From Shattered Hearts to Radiant Hope: CarolAnn Tutera’s Roadmap for Reclaiming Joy After Loss

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Thrive Global & Medium Articles by Stacey Chillemi – Original Articles:
https://staceychillemi.medium.com/from-shattered-hearts-to-radiant-hope-carolann-tuteras-roadmap-for-reclaiming-joy-after-loss-d6275947d607
https://community.thriveglobal.com/from-shattered-hearts-to-radiant-hope-carolann-tuteras-roadmap-for-reclaiming-joy-after-loss/

Discover how honoring every tear can transform raw grief into a fierce, purpose-driven joy that lights the path forward.

Healing isn’t about erasing the love you’ve lost — it’s about expanding your heart so you can carry that love forward into a new chapter.

— CarolAnn Tutera

Grief rearranges life’s blueprint in an instant, yet within that rubble often lies the raw material for profound reinvention. Few embody this truth more vividly than CarolAnn Tutera — CEO, widow, and advocate for holistic healing — whose journey from devastating loss to renewed purpose is nothing short of transformative. In today’s fast-paced world, we rarely pause long enough to face heartache head-on, let alone mine it for wisdom. CarolAnn does both with disarming candor, proving that grief and growth can coexist, and even collaborate, to craft a richer, more resilient self.

In this conversation with Stacey Chillemi, you’ll discover the tools and mindsets CarolAnn used to alchemize sorrow into service: grounding rituals that settle a racing heart, affirmations that rebuild shattered self-esteem, and “joy-scouting” habits that coax laughter back into daily life. Whether you’re navigating fresh loss, supporting someone who is, or simply seeking a deeper well of gratitude, her story offers a roadmap from heartbreak to hope — one small, courageous choice at a time.

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Thank you so much for joining us! Our readers would love to get to know you a bit better. Can you tell us a bit about your backstory?

I was raised in a bustling Midwestern household where dinner-table debates, Sunday-morning pancakes, and the mantra “leave things better than you found them” shaped my worldview. Decades later, I married Dr. Gino Tutera, an OB-GYN-turned-hormone-pioneer whose passion for preventive medicine lit my own. Together, we built a thriving practice that restores energy and purpose for thousands of women and men. When Gino died nine years ago, every role I knew — wife, co-founder, best friend — evaporated in one phone call. My healing journey has been equal parts grief recovery, identity excavation, and legacy building. Today, I still run our company, but I’ve layered in grief coaching, podcasting, and speaking because I believe heartache can become the birthplace of extraordinary purpose.

Grief can feel like an endless tunnel. What was the very first moment you realized, “Something has to change — I’m ready to move forward”?

That moment was subtle, almost imperceptible. About four months after Gino passed, I woke up and noticed the silence wasn’t as deafening. I still felt the ache, but it no longer swallowed my entire chest. Instead of curling back under the covers, I sat at my vanity, looked myself in the eyes, and said aloud: “You’re still here — so what now?” I didn’t have an answer, but the question itself cracked open a window. I decided that very day to schedule a counseling session, join a local widow support group, and walk my dogs at sunrise instead of after dark. Those three micro-choices became my first stitches in a brand-new life quilt.

You stress that feeling the pain is non-negotiable. Why is that step so crucial?

Grief is stored not just in the mind but in our fascia, muscles, and even our hormones. When you bypass those feelings, they simply burrow deeper, manifesting later as anxiety, insomnia, or explosive anger over trivial things. By allowing the sobs to come, by journaling the unspeakable, by admitting “I’m jealous of people who still have their spouses,” you permit your nervous system to metabolize emotional toxins. Think of it like sweating during a workout: the perspiration may be uncomfortable, but afterward you feel lighter, clearer, and able to move freely again. Allowing pain to surface is not self-indulgent; it’s metabolic hygiene for the soul.

What did those first quiet mornings without Gino feel like, and how did you give yourself permission simply to breathe?

They felt surreal, as if the universe had turned down the volume on color itself. I would reach across the mattress, find emptiness, and instantly spiral. A friend — herself a widow — texted me at 6 a.m. daily with a single line: “You’re loved. Breathe. Reply only if you want to.” Sometimes I sent a heart emoji; sometimes I called her and wordlessly cried while she brewed her coffee. To anchor my breath, I started “three-point grounding”: toes on the floor, one hand over my heart, the other on my diaphragm. On the inhale, I counted four, on the exhale, six. That longer exhale nudged my body from fight-or-flight into rest-and-repair. Over weeks, it became an automatic rescue when panic swelled.

