What is Narcissism Part 1: The Problem with NPD

[@healnpd]

I will remove comments that are abusive to any individual (including myself) or population. This includes comments that are abusive toward pwNPD.

[@XKenny77]

Thank you so much. I searched for some self help for my NPD (because the NHS and private therapists have deemed me untreatable) and almost everything out there is not about the person with the problem, but about "surviving" the narcissist. Just knowing that someone, anyone is actually trying to help is a huge comfort.

[@healnpd]

I think anything is treatable if the person is motivated and willing. The fact that you seem to be looking for help is a very good sign. Best of luck in your journey of healing and recovery.

[@XKenny77]

@@healnpd Thanks. The NHS' reasoning was that I hadn't had great success with a short course of CBT a decade ago. Ironically enough, I had suggested then that a PD described my symptoms better than depression. I was told it was impossible that I had a PD. 🙄 Is there a part 2 of this video coming?

[@healnpd]

@@XKenny77 Many people, even clinicians, don’t understand the relationship between narcissism and depression. Part 2 is coming later this week. :)

[@QuidamByMoonlight]

I agree. I have had some challenging relationships with people who are high in trait narcissism, but I’m getting sick and tired of people treating people like this as sub-human. We all have struggles and things to work on, and I also appreciate him for taking a more analytical and optimistic approach to these challenges!

[@QuidamByMoonlight]

Best wishes to you!

[@opposingshore9322]

I am an ex-partner of a 6 year relationship with a woman who would certainly be diagnosed with NPD, of the covert/vulnerable variety, I can share what it looks like from the inside. Alcoholism, suicide attempt after going sober, nearly constant anxiety and rumination, OCD, depression, IBS, hypochondria, autoimmune skin conditions, chronic dissatisfaction, loads of envy, shame, self-loathing, crippling insecurity, relative comparison, entitlement, exploitative manipulation, social awkwardness, selfish impulsivity, shocking lack of empathy and morals, total lack of object constancy, inconsistent emotions, indecisiveness, and the emotional intelligence of a five year old. Although she treated me with more cruelty than I've ever experienced in my life and nearly shattered me emotionally after our breakup, I don't hate her or resent her- I understand that she is broken inside and that this formed as a survival defense at a very young age. She was likely molested by her father, hated/resented by her mother, watched her closest childhood friend die in front of her, grew up in poverty, and feels like an imposter in every environment she operates in. I can't even imagine how it feels to go through life like that. I will never have any contact with her again for my own safety, but I wish her no ill will and can only feel sorry for her now. Education helps reframe the narrative- these people are not evil demons, they are very psychologically disturbed and often have no idea what is wrong with them (even though they do know something is wrong).

[@virgochick1]

@@Wasp239 My ex-husband was a grandiose narc and alcoholic. He died 2 months ago from stage 4 cirrhosis. Me and our oldest son are both relieved he is dead. It may be a mental illness but it does not change the fact that he did immense damage to our family.

[@funnylittlecreature]

⁠@@virgochick1Yes, but it can prevent people like your ex husband from ever doing anything like that again. You're allowed to heal, you're allowed to realize that what he did was wrong. Just allow yourself to accept that videos like this can prevent people with the issues that your husband had from going to those same lows.

[@hugosolomon3188]

As someone who is experiencing the social, emotional, and empathic detriments as a result of my narcissism, understanding that I’m not an inherently evil or horrible person has been extremely cathartic. Without looking for a handy excuse to vindicate my actions, I can say that coming to understanding the link between my childhood turmoil and present day distress is invaluable. Thank you so much for your compassionate work.

[@healnpd]

@Hugosolomon3188 Thanks for letting me know. My best to you on your journey of healing.

[@Thenamelessnarcissist]

As someone diagnosed with NPD thank you for this video. My disorder is, unpleasant, to say the least. But people are more comfortable viewing it as a reason their ex was shitty to them rather than a severe psychiatric condition. I hope you continue this series, so far it has said things that desperately need to be said.

[@healnpd]

The stigma and vilification surrounding narcissism is unbelievable. Many would be shocked to know that they are actively stigmatizing a vulnerable population. Narcissism is correlated with depression, anxiety, substance use, self-harm, and suicide - which is the topic of an upcoming video. Best wishes to you in your journey of healing and recovery.

[@religiohominilupus5259]

Thanks for bringing this channel to your own viewers' attention!

[@myheartisinjapan3184]

I agree with you! I have a very good friend that suffers with this disorder. Other friends of mine have a hard time understanding why I still “deal with his b.s.”…I view it as just another mental disorder. (I don’t mean that in a derogatory way). I would no more completely discard and turn my back on this person than I would do so to a friend who had extreme depression, agoraphobia, etc etc. I think it is awful that most people do not realize that people with this disorder SUFFER TERRIBLY. While their interactions with others are def not the “norm”, we have to learn to accept them with all of their faults (because we ALL HAVE SOME), and stick by them regardless, as any good friend would. I have a feeling my friend has not had a old friend to stick by him before. I’m that one. And I can tell how much he truly appreciates me. Peace to all of you suffering with this disorder. By the way, Nameless Narcissist, I enjoy your channel too immensely.

