Oh shame is a big one!! it literally is like living in a closet and being embarrassed for something that you actually enjoy!
for years I kept it secret and thought its shameful and promised to end one day, but then I got more comfortable with myself and decided to stop apologising for who I am.
I still dont say my job to everyone, I gauge their level of openness or their need to know. my sexual health clinic, my therapist, my sexological bodyworker - people who I've chosen to be part of my mental and physical health support system - they know everything. inner circle friends also.
but for the rest - I am "health coach".