You call hope a skill. How does someone practice it when everything looks dark?

Hope begins as a borrowed asset. You might not believe better days are coming, but you can borrow the belief of someone who does — through memoirs, podcasts, spiritual texts, or a mentor who’s two steps ahead. Next, set the bar comically low: “Today I hope to shower and drink water.” When you succeed, your brain releases dopamine, proving that hope was justified. That tiny win enlarges the bar for tomorrow. Lastly, future-cast in micro-images: envision yourself laughing at a café two months from now. Your subconscious can’t tell imagination from reality; it begins constructing pathways to deliver what you repeatedly picture.

Affirmations aside, what tiny morning habit shifted your mindset the most?

I created a “joy tray” on my nightstand: a rose-quartz heart, a rollerball of grapefruit essential oil, and a card that reads, “What adventure awaits?” Before I even stand, I press the oil to my wrists, inhale, and ask that question. Sometimes the answer is mundane — trying a new creamer — but the ritual trains my brain to expect delight. Over time, that expectancy has acted like Velcro for serendipity: strangers buy my coffee, rainbow sunsets appear on tough days, and podcast guests arrive exactly when their message is needed.

Gratitude clearly powers your day. How did it help you navigate loss?

My initial gratitude lists felt forced — “Thanks for hot water, I guess.” But neuroscience shows that naming even ordinary gifts drops cortisol and boosts immune function. So I persisted. Eventually, I graduated from lists to “gratitude storytelling.” Instead of writing “I’m grateful for my dogs,” I’d pen a 90-second vignette: “Today, Coco trotted into the kitchen, dragging my slipper, tail wagging like she solved world peace.” Reliving tiny scenes through sensory detail marinates the nervous system in serotonin, lengthening the afterglow of positivity. That practice didn’t erase grief, but it dramatically expanded my bandwidth for joy to coexist with sorrow.

Many women struggle with self-care guilt. How did you break that pattern?

I used a mental trick called The Best-Friend Flip. Whenever guilt whispered that my bubble bath or solo dinner was selfish, I imagined my dearest friend in my position. Would I begrudge her an hour of peace? Of course not. I’d hand her fluffy towels and a scented candle! Realizing the double standard helped me recode self-care as an act of integrity: I can’t pour into patients, employees, or family from an arid well. The more resourced I am, the better I love.

Which self-talk habit most effectively rewired you from grief to growth?

Walking mantras. Every afternoon, I laced up sneakers and circled the block, swinging my arms intentionally — a motion that stimulates both brain hemispheres, similar to EMDR therapy. I’d repeat rhythmic cues: Forward, CarolAnn. You’re guided. You’re safe. Over weeks, those strides carved a neural groove so deep that, even indoors, I’d catch myself thinking Forward, CarolAnn whenever anxiety flared. It became an embodied compass pointing me toward action instead of rumination.

How did you curate a support circle that could truly hold space for your healing?

I adopted a lighthouse filter: Do I leave this person feeling steadied or storm-tossed? After the initial avalanche of condolences, I noted who still texted at month two, who remembered my wedding anniversary at year one, and who sat with me in silence instead of dispensing platitudes. Those became my lighthouse friends. Simultaneously, I expanded my ecosystem through pickleball leagues, women’s business networks, and a quarterly grief retreat. Diverse circles ensured I wasn’t leaning on any one group too heavily and reminded me I’m multifaceted — griever, CEO, sister, dog mom, adventurer.

You mentioned embracing your “inner child.” What does keeping her alive look like in practice?

My inner eight-year-old adores color, movement, and harmless rebellion. So I keep metallic gel pens in my purse for café doodling. I host “pancakes for dinner” nights where friends wear pajamas at 6 p.m. I organize my rubber-duck collection into holiday tableaux — think Valentine ducks in February, pirate ducks for Talk-Like-a-Pirate Day. These micro-acts tell my nervous system, “We’re still creative, spontaneous, safe.” That safety loosens the grip of hyper-vigilance that grief can impose.

When anniversaries or sudden memories hit, what’s in your emotional first-aid kit?

  1. Permission slips. I literally write, “I hereby give myself permission to decline Thanksgiving 2025.” Seeing it in ink legitimizes the choice.
  2. Sensory anchors. Lavender oil, fleece blanket, the Barry White playlist Gino and I danced to while cooking Sunday marinara.
  3. Meaning-making ritual. I light a candle, speak one gratitude for Gino’s influence that day, and ask, “How can I embody that quality now?” Grief becomes a conversation rather than a monologue.

