer Dr. Gerald Fishkin in his book, "The Science of Shame," asking, "What if shame were at the core of their illness? How many people would find relief by healing or facing that shame?. The doctor discusses toxic shame or low self-worth. Dr. Fishkin offers an powerful analysis of the genesis and influence of toxic shame and negative self talk on mental health in this interview.