[@Buttercup-vw2zo]

Are you kidding me? Narcissists do Horrific damage to other people. It doesnt help that people like you dont recognize that Narcissistic abuse is REAL

[@Thenamelessnarcissist]

@@Buttercup-vw2zo I've never denied that people with NPD can (and do) hurt people, but that doesn't mean it's not a serious mental health condition that damages the people living with it. I Highly recommend heal NPD's series here on the topic. It will give alot of insight how it's a little more nuanced than it's often portrayed. I hope you have a good day

[@debbiebirtch4477]

This is the video I have been waiting my whole life for. In two weeks I will be 65 years old. A lifetime of misery explained. Thank you.

[@healnpd]

I'm so glad that this has been helpful to you. It sounds like you've been through a lot.

[@saintejeannedarc9460]

Wow, I'm so glad to see your comment. I'm thinking to tell my ex, who is 60, that I think he has some level of NPD. The fact you can seemingly embrace this information w/ relief at your age too, makes me think it might be of some help to him. Hard to know if you'll see this comment a year later, but if you do, I'd love to know how are now and if you were able to get some sort of help, and/or qualified counseling for it?

[@BenCullinan]

Your analogy of a drowning person is probably the best way of describing this condition. My experience of being in a relationship with these individuals is a keen sense of their distress

[@evelynpsychotic8108]

As someone with NPD in a relationship with someone else with NPD, I think this video was pretty good, keep it up!

[@healnpd]

Thanks, and glad it was helpful. Be sure to check out Part 2!

[@pandaunicorn]

finding this a few months after diagnosis. hoping i can find some healing and help. there is a disturbing lack of resources for those of us with NPD. we are still humans, still likely hurting, even if some of us may hurt others. thank you for the kinder approach to this.

[@marxistliam]

You can't even begin to grasp how helpful and appreciated your content is by many, thank you

[@tatelang6155]

Thank you so much for making this! I've been researching narcissism because I started to suspect that I could be a covert narc and maybe my mom is too. After seeing a lot of these traits in myself I'm really worried. The sensationalized videos and books telling how to "get revenge on the narcissist" always struck me as narcissistic themselves because they are essentially doing the same behaviors in response. Idk what to believe anymore because so many people seem narcissistic to me, myself very much included in that boat. Maybe we need to remove the word from our vocabulary because so much of this is a result of childhood trauma in my opinion. Your videos give me hope and are needed in this current social environment so we can all develop more empathy and understanding for this stuff.

[@aldovirooo]

Thank you. I have NPD and it is rare to find anything good online about it. I appreciate your content a lot.

[@healnpd]

You are so welcome!

[@A10011]

You have one of the clearest and best use of language/choice or words that I have ever heard- on any topic.

[@recoveringsoul755]

I imagine the reason for the backlash is because the dangerous ones cause SO MUCH damage to really good people. After trying to wrap my head around it for over a decade, I've come to a place where i know it's a coping mechanism for him. But he knew he was hurting me and didn't stop. Strangled, death threats, took a baseball bat to me. And left me with nothing. Lied in court, endless court so i can't fight back. I'll die by poverty and starvation decades too soon. And i don't imagine he will care. I'm not sure why the victims (and one of these bad ones can create so many victims in their lifetime) are supposed to continue to have empathy for them when they have none for us. They know what they do is wrong, and that's why its done in secret. But they don't try to stop. I'm glad that dome are aware they have this snd trying to improve. Sadly the one I'll never be free fom won't ever admit anything. From what i gather, most narcissists are unaware they have a problem. And many of the people they manipulate are also unaware. It took me a long time to figure it out. The damage is so severe I'll never regain what i lost

[@beverleyharkin3943]

I’m so glad I came across your videos. After watching countless videos from people who demonise people with NPD I now realise these people probably don’t have NPD. I’ve learnt from you that NPD is rare and it’s a mental condition and should therefore be viewed with a sympathetic approach and a better understanding which in turn would really help these unfortunate individuals and enlighten the general population. I’m very grateful for your knowledge, wisdom and teaching.

[@JessCyph]

Love this. Best series I’ve seen on narcissism yet. I hope you’ll create more videos more frequently in the near future. The world needs more accurate information about what NPD actually is.

[@healnpd]

Thanks 🙂

[@JoeMcKenzie888]

That's why I like psychoanalysis so much more than these lists of symptoms. You can really dive deeply with psychoanalysis.