Can you recall the first time you genuinely laughed again, and how can listeners invite more of those moments?

The laugh ambushed me. A year after the loss, a friend dared me to barrel-roll down a hill. Grass stains, disheveled hair — the works. Mid-roll, gravity flipped me onto my back, and this primal belly laugh erupted. It startled me, but also baptized me back into aliveness. To invite laughter, proactively schedule novelty: improv classes, stand-up comedy nights, toddler nephews who insist you wear fairy wings. Laughter isn’t a betrayal of your loved one; it’s proof their legacy still fuels light in you.

For someone who feels stuck, what one micro-action can make them 1 percent lighter today?

Perform a mirror hug. Stand tall, meet your own gaze, wrap arms around yourself left-heart to left-heart, and state your full name followed by: “I’m committed to your healing.” Research shows self-soothing touch releases oxytocin, lowering stress and amplifying self-compassion in under 30 seconds.

Paint a picture of what thriving might look like 12 months into a grief journey.

Thriving at one year rarely means “all better.” Instead, imagine this: You wake on the anniversary date, the ache is present, yet you still keep your brunch date with a new friend from your hiking club. You talk about a book you’re reading, you tear up at a song in the car, you bake your partner’s favorite cookies, and share them at the office. By evening, you realize you experienced sorrow and connection, and competence all in one day. That emotional agility — that’s thriving.

What daily movement or ritual helped you release stored emotions?

Box breathing paired with literal boxing. I bought a freestanding bag for my garage. Four-count inhale, four-count hold, four-count exhale while delivering four decisive jabs. The rhythmic impact shook loose lodged anger, while the breath pattern kept my nervous system regulated. Afterwards, I’d journal whatever surfaced, sip chamomile, and end with five minutes of legs-up-the-wall — a restorative yoga inversion that tells the body, “The battle is over.”

How did helping others become part of your own recovery?

When one widow in my support group said, “Your story made me feel less crazy,” something clicked. I began hosting free Zoom circles, offering hormone-balance webinars for grieving women struggling with mood swings, and interviewing experts on my podcast. Service transformed my pain from a closed loop into a conduit of hope. Neuroscience confirms it: acts of contribution release oxytocin and dopamine, creating a feedback loop of purpose that accelerates personal healing.

If readers remember just one takeaway from our chat, what should it be?

Be relentlessly kind to yourself. Self-compassion isn’t a bumper-sticker slogan — it’s the biochemical antidote to despair. Talk to your reflection the way you’d comfort a trembling child: “I’m right here, and we’re going to figure this out together.” Once you master that inner dialogue, every external challenge becomes infinitely more navigable.

How can our readers further follow your work online?
Thank you so much for having me! If you’d like to dive deeper into my approach to holistic wellness, please visit my website: https://www.sottopelletherapy.com

I share daily tips, research insights, and a dash of inspiration on social media — come connect with me here:

Instagram: https://www.instagram.com/sottopelletherapy/
Facebook: https://www.facebook.com/hormonereplacement
X (Twitter): https://x.com/sottopelle
YouTube: https://www.youtube.com/user/SottoPelleTherapy

CarolAnn, thank you for opening your heart and sharing such practical, soulful wisdom. Your journey proves grief and growth can occupy the same breath.

Thank you, Stacey. Conversations like this are sacred — the more openly we talk about loss, the less alone any of us has to feel.

A visionary in hormone health and holistic well-being, CarolAnn Tutera is the CEO of SottoPelle Therapy and a sought-after speaker on resilience after loss. Following the passing of her husband and business partner, she transformed her grief into a blueprint for others, combining decades of healthcare leadership with heartfelt coaching that guides people from heartbreak to hope. Whether she’s training physicians, hosting her wellness podcast, or leading grief-support workshops, she brings equal parts clinical expertise and compassionate candor to every audience.

Creating Chemistry Outside the Lab: CarolAnn Tutera’s Guide to Honest Words, Grateful Hearts, and Unbreakable Bonds

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Thrive Global & Medium Articles by Stacey Chillemi – Original Articles: https://community.thriveglobal.com/creating-chemistry-outside-the-lab-carol-ann-tuteras-guide-to-honest-words-grateful-hearts-and-unbreakable-bonds/ 
https://staceychillemi.medium.com/creating-chemistry-outside-the-lab-carol-ann-tuteras-guide-to-honest-words-grateful-hearts-and-61bd11926e7d

Deep, present listening paired with sincere, succinct honesty emerges as a catalyst for rekindling relationships and elevating holistic well-being.

