DOs & DON'Ts of Treating Narcissism | IGOR WEINBERG

[@lorenzrosenthal119]

he seems like a very empathic and good therapist!

[@BlackCoffeeee]

This is gold. The dismissive detachment probably got us labelled as shallow, unreachable and incurable. 😢

[@doreenplischke2169]

Yes. Indeed.

[@ThreetwoOne-wu7ye]

shallow and evil.... nice of them

[@BlackCoffeeee]

@@ThreetwoOne-wu7ye Evil? Oh dear. 🙄 Perhaps instead of scientifically treating this disorder we should shake some maracas and incense at them? I'm glad we live in the stone age.

[@alizaofbrooklyn]

So good - as always. “Dismissive attachment” That really struck me.

[@adhdself-love]

Wow, I want him to be my therapist!

[@herbieshine1312]

As always Thank you

[@adip6476]

I want to treat my own NPD but I have no access to therapists. What can I do? I am on the brink of suicide. I have as well other personality disorders, like Avoident personality disorders and Dependent personality disorders.

[@corycoppersmith1789]

I certainly hope that your life hasn't handed you three personality disorders and that while you may have avoidant, dependent, or narcissistic patterns, you don't have full blown disorders. I'm an LCSW and its extraordinarily unusual to have anybody with NPD self-identify with the disorder. It's almost categorically impossible for narcissists to recognize that they have a problem, even when they have burned down other people's lives and made a personal hell out of their own. When you say you have no access to therapists, what do you mean?

[@adip6476]

@@corycoppersmith1789 I had interviews, but no spots left, queues are like 2 years, very few of the therapists specialised in trauma especially childhood trauma, how many therapists of the ones left can treat my disorders? No one wants or can help me…

[@kathyk1814]

Seems like you drank the Kool-Aid. Many narcissists can self identify -- if you read enough comments on KZbin you will find them. You may not be ready at this time to work with them, but after much experience with patients, you may be able to see things differently.

[@kenyabarley422]

@adip6476 I hope you will find a therapist to help soon. Wishing you success. Call a crisis hotline in the meantime to help you until you can find a therapist.

[@miguelmarcos1971]

Avoidant, dependent, narcissistic, suicidal. Are you sure it isn't BPD+ NPD or just BPD?

[@jackhunter4534]

This would be way cooler if he talked like Bobcat Goldthwait. Excellent information!

[@slofty]

It confuses me that guanfacine is rarely talked about as an adjunct to talk therapy, aside from it being a risk when treating those prone to impulsivity as one must avoid alcohol with this medication. Cluster B disorders and PFC (frontal lobe of he brain) hypoactivity are hand-in-hand most of the time. _Edited for a typo_

[@NaNa-re3wc]

It is used for CPTSD/PTSD or sometimes panic/anxiety disorders. Clonidine is another hypertensive blood pressure medication that is used. I first heard about it from my previous nurse practitioner (I haven’t taken meds in a long time). I read about it in the book The Boy Who Was Raised As A Dog as well.

[@ayembic7933]

what does guanfacine do for a person with narcissistic pathology?

[@slofty]

@@ayembic7933 The mechanisms are unknown as guanfacine's principle purpose was for cardiovascular issues. Still, some report benefits with executive functioning especially when it is used in conjunction with a neurostimulant for ADHD. Some things for you to look into (the comments are not for essays): •Narcissistic personality disorder neuroscience •Narcissistic personality executive functioning/functions •mPFC hypoactivation narcissism Lots of stuff to search and read about as neuroscience continues to shed new light into disorders previously thought to be predominantly (not entirely) of a mental association.

[@ThreetwoOne-wu7ye]

Cluster B? have they checked the brain of the 2 other clusters? Paranoiac PD is more explosive or as ASPD. Avoidant PD is actually NPD (vulnerable). The DSM is a shame.

[@slofty]

@@ThreetwoOne-wu7ye Psych stuff is language and semantics, not science. They are descriptors based upon presentation (affect) and behavior. This doesn't mean neuroscience will displace all modes of categorical classification, just that a society has pre-existing priorities that new knowledge and discovery will comport with in a semiotic sense.The big shift that became the DSM-III in 1980 is quite the exemplar here, for starters. I know that sounds pretty salad-y but dig deeper and that's what it comes down to, albeit in a way that is much, much more verbose.

[@kevinhornbuckle]

This is a very informed discussion. So much valuable clinical wisdom.

[@marvinsmith9039]

Very useful information. Thanks!!

[@doreenplischke2169]

Hmm…strange comment. But also pertinent. Because it hits the ‘nail on the head’…who would make such comment? By proxy the one who is disordered…prob. How paradoxical. Then why are you here lol? 🤷🏻‍♀️🫶🏼

[@marvinsmith9039]

IMO we are all disordered to some degree, in one way or another. @@doreenplischke2169

[@nts_slmc]

@@doreenplischke2169 Forme the strange comment is yours. Here we are people looking for useful information to help a loved one. Check your emphaty before add poison to a person comment.

[@doreenplischke2169]

Excellent!!!

[@Peace-d6r]

Especially if a lot of them actually habe undiagnosed learning disabilities andnneurodivergencies like adhd. Latness etc

[@magdam8290]

What is "latness" ?

[@slofty]

​@@magdam8290Lateness. Common issue of those with impulse control / executive functioning disorders that are highly comorbid with personality disorder in general.

[@aboetarikske]

I do have ADD as well.

[@BlackCoffeeee]

I have dyslexia and some other learning difficulties. I had no idea that there may be such links with my NPD.

[@magdam8290]

@@BlackCoffeeee npd and learning difficulties are two different, separate conditions with no connection. You can have both but it doesn't mean they're interwined.

[@Star-dj1kw]

✅

[@nikolt2000]

Helppp

[@figgettit]

don't send them to a shrink. finishing school for narcissism.

[@aboetarikske]

I'm making a signaling plan now so I'm speaking for myself and you could too.

[@kevinhornbuckle]

toosh, eh?

[@NaNa-re3wc]

I suppose you can just use your magic fairy wand to help them instead, huh.

[@crispaynoodIes]

I think if the narcissist comes in already diagnosed, or if the therapist is good and sees through the narcissistic defenses for what they are, it's much easier for the therapist to work with them and not feed into the "ego" (defense mechanism). It takes a good therapist though to work with this population. Certainly a therapist without the training could make the problem worse, but you could say that about most patients.

[@ThreetwoOne-wu7ye]

No. Just leave us alone. Thank you.