[@isabellerivest4557]

Unfortunatly, I think most narcissistic people never realize they have a problem. I also think it's a waste of time to try to make them admit they destroy other people. It makes my hart bleed, because I believe both my parents to be narcicssitic. I stopped seing them but I feel a lot of sadness and loneliness.

[@saintejeannedarc9460]

Listening to the self aware narcissist channels, they do seem to know they have a problem and they know they are different, long before they accept a diagnosis. It would be very hard to accept this diagnosis, esp. w/ the stigma attached to to it. My mother is probably one too and likely my ex of 10 years. I would not try to tell my mother, she's 75 now. I stumble along in a relationship w/ her as best I can. Knowing she probably has this does help me to not take her actions so personally. I'd learned long ago to not expect any real mothering from her. W/ my ex, I think I will try to tell him. There is some small chance he would seek therapy or at least look into it.

[@Leah-i1e]

The public is, by now, a little more knowledgeable than you think. A good movie about narcissism is "Dead by Sunset.". It's the far more accurate depiction of narcissism than those Hollywood stereotypes.

[@acushlanarayanan9863]

Very uplifting video, Dr. Ettensohn! Thank you so much for making these. I know a disordered state assumes impairment of everyday functioning. But my guess is that there are people who are challenged in the same way as those with NPD are, but to a far lesser degree, who can also benefit. Lack of empathy has been demonized for centuries, although people tend to focus more on grandiosity when they throw their stones. But empathy and compassion are as different as day and night. That's a digression, I know. I look forward to watching more of your videos.

[@jaialaiwarrior]

Please heal my ex. I would have loved for her to have somehow become actually open enough to express and explore the vulnerability and brokenness she mentioned so often but briefly and always obscured by the explosive outbursts. I can never stop thinking of ways that the insight into the wounds and injuries could have been engaged constructively before the defenses took over entirely.

[@bluedogfish2]

I havnt read any HG Tudors books but all his videos on the cluster B are spot on. I highly suggest watching his videos you will get the understanding you are seeking, I spent 27 years with a covert malignant narcissist ( mid ranger)

[@karin5374]

I found HG Tudor’s classification system extremely helpful in understanding what was happening to me.

[@Enjoytheshow435]

The narcissistic protective false self is very good that even the DSM bought it lol The DSM that was put by psychologists who supposed to see through and analyze people only describes the facade! How ironic!

[@healnpd]

Ironic, indeed.

[@EmbraceTerror]

And my favorite is the last section in DSM-5:. "Other Considerations ..." such as various relationships or types of abuses that clients may also discuss in therapy. AHAHAHA!!! QWACKS ME UP!! The APA did a great job of following Spitzer (1980, DSM-III) of not mentioning causation. I need a tissue!!!

[@tillygrace63]

been looking far and wide for the answers i needed and only after finding your podcast have i found my answer i needed. the crazy stereotypes were the only thing stopping me from getting the help i need!! thank you so much for your work there are real people you're helping ❤❤❤

[@saintejeannedarc9460]

I'm so glad you're finding answers now and that you were looking for them. Can you share what got you on the road to looking? Any sharing you feel to do could help yet more people. There seems to be a growing network online that is willing to see you as a person struggling w/ something really difficult. We come from both ends, those that share the disorder and also seeking help, and those that love people w/ the disorder seeking to not take the difficulties so personally. I'm so over the "narc abuse channels" for a number of reasons.

[@galavignoli2517]

The Fact that this is a mental disorder, does not change the fact of the damage they cause. We can try to have a balance view but when someone is cruel and dangerous.....it is very difficult....I personaly, try have both ideas in mind. One does not erase the other.

[@PasaulioValdovas]

Thank you for this content. I believe that I have actual NPD with all the suffering that comes with it. I look forward to your next videos. Subscribed ♥️

[@healnpd]

Thank for the feedback. The second part of this series should be available next week. :)

[@Love.Wins.Always]

I’m only 5:26 min in and I love the compassion you speak and obviously hold (not just words). I can hear it and see it in your expressions. I am close with someone I believe to have a personality disorder and this person is just starting to get some help. I see the struggle and torment they l live with on a regular basis. Thank you for this. I will continue listening. I want to learn more so that I can have a better understanding and more compassion and to also find ways to help that are truly helpful.

[@Lila-tu2eg]

Thank you for this! The DSM criteria suck and probably stop a lot of people getting any self awareness. I definitely didn't identify with the self loving stuff. Trying to be perfect, rather than being a person with needs isn't a very loving experience.🙈

[@saintejeannedarc9460]

Does that mean you're one of the surprisingly many self aware people diagnosed w/ NPD? Have you got in therapy and it's helped you. Those of us who have had painful dealings w/ them are trying to understand too. There's little hope given out there for those diagnosed, or those that love them, so I really hope channels like this grow. There needs to be a balance against the plethora of channels that only talk of narcissist abuse. I'd like to see the people struggling w/ it portrayed as people that can be helped as well.