Radical listening is the most under-prescribed medicine on the planet. When we tune in with full presence, we regulate more than hormones… we restore the heartbeat of every relationship.

– CarolAnn Tutera

Few leaders embody the union of hard science and soulful wisdom quite like CarolAnn Tutera. As CEO of SottoPelle® Therapy, she has advanced her late husband’s groundbreaking work in individualized hormone-pellet medicine, helping thousands reclaim energy, mental clarity, and passion at every stage of life. Yet CarolAnn’s influence extends far beyond biochemistry: she’s completing a master’s degree in spiritual counseling and psychology, hosts a thought-provoking podcast, and speaks globally about aging with vitality and purpose.

In this conversation with Stacey Chillemi, CarolAnn reveals why communication is the “second prescription” every wellness plan needs. She explains how grief taught her the power of silent presence, why gratitude is emotional sunlight, and how tech-driven culture can be healed through radical listening. If you’ve ever wondered how to marry straight talk with soft hearts—whether at home, at work, or online—her insights will resonate deeply.

Thank you so much for joining us! Our readers would love to get to know you a bit better. Can you tell us a bit about your backstory?
My life has unfolded in chapters so varied that I sometimes feel I’ve lived three lifetimes in one body. The first began in a second-grade classroom on the East Coast, where twenty curious children taught me that real influence starts with presence and patience. After a painful divorce, I packed my car, my young son, and a suitcase of teaching materials and drove to Kansas City for a fresh start. There I met the love of my life—an OB-GYN whose pioneering work with bio-identical hormone pellets would eventually reshape the way medicine approaches aging and vitality. Together we moved to the California desert, opened a clinic in Rancho Mirage, and devoted ourselves to individualized hormone optimization long before it became fashionable.

When my husband passed, grief could have swallowed me, but I chose to honor his legacy by stepping into the CEO role at SottoPelle® Therapy. At the same time, I enrolled in a master’s program for spiritual counseling and psychology because I felt called to integrate science with soul. That dual lens—hard data and heartfelt spirituality—now informs everything I do. Whether I’m lecturing at a medical conference or recording a podcast episode, my mission is the same: help people feel fully alive in body, mind, and spirit.

What sparked your commitment to championing clear, heartfelt communication?
Hormones regulate the body’s chemistry, but communication regulates the body of our relationships. I began noticing a pattern: patients would leave the clinic feeling physically renewed, yet they’d confess that their marriages or friendships felt flat. They were energetic but emotionally malnourished. That disconnect convinced me that optimizing bloodwork is only half the prescription—the other half is teaching people to speak honestly, listen deeply, and stay present through discomfort.

The tipping point came during a follow-up consult with a couple in their sixties. Their lab numbers were perfect, but their eyes never met. I asked them to spend five minutes simply expressing gratitude to each other. Tears flowed, walls crumbled, and something sacred rekindled. In that moment I realized communication is as potent a medicine as any pellet we could implant.

In business settings, why is “bottom-line” clarity so critical?
Clarity is the highest form of respect you can give a team. Ambiguous instructions don’t just waste time—they breed anxiety, sap creativity, and erode trust. I’ve learned to distill objectives into three parts: destination, lane, and timeline. For example, “We need a patient-education video (destination). Marketing owns the script, production handles filming (lane). Final cut is due in two weeks (timeline).” That 30-second brief can save thirty emails and thirteen clarifying meetings.

Clear communication also acts as an emotional shock absorber. When people understand expectations, they work from a place of confidence rather than fear, and that psychological safety is a breeding ground for innovation. In short, brevity with precision liberates bandwidth for brilliance.

And in personal relationships—does that same brevity help?
Yes, but brevity must be wrapped in empathy. My shorthand is “heartfelt minimalism.” A sentence like, “I’m feeling overstimulated; can we pause for ten minutes?” communicates need without blame and invites collaboration rather than conflict. Lengthy monologues often obscure the core issue, whereas a concise statement, delivered kindly, helps both parties pivot toward solutions.

On the flip side, brevity that lacks tenderness can feel like dismissal. The secret is tone: speak with the softness you’d use to carry a fragile heirloom. When you combine clarity with compassion, even difficult truths land gently.