[@themasculinismmovement]

We do have empathy but it is sporadic. We may have it at the wrong times, like having way too much of it for the wrong people, such as a fictional character in a film who makes us break down crying because we relate to their suffering...and then we may not have empathy at the right times for the right people, like our own loved ones who we are causing suffering. We do not choose to do this, it's an impairment of the empathy centers in our brains, it just comes and goes, and we may not realize it until a long time later.

[@religiohominilupus5259]

Thank you for bringing up the stigmatization of NPD (and Cluster Bs in general, for that matter) within the professional community, which unfortunately still seems prevalent. It's definitely one of the reasons why pwCluster Bs are reluctant to seek professional help. Also, psychodynamic therapy is underrated, imo. Do you solely specialize in NPD, or could you address AsPD as well? Either way, looking forward to more videos on your channel!

[@healnpd]

I specialize in narcissism, but like most therapists I also work with a wide range of issues. I wouldn’t be opposed to making a video on AsPD, but it would likely be as it relates to NPD.

[@religiohominilupus5259]

@@healnpd Thanks for your reply! A video about AsPD as it relates to NPD sounds good too. Since traits often overlap, your content, even if focused on NPD alone, might be helpful to other Cluster Bs as well. Thank you for creating this channel!

[@sweet2sourr]

As a person with Borderline Personality Disorder it makes sense that people with Narcissistic personality disorder would function how they do based on childhood and how they were raised. Just like the borderline, histrionic, or Antisocial. Borderlines are demonized but not to the extent as people with NPD.

[@ali_haidar_313]

Yes it's very horrible how we are demonized in this internet stuff

[@lovelightstarboy]

BPD is a bit more acceptable nowadays. NPD and ASPD get the extreme short end of the stick. Histrionic isn’t even talked about, honestly. And almost treated like an extension of NPD. It’s to the point where even BPD folks turn on and demonize their fellow cluster b’s because they want to be good in the eyes of society.

[@hbq76]

There is so much confusion regarding 'narcissism' that if even an authoritative source uses the word, one can never be very sure what they mean. Regarding the DSM-5's description of NPD, it strikes me as a description of psychopathy; specifically factor 1 of the psychopathic personality (affective and interpersonal features). The low prevalence rate of

[@AnimosityIncarnate]

Correct.. Check out the r/psychopathy sub and r/sociopath, especially the wiki of the subs. They explain the nuances and have a massive compilation of literature, and can explain any questions you may have!

[@neonnightr1der]

thank you dr. Ettensohn for this video. What do you think about psychiatrists or therapists not diagnosing somebody with NPD because they're "too self-aware" clients? Is it possible somebody might be self-aware enough to realize they have a personality disorder? And will you talk about vulnerable narcissism next?

[@healnpd]

I don’t think that diagnosing someone with NPD should hinge on whether or not they are aware of their psychopathology. This in some ways gets back to the issues the video discusses with the current diagnostic model for NPD. In combination with public and even clinical stigma (yes, that’s also a thing), the current criteria may lead some clinicians to assume that all narcissists fit a certain mold: callous, arrogant, insensitive, and indifferent to the harm they may cause others. While some narcissists present this way, many do not. I think a fair share of narcissists (especially those with more vulnerable features of the disorder) are probably aware that they have significant mental health issues and may have even identified those issues as narcissistic. Clinicians should always listen to their patients. There’s a great quote by Heinz Kohut (an analyst who specialized in narcissism and founded Self Psychology), “If there is one lesson that I have learned during my life as an analyst, it is the lesson that what my patients tell me is likely to be true - that many times when I believed I was right and my patients were wrong, it turned out, though often only after a prolonged search, that my rightness was superficial whereas their rightness was profound.” Stay tuned for part 2 of this video series, which will discuss vulnerable presentations of NPD. It should drop sometime this week. :)

[@brendamonjaras8733]

Thank you for a different narration on this phenomenon on Narcissism. I truly enjoyed it.

[@saintejeannedarc9460]

I really enjoy it too. Not sure which end of NPD you are, whether suffering w/ it or suffering from attempting to deal w/ and understand a person you love w/ it. This kind doctor seems to help both.

[@brendamonjaras8733]

@@saintejeannedarc9460 Neither. I am a professor on Narc Abuse and healing

[@saintejeannedarc9460]

@@brendamonjaras8733 How do you mean a professor, as in you teach it in university or college? You mentioned a Dr. Ettonsohn has a different take on the top, I take it this is largely not what they teach when they potentially are training therapists?

[@katieandnick4113]

@@brendamonjaras8733interesting how they assume you must be a narcissist in order to have interest in this video. I guess that’s a testament to how rare empathy is.

[@JoshuaAHolmes]

This is fantastic. I am researching mentalisation and theory of mind. Do you have any recourses on how mentalisation impacts people who experience difficulties with mental illness? Thank you. Your information and knowledge are empowering ❤

[@michaelmaccarone1462]

This video is amazing! Wow!

[@A10011]

At last a critical and balanced analysis.

[@i.ehrenfest349]

Breath of fresh air. And of rationality.

[@karenholmes6565]

I am glad your channel exists as a way to give people that suffer from narcissism a sympathetic view on their disorder. I do have to push back on a couple of items though. I have been academically trained to question arguments like you are making in this video. First of all, you make the claim that people with NPD are exceedingly rare even though their depiction in the media is prevalent. There are two points I would make to counter that. Fictional stories are about conflict. You don't get conflict without having good guys and bad guys. It is not the fault of storytellers that the description of NPD is also a list of visible traits of villains. Secondly I would like to push back on the very notion that narcissists are exceedingly rare. The problem with this is that narcissists rarely seek therapy to treat their personality disorders. If a person is in complete denial of their own flaws they will not admit they have them long enough to visit a therapist. I would argue strongly that the numbers of diagnosed individuals is anything like the reality of how many people actually have this disorder. People with NPD are resistant to seeking therapy, and you cannot get help unless you admit there is a problem. And that is really the crux of why the victims of narcissism get all of the attention, and not those who have this terrible mental health problem, because it is the victims that are being disordered by the disorder, perhaps in some ways more than the narcissist is. This is the heartbreak of loving a narcissist. You have to own the fact that you cannot fix them. So many people that love a narcissist will allow themselves to be abused because they hope the narcissist will change. The reason why so many experts are out there telling people that the narcissist won't change is because most of them never do. Watching your videos is going to be very hard for some people. I have a family member that I asked to go to therapy with me as a last ditch effort to mend our relationship. She laughed at me and told me she didn't need therapy, but that I had every mental illness ever documented, so I should go. She is not a Disney villain. I love her. But the hope that she will be able to have some sort of meaningful relationship with me as died. Here I sit, no contact, and its been 2 years. It hurts more as time goes on. I feel like she died. Part of me is watching this video and having a seed of hope. When Pandora opened her box all the evils of the world were unleashed and she managed to shut it before hope escaped. Perhaps we'd all be better off if hope escaped too. Because hope can be a dangerous thing.

[@aycha_1449]

Wowww, I am so happy to have been redirected to your videos from a reddit post! ^_^ All these prevalent definitions of NPD kept me tormented and stuck for years in the same patterns of abuse, because I did not recognise people around me to fit anything of the DSM5 and popular definitions - although the "outcomes" fit those discussed online. I had a breakthrough months ago, but still, it is good to find a space online where I am allowed to try to understand my pwNPD from a place of love and caring, and try to reposition myself in the relationship with them and myself starting from there. I want to find ways to healing myself which include them, not which demonise them.

[@sdeb3333]

Sir how do I find a sensitive therapist in India? He doesn't understand English. He agreed to get therapy but I can't find anybody who speaks bengali or hindi and is an expert in npd.

[@themakuachronicles]

I have seen people with toxic traits serve humanity in a variety of ways, that people with other personality types would barely survive... from soldiers who are extremely successful in accomplishing difficult missions... to physicians who can endure constant exposure to trauma, as well as other emergency responders in my family...still are actually extremely effective in saving lives... I appreciate your channel, and compassionate understanding of the core problem, that is Narcissism. They may be abusive in their immediate social circles which is unfortunate, but I agree, they aren't all around VILLAINS.

[@catherineblair550]

I am glad I found you. You are doing valuable work.

[@Jacquelinerenees]

This video is amazing. I consider myself a self aware narcissist and work diligently to accept myself as a whole and make decisions based on all parts of me, not just some parts of me. This video brought something to light about vilifying narcissistic personality disorder. In my experience, some NPD behavior is an effort to avoid shame. Which is literally exacerbated by the media and misinformation about NPD. How is a person who experiences this disorder supposed to be accepted or think that they can be different, if the literature and media feed the shame? You point this out so well in this video and I can only hope that more people find it.

[@healnpd]

Thanks for your feedback and I'm glad you found it helpful. Check out Part 2 of the video if you haven't already. :)

[@Wasp239]

probably, because it's so annoying when narcissits project all their bs onto others. What do you expect? For people to just lay down there and be doormats for you?

[@funnylittlecreature]

@@Wasp239You insinuate that pwNPD are inherently more aggressive, and yet you react with aggression when a pwNPD is being polite and self-reflective. Curious.