You’ve studied grief deeply. How does grief change the way we communicate?
Grief strips away polite veneers and exposes our raw humanity. It’s as if time slows and priorities reorder themselves overnight—suddenly small talk feels tone-deaf. The grieving need permission to express whatever arises, whether it’s anger, numbness, or unexpected laughter. Offering presence without prescriptions is crucial: bring food, fold laundry, or simply sit in silence. Words matter less than willingness to witness.

I’ve facilitated grief circles where the most healing moment wasn’t a profound insight but a collective exhale when someone said, “I don’t know how to do this,” and everyone nodded. Honest acknowledgments create communal courage.

How has social media reshaped our conversational habits?
Social platforms reward brevity, outrage, and instant gratification, training our brains to expect response times measured in milliseconds. The result is a generation adept at broadcasting but rusty at dialoguing. Nuance, tone, and facial cues—essential nutrients of communication—get lost in translation. Consequently, we have more “followers” but fewer felt connections.

I encourage clients to treat social-media engagement like dessert: enjoy it, but don’t build your diet around it. Prioritize face-to-face or voice-to-voice exchanges where empathy and nuance flourish.

Can you share a personal “lost-in-translation” texting moment?
An elderly aunt texted “LOL” after hearing a friend’s spouse had died, believing it meant “lots of love.” The bereaved friend read “laugh out loud” and was understandably devastated. We spent hours untangling that misunderstanding, which could have been avoided with a simple phone call. That episode became a family legend and a gentle reminder that technology saves time but can cost heart.

What daily practice strengthens authentic self-expression?
Mirror work is my cornerstone ritual. Each morning I stand before my reflection, make eye contact with my own soul, and declare aloud five affirmations tailored to that day’s challenges. Some days it’s, “I am resilient; I navigate change with grace.” Other days, “I am worthy of rest.” Speaking life over myself calibrates my nervous system for authenticity. It’s cognitive behavioral therapy meets soulful pep talk.

This practice also elevates my tolerance for vulnerability. If I can confess fears to my reflection, it’s easier to share them with a colleague, client, or loved one. Vulnerability is a muscle—the mirror is my weight rack.

How does vulnerability open doors to deeper connection?
Vulnerability is a silent invitation that says, “You’re safe to land here.” When I disclose a fear—say, the anxiety of steering a company after loss—it signals to others that perfection isn’t the entry fee for intimacy. In response, they often share hidden struggles, and suddenly we’re in a dialogue rather than a performance.

Practically, vulnerability accelerates problem-solving. Teams that feel safe admitting mistakes correct them faster. Couples who confess insecurities before they metastasize avert years of resentment. In essence, vulnerability is the express lane to authenticity.

Many people fear judgment. How can they share emotions without triggering conflict?
Begin with “I” statements and curiosity. “I felt overlooked when the meeting ended abruptly. Can you tell me what was happening for you?” shifts the conversation from accusation to exploration. Tone, posture, and pacing matter too: soften your shoulders, keep your voice steady, and allow pauses. These physical cues signal safety and de-escalate tension.

Another tool is pre-framing. Before diving into a delicate topic, ask, “Is now a good time for a vulnerable conversation?” Securing consent primes both nervous systems for constructive dialogue.

Any quick tip for becoming a better listener right now?
Adopt the 70/30 rule—listen 70 percent, speak 30. While listening, practice mental mirroring: silently repeat their key phrases to anchor attention. When they finish, paraphrase: “So your main concern is timeline, not budget—did I get that right?” This validates their experience and catches misinterpretations in real time.

If you struggle with interrupting, rest your tongue lightly against the roof of your mouth; it’s a physical reminder to stay silent until they’ve fully expressed.

Misunderstandings happen. What first step prevents them from spiraling?
Invoke a “sacred pause.” Breathe in for four counts, out for six. This activates the parasympathetic nervous system, widening the gap between stimulus and response. Then ask clarifying questions: “When you said X, did you mean Y or Z?” Most conflicts lose momentum once intentions are illuminated.

When conflict heats up, how do you cool it down?
Movement is my go-to remedy because adrenaline needs an exit ramp. A brisk five-minute walk or even switching physical seats can reset the energy. During that break, I encourage each person to journal a single line: “What outcome do I truly want?” Returning with that clarity turns confrontation into collaboration. If the rift feels too deep, I recommend a neutral facilitator—sometimes a skilled third party can translate emotional dialects we can’t decipher ourselves.