[@johnheart6890]

I hope that you might be blessed by marrying a Narcissist one day. May you enjoy it to the fullest. If you follow my advice I think you might have a part 3 in this particular series. I wonder what you might say then. By the way, narcissist is the one that keeps the conflict going. Narcissist can never apologize, never experienced remorse, have you ever had narcissistic rage directed toward you? How did it go down?

[@funnylittlecreature]

I know you feel like your experiences are being invalidated right now, and I understand that's a frustrating feeling to have. I want you to know that even if this video is trying to help those with NPD and the general public find out more about the disorder and is therefore sympathetic to the struggles those with NPD face, your struggles are valid too. I appreciate that you clicked on this video to find out more about the disorder. That shows a lot of curiosity and care for things that may affect your life and relationships. The idea that narcissists can never apologize or experience remorse is, sadly, a common misconception. I understand why you might think that. If you've been personally hurt by someone with this disorder before, it might be hard to believe that change is possible, that treatment can improve the lives of people with NPD and those that surround them. But change _is_ possible. And looking up answers to something that personally affected you shows me that you _do_ want to believe that, at least a little bit. I commend you for trying to learn more! It can be scary to seek out new information about something, especially if it personally hurt you. I've been there before -- I know what it's like to want to find explanations to how a relationship turned out the way it did, or to why a person you knew was the way they were.

[@funnylittlecreature]

Watching this video is progress. I'm proud of you.

[@liljerseygirl249]

Wow, so agree....You are a very smart doctor.

[@reversalbison1665]

Hi Dr., Thanks for making this video, I've been looking for resources and continually running into many of the issues you described. I am currently working with a man that I believe shows many of the traits of a vulnerable narcissist. Our work is more often then not in remote 1 on 1 situations. As you can imagine this is a difficult situation for me (and I imagine for him) and I hope to find a way to protect myself while not being cruel. Do you have any literature advice on how best to both understand the condition and work with someone with it? I am a scientist so journal publications may also be helpful. Thank you, Ben

[@healnpd]

Hi Ben - Thanks for your question. My book is written for folks in your situation. You might find it helpful: amzn.to/3nG9FgH

[@marameow9256]

How do someone get diagnosed if mental health workers use the dsm 5 to diagnose?

[@healnpd]

It isn’t currently possible to diagnose someone with a predominantly vulnerable presentation using the DSM checklist criteria. It is possible to diagnose them using the alternative DSM criteria, or using other criteria provided by alternative diagnostic systems (like the PDM-2). I have also made the argument that a creative reading of the DSM checklist criteria would allow for diagnosis of vulnerable narcissism. Grandiose attributes are present but covert/implicit/unconscious during vulnerable presentations. They can be found if the therapist looks for them. For example, covert grandiosity often drives overt depression in pathological narcissism. The person feels worthless because their sense of self worth is based on covert grandiose expectations (eg everyone should like me, I should be the best, etc).

[@kuibeiguahua]

Thé exorcism book comes from HG Tudor, a KZbin psychopathic narcissist. His channel is very thorough

[@MelanieFinlay]

Hi! I’m a psych student- is there a way I could intern under you?

[@healnpd]

Send me an email through my website.

[@robleenhouts4498]

I believe my narrcisistic trait originate from abuse by my father. But. He went thru WW2 and the occupatoin of holland by the nazis. He lived thru the great depression. He went to normandy after d day to cleanup the beach with the merchant marines. Dead guys and dead cows horses hit by bullets and shrapnell. He moved to canada after the war had 8 kids. I think the war turned him to a crazy mind. Because my aunts daid they grew up in a loving household in holland. I still remember his stories. He likely had nightmares from it all...

[@TheThiaminBlog]

We have a similar story in our family. War, especially when it’s a boy of 18 or 19, shatters the mind. And then it seems the damage is handed down for several generations.

[@Enjoytheshow435]

I wonder why I’m rewatching all your videos again on a very grandiose day (coming from a self loathing couple of days) if NPDs don’t seek treatment in grandiose state!? Preparing!?

[@annaclairemahaffey7325]

What about Nick Birch from Big Mouth? I didn't even recognize how much he was being a bad friend to Andrew at first because I was empathizing with his self-centered motivations. But he's also 13 so is it just a realistic portrayal of immaturity? He's an author insert and the show is like about him growing up but he doesn't seem to learn that much.

[@jankucera8505]

narcissists are not into themselves, they're into the image of themselves. and yes, the popular narcissistic literature is horrible

[@healnpd]

Right on both accounts. Thanks for watching.

[@jankucera8505]

@@healnpd thanks for your work, I only wish it could help people more

[@jamelclove2974]

I only ever heard the ending where he drowns. The ending where he starves to death almost offers a different meaning to the story.