Rebuilding trust feels daunting. Where does one even begin?
Trust is like a savings account; you rebuild it through small, consistent deposits. Show up on time. Honor micro-promises. Protect confidences fiercely. Over months, compound interest accrues. Grand gestures can be lovely, but they rarely offset chronic overdrafts of reliability. Patience is vital—rebuilding trust is a marathon, not a sprint.

What if one partner is far less talkative than the other?
Different brains process intimacy through different modalities. One partner may speak love while the other does love—by repairing the sink or gassing up the car. Identify each other’s primary love languages and schedule “bridge moments.” For example, agree on a 15-minute daily ritual where the quieter partner speaks first and is not interrupted. Applaud every incremental step; nothing accelerates progress like celebrated progress.

How does gratitude influence relationship health?
Gratitude functions like sunlight for relational ecosystems. It photosynthesizes experiences—both sweet and sour—into emotional glucose that fuels connection. Couples who practice nightly “three appreciations” report higher relationship satisfaction and bounce back from conflict faster. Gratitude doesn’t paint problems pink; it provides the stamina to solve them.

Technology is here to stay. How can we harness it without losing our voice?
Curate tech boundaries like you curate healthy meals. Try a digital Sabbath: devices off for 24 hours each week. During meals, keep phones face-down or in another room. When nuances matter, swap texts for voice notes or, better yet, live video. Technology should extend, not replace, embodied presence.

For someone eager to deepen relationships but uncertain where to start, what’s step one?
Begin with a self-inventory. Ask, “What emotions am I comfortable sharing? Which ones do I suppress, and why?” Trace each tendency back to its root—family scripts, cultural narratives, past traumas. Journaling, therapy, or contemplative walks can illuminate these patterns. Self-awareness becomes a map for authentic connection; you can’t invite someone into rooms of your heart you haven’t visited yourself.

If you could leave readers with one golden rule for powerful communication, what would it be?
Listen to understand, not to reload. When we drop the agenda of winning and embrace the intention of witnessing, conversations transform from battlefields into laboratories for growth. Make listening your superpower, and every relationship—professional or personal—will rise to meet that frequency.

CarolAnn, thank you for sharing such rich, compassionate wisdom with our readers today.
The pleasure is truly mine, Stacey. Every meaningful conversation replenishes my belief that communication is the heartbeat of wellness. Thank you for inviting me, and I look forward to our next dialogue!

A trailblazer in bio-identical hormone replacement therapy (BHRT), CarolAnn Tutera is the president and CEO of SottoPelle® Therapy, the international medical company founded on her late husband Dr. Gino Tutera’s pioneering pellet method. She pairs this scientific legacy with a master’s-level background in spiritual counseling and psychology, hosting podcasts, workshops, and the “Augmented Teachings” platform to help people age vibrantly in body, mind, and spirit. From keynotes on resilience and grief transformation to media profiles that dub her the “Face of Hormone Replacement Therapy,” her mission is clear: restore hormonal balance, spark authentic connection, and empower every individual to live life fully at any stage.

From Grief to Grace: CarolAnn Tutera on Self-Confidence, Healing, and Embracing Your Authentic Self

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Thrive Global Article by Stacey Chillemi – Original Article: https://community.thriveglobal.com/from-grief-to-grace-carolann-tutera-on-self-confidence-healing-and-embracing-your-authentic-self/

In this inspiring interview, CarolAnn Tutera shares her transformative journey from grief and self-doubt to empowerment, offering powerful insights on healing, self-love, and building lasting confidence.

“Confidence isn’t something you’re born with—it’s something you build, one brave step, one healing moment, and one loving thought at a time.”

— CarolAnn Tutera

In a world where confidence can be shaken by past traumas, personal losses, and societal pressures, CarolAnn Tutera stands as a beacon of resilience and transformation. As the co-founder of SottoPelle Therapy, she not only pioneered a groundbreaking approach to hormone therapy but also emerged as a powerful voice for emotional healing and inner empowerment. After the loss of her husband, CarolAnn was faced with the daunting task of carrying their shared legacy forward—alone. Instead of shrinking back, she stepped up, rediscovered her voice, and became the face of a company that helps countless individuals live healthier, more vibrant lives. Her story is one of deep personal evolution, rooted in grief, but blooming in purpose.

In this heart-opening interview, CarolAnn shares the raw and relatable journey of how she built her self-confidence from the ground up. From her early days as a shy, anxious child to becoming a national thought leader and wellness advocate, CarolAnn opens up about the affirmations, journaling practices, grief work, and daily habits that helped her reclaim her power. With wisdom steeped in experience and spiritual insight, she explores the emotional process of healing from childhood wounds, navigating social media toxicity, and creating supportive environments that fuel confidence. Her insights are a powerful reminder that it’s never too late to rewrite your story—and that healing begins from within.

 

Thank you so much for joining us, CarolAnn! Our readers would love to get to know you a bit better. Can you tell us a bit about your backstory?

 

Thank you, Stacey. It’s an honor to be here. I’m CarolAnn Tutera, and I’m the co-founder of SottoPelle Therapy. I started the company with my late husband, and we’ve been dedicated to helping people balance their hormones naturally and effectively using bio-identical hormone replacement therapy—specifically, small pellets placed under the skin that the body absorbs 24/7. We’ve trained providers across the globe since the late 1990s. After losing my husband, I chose to step into the forefront and continue his legacy. That journey, while difficult, helped shape who I am today. It’s kept me grounded and inspired to keep growing.

 

Were you always a confident person, or was confidence something that evolved throughout your life?

Confidence didn’t come naturally to me. As a child, I was extremely shy. I had a hard time going to school—I’d get physically sick from the anxiety of leaving home. My mom would have to walk me to the end of the driveway just to get me to go. I was so attached to the comfort and safety of home. Even through college and into my first marriage, I remained quiet and introverted, often deferring to others. It wasn’t until after my divorce that I found my voice. It started with anger, which was the only emotion I felt I could truly express at the time. I was in therapy, and I remember my therapist telling me, “I can hear your words, but your face doesn’t match them.” That was a powerful wake-up call. From that point on, I made it a personal mission to connect my words with my feelings and step into my authenticity.

 

What helped you transition into a more confident version of yourself after that turning point?

For me, the transformation really began with self-awareness. I had to learn how to be myself—not the person behind someone else, but the one standing fully in her own light. After my husband passed away, I was faced with a defining question: Do I fade into the background, or do I step up and lead? It wasn’t easy, but with the encouragement of friends who believed in me, I made the choice to be the face of the company. Since then, I’ve been recognized in Phoenix Magazine five years in a row as a leader in hormone replacement therapy. That didn’t happen overnight. It took courage, inner work, and a willingness to stretch beyond my comfort zone.

 

What are some specific practices that helped you boost your self-esteem?

Affirmations were a huge part of my journey. Every morning, I would repeat positive affirmations—statements that reminded me of my worth, strength, and capabilities. I paired those with reading spiritual texts and thought-provoking lessons that helped center my mind. Another major tool was journaling. I’d sit down, open a blank document or notebook, and just let my thoughts pour out without judgment. It was surprising what surfaced when I gave myself the space to just be. Writing became a healing ritual for me, one that allowed me to process emotions, gain clarity, and strengthen my relationship with myself.

 

Do you believe journaling is a therapeutic tool for confidence-building?

Absolutely. Journaling is one of the most powerful ways to release what’s weighing you down. When you give yourself permission to write without filters, you tap into your truth. For those struggling with low self-esteem or self-doubt, journaling provides an outlet to express pain, fear, or old narratives—and once it’s on paper, you begin to detach from it. It’s incredibly healing to externalize those feelings instead of bottling them up. In many ways, journaling is like talking to your soul.

 

How did you deal with emotions like anger that surfaced during this process?

That was a big hurdle for me. I had so much suppressed anger after my divorce. I had to learn how to release it in healthy ways. I’d beat a pillow, scream in my car, or even use a rubber bat on a soft surface—safely, of course. It sounds intense, but that kind of emotional release helped me move the energy out of my body. Exercise also played a big role. I used to run hard on the treadmill, and now I walk briskly. Movement gives emotions a way out. Over time, I also learned how to identify and transform those emotions through gratitude. I had a friend who taught me the power of being thankful for everything, even the difficult moments. That energy shift changed everything for me.

 

Besides journaling and affirmations, what else helped you build your confidence?

I made it a practice to put myself in situations where I had to show up. Whether it was a social event or a business function, I’d challenge myself to engage with at least one person. As a former teacher, I used to tell my second and third graders, “If you have a question, ask it—chances are five others are thinking the same thing.” That principle stuck with me. At any event, there’s always someone else who feels just as nervous as you do. Taking that first step builds confidence. With every interaction, I grew more comfortable being seen and heard.

 

How do you think society influences our confidence today—especially through social media?