[@zeddeka]

It'd be great to hear you talk about how the ICD system now deals with these kinds of things. It seems their new system is probably significantly better than the DSM - instead of trying to shoehorn people into arbitrary and controversial personality disorder boxes like the DSM does, it simply records traits.

[@ohkay7418]

Glad u had dr house picture. I used to watch that show but i couldn't stand him. I don't care how smart he is he didn't deserve his skin

[@Mike-nm1wj]

The mother of my children is a pathological narcissist. Whenever told the truth. I found out that another man was sending him money daily, weekly for 3 years. She said she hasn't seen him since middle school and he gave it to her bc he is nice with no ties or had to do anything fro hime. I say she cheated, nothing is free in life. What do you think

[@bricklawson9745]

Lack of empathy. This is the primary issue in my opinion.

[@healnpd]

Low empathy is not synonymous with narcissism. Using the DSM-5, a person can be diagnosed with NPD without meeting the low empathy criteria.

[@sweet2sourr]

@@healnpd Thank you for this! It’s only 1 of 9 criteria.

[@MsMirror]

I agree! The dsm criteria sucks. It doesn't describe a mental illness.

[@bricklawson9745]

Good video. Definitely gives me something to consider. But the one trait that concerns me the most is the lack of empathy. I do feel bad for these folks, but the lack of empathy is what puts them in the "villain" category. Am I wrong? If you don't care about other people then you're not exactly a "good guy".

[@healnpd]

Low empathy is not synonymous with NPD. Even if we go by the somewhat problematic DSM definition of NPD, to be diagnosed a person must exhibit at least 5 of 9 criteria. Low empathy is one of those criteria. But it is very possible to be diagnosed without having low empathy.

[@bricklawson9745]

@@healnpdReally!? If that's true, it's a big deal. If some have empathy or can develop it, that makes a huge difference.. Ok, I will take your word for it, for the moment at least. I loved someone with BPD and NPD. I thought she loved me but she tried numerous times to destroy my life. If they're deliberately trying to hurt someone that loves them, that would mean that particularly person has no empathy. Would you agree?

[@kenwickcook8413]

I was going to ask the very same question. I’ve never known of a narcissist having empathy but when comparing to a list of traits and having to knit picks so many from them and if it is one that isn’t packed I guess that would make sense. But look at it the other way around. How could a villain be a true villain and not be a narcissist? Or rather, how could a villain have empathy and still be villainous? Therefore, I guess it is possibly safe to say that all villains are narcissists, but not all narcissists are villains.

[@Shayne_T]

@@healnpd I read that narcissists have no emotional empathy but can show cognitive empathy to manipulate others.

[@healnpd]

While it may be true that some narcissistic individuals intentionally manipulate others in a cold and calculating way, I would not say it is true for the vast majority of people with whom I have worked. That sort of manipulation is more indicative of psychopathic traits. Narcissism is much more about unstable self-esteem and desperate need for social approval. These issues are sometimes expressed in maladaptive ways that involve being emotionally coercive, manipulative, aggressive, or entitled, but that is not true of everyone.

[@sweet2sourr]

🫢 how to blank a narcissist?! How fucking sick

[@healnpd]

Yep. Some of the literature in this topic is genuinely frightening.

[@michellembarre5032]

Disney and other “children’s” movie! “How to learn stigmas as normal!” 😢

[@galavignoli2517]

The one dimensional view of narcissism, still is true as well? Shaped by the media? Or maybe by victims?

[@soap699]

Thank you for not being extremely abliesm

[@sarahcouture24]

You are so smart

[@geo7473]

All the content that vilifies NPD without focusing on the mental illness is not even useful for victims. Maybe a mental health professional validating your feelings by labelling the person that’s put you through hell as mean, evil, demeaning, arrogant has some benefit. But for some of us that just somehow translates to traits you can love and educate someone out of, probably also because of culture, after all, some of those villains do end up showing a somewhat warm heart by the end of the story. If you learn about someone that they are currently suffering from a psychotic disorder, you have empathy but understand that you will need to manage the relationship, reduce it if possible, if not you make sure they take their medication and don’t engage with unrealistic expectations. And it’s not because they are evil but it’s because you can’t rely on them to perceive the environment in a way that you and the majority of people can make sense of. Why is it that even when we know that someone is very likely to have NPD we can’t let go of our own unrealistic expectations. I think a reason is the focus on the superficial manifestation. I don’t think people suffering from NPD are intentionally evil, but they can cause immense harm and telling a victim that they are manipulated, humiliated, taken advantage of, as true as it may be, is not by far as helpful as telling them that the person that’s doing it doesn’t even have the control necessary to stop and hoping that you can love them out of their disorder is similar to hoping that you can love someone out of a psychotic disorder. Not to mention the focus on the grandiose presentation, which is nowhere near as harmful as the sense of guilt and sense of responsibility that the vulnerable presentation casts on the victim. I also think that people that say NPD sufferers are basically just entitled, demeaning jerks just haven’t really seen it in the wild. These misconceptions not only fail NPD sufferers but also the victims.

[@simppuful]

If we cant got equality any other way, than that we all are alike in every way, it is our narrow mind that do all forjudges and racism. When we have easy to accept other way than the way we like. We all have our own taste. Like narssism. It is charming in the eyes of the one and only that see his narssism in better light than the one that not like it. To wide up our narrow mind.

[@funnylittlecreature]

I Am Once Again Ruminating On Whether Or Not I Have NPD. (Really though, it's terrible how pop psychology has infested common search engines so that I can't even look up diagnostic criteria without being met with ignorant ableism! The fact that I have to go back to this specific channel every time I need info on the disorder is depressing....)

[@fairygurl9269]

*Survivalism Here's to Reduction in Suffering.

[@AlastorTheNPDemon]

Feelings of inferiority are a source of distress in and of themselves. As for the stigma, I get a cheeky laugh out of being a roguish and card-holding cartoon villain, but I hate being known as lesser because of it or having to hide virtually all of my personality because of the stigma and red flags. Also, the NPI can go throw itself in the dumpster where it belongs - I take more stock in the Hogwarts House test from IDR Labs!

[@OnsKleinGezinnetje]

Hold on. That there are so little people with NPD diagnosis does not mean they are not out there. If they feel there is nothing wrong with them, or they don’t want to look in the therapy mirror, you don’t get to giagnose them. But they are out there.

[@healnpd]

No need to hold on. The video clearly states that grandiose presentations of NPD that fit the DSM criteria are out there, but that studies have estimated them to represent a very small percentage of the population. Compared to the relatively small percentage of people who fit this phenotype of NPD, there is a massive overrepresentation in popular media.

[@OnsKleinGezinnetje]

@@healnpdI think this is an incorrect conclusion. People with NPD are unlikely to seek therapy. Therefore less diagnosis.

[@healnpd]

The video makes several arguments. Your point is actually one of them. 1) NPD as defined in the DSM is a unidimensional construct that fails to capture the true variation of NPD in the real world. 2) Due to this, the construct defined in the DSM is underdiagnosed because clinicians simply don't see many pwNPD when they are in a grandiose state. Narcissists seek treatment when they are in a vulnerable state, which is not discussed or described in the DSM model. 3) Epidemiological studies of actual patient populations (both inpatient and outpatient) suggest that the version of NPD described in the DSM is rare compared to other personality disorders. To say that this is *simply* because pwNPD don't seek treatment and are therefore not diagnosed in numbers as great as other disorders is to miss that the mai issue is the DSM construct itself. The clinicial and empirical literature supports the point you are making - that NPD is underdiagnosed - but show that it is for all of the reasons I listed above, not *just* the reason you point out in your comment. This is important because it leads us in a different direction when we understand that the diagnostic criteria itself are the problem. There *are* many more narcissists out there than it seems, but that is because most of them *don't* fit the DSM construct as it is currently written.

[@EmbraceTerror]

Keep going. There's more, especially when you search for empirical evidence. Non-credentialed person here.

[@Bellarina-e4e]

7:26 Maybe discuss narcissistic protagonists bc those exist too

[@explorer0213]

How to kill a narrcissist should be subtitled...How to put you self in jail for life but only if you escape the death penalty 😆

[@karin5374]

If you have ever experienced abuse at the hands of a narcissist, you would understand these provocative titles.

[@myhalowithin]

An excellent TV show with 99% (IMO) NPD's would be, "The Big Bang Theory".

[@jesseskellington9427]

5:04 Hierarchical relationships

[@jennyretief4978]

I still think that there is a big genetic factor. Highly prevalent in some families

[@lorrainejurdana-land3782]

4:37 takes one to know one

[@Michelle-TB]

Daddy is going to take care of my narcissistic bats 🦇.

[@johnchacko1425]

is brain health brain science psychology

[@kenwickcook8413]

Maybe if more narcissists would go ahead and allow a professional to asses them, the next DSM could be more appropriate. Heaven forbid they would, because they feel they are perfect.

[@MsMirror]

Not all of them feel perfect. Heck, even for the ones that do, it's probably a defense mechanism.

[@いするぎみお]

Many therapists have a stigma influence on themself. And it's painful to meet the opposite, when you're vulnerable and are seeking help. It's like a one more death inside

[@sweet2sourr]

Great fucking video

[@healnpd]

Thanks!

[@karin5374]

These provocative titles make sense to anyone who has ever experienced narcissistic abuse.

[@siryoucantdothat9743]

Did u just shit on others books and advertised your own ??

[@healnpd]

User name checks out.