We’ve become so quick to focus on the negative. Social media, unfortunately, can amplify that. I see more and more people turning off their comments because they don’t want to be on the receiving end of cruelty or judgment. We’ve created a culture where tearing someone down is normalized. But imagine how powerful it would be if we did the opposite—if we gave more compliments, shared more kindness. “I love your outfit,” “Your energy is beautiful,” “You’re doing great”—those simple words can change someone’s entire day. When you uplift others, you uplift yourself.

 

That’s such a beautiful mindset. How do you personally handle negative comments or challenges to your self-esteem?

Honestly, it still gets to me sometimes. I’m human, and I feel things deeply. But I’ve learned that it’s all just energy—and I get to choose where I focus mine. I listen to Michael Singer during my walks, and one of his teachings that resonated with me was finding a word—any word—that grounds you. Repeat it over and over when negativity tries to creep in. It helps me stay centered and redirects my mind toward positivity. It’s not about ignoring the tough moments—it’s about giving yourself tools to handle them with grace.

 

What advice do you have for people who’ve grown up being told they weren’t good enough?

That’s a powerful question. So many people are carrying wounds from childhood—emotional, verbal, even physical wounds—and they don’t realize that they’re grieving. They’re grieving the version of themselves that was mistreated or misunderstood. Healing starts when you acknowledge that grief. Write a letter to your younger self. Tell them they were worthy all along. Tell them they are loved and safe now. Grieving that loss is necessary. Only then can you start to rebuild your self-worth.

 

Do you think inner child work is essential for personal growth?

I do. We may think we’ve moved past our childhood, but so many of our adult behaviors are rooted in those early years. That little version of us still exists inside. We carry their pain, their fears, their beliefs. Doing the work to comfort and heal that inner child is incredibly liberating. And it allows us to create healthier relationships—not just with others, but with ourselves.

 

How can people begin to reframe their negative beliefs and begin healing?

Start by accepting where you are without judgment. If you grew up in a home where you were constantly criticized, it’s likely you’re replaying those same patterns now—whether in how you treat yourself or in your relationships. Recognize it, and remind yourself that you’re not that child anymore. You’re not powerless. You can create a new narrative. You can love yourself. And you can tell yourself, “I can handle this.” That one sentence alone can shift everything.

 

What are your thoughts on rebuilding friendships and finding support later in life?

It can be a challenge, especially as we get older, but it’s absolutely possible. The key is to pursue activities that bring you joy—join a book club, take a cooking class, try pickleball, whatever lights you up. When you’re doing what you love, you’ll naturally meet like-minded people. And those connections often turn into lasting friendships.

 

What is your biggest takeaway for people struggling with low self-confidence?

The foundation of confidence is love—starting with self-love. You have to love and accept yourself fully. Obstacles will come. People will say hurtful things. But if you’re grounded in love and surrounded by supportive people, you’ll be able to weather those storms. Look at who you’ve surrounded yourself with. Are they lifting you up? If not, it’s time to reassess. You can choose who you become and how you live. That power is always within you.

 

For someone who wants to maintain their confidence long-term, what’s your best piece of advice?

Stay curious. Keep learning. Surround yourself with people who mirror the best in you. And remember, confidence isn’t a destination—it’s a daily practice. Each day is a chance to step into your worth, speak your truth, and embrace the life you’re building. Don’t be afraid to start over. In fact, starting over might just lead you exactly where you’re meant to be.

 

How can our readers further follow your work online?

You can find me on our website: www.sottopelletherapy.com. There’s a contact page there where you can reach out, learn more about what we do, and stay connected with our work and message. Whether you’re curious about hormone therapy or just seeking guidance on your journey, I’m here to help.

 

CarolAnn, thank you so much for this deeply inspiring and soul-nourishing conversation. Your vulnerability, wisdom, and tools for building confidence are such a gift to our readers.

Thank you, Stacey. It’s been a true pleasure. I’m so grateful for this opportunity to share from the heart. Let’s keep lifting each other up—because we’re all in this journey together.

CarolAnn Tutera is the co-founder and CEO of SottoPelle Therapy, a pioneering hormone replacement therapy company that has transformed the lives of thousands globally. With decades of experience in wellness and personal development, CarolAnn has become a respected voice in both the medical and personal transformation communities. After the passing of her husband, she stepped into a leadership role, carrying forward their shared vision while also navigating her own journey of grief and self-discovery. Known for her compassionate approach, spiritual insight, and empowering message, CarolAnn is passionate about helping others reclaim their confidence, heal from within, and live authentically.