DOs & DON'Ts of Treating Narcissism | IGOR WEINBERG

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Dr. Igor Weinberg shares some common sense principles to follow when treating people with pathological narcissism.
Dr. Igor Weinberg is a psychotherapist and expert on pathological narcissism, personality disorders (BPD and NPD) and suicidal behaviors. He works at Harvard Medical School & McLean Hospital.
Check out the article by Dr. Weinberg and Dr. Ronningstam here: pubmed.ncbi.nlm.nih.gov/32186...
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Disclaimer: "Please be advised this video may contain sensitive information. All content found within this publication (VIDEO) is provided for informational purposes only. All cases may differ, and the information provided is a general guide. The content is not intended to be used as a substitute for medical advice, diagnosis, or treatment. If you have specific questions about a medical condition, you should consult your doctor or other qualified medical professional for assistance or questions you have regarding a medical condition. Studio Comma The, LLC and BorderlinerNotes does not recommend any specific course of medical remedy, physicians, products,opinion, or other information.
Studio Comma The, LLC and BorderlinerNotes expressly disclaims responsibility and shall have no liability for any damages, loss, injury, or liability whatsoever suffering as a result of reliance on the information in this publication. If you or someone you know is considering self-harm or suicide, it’s okay to ask for help. 24 hour support is provided by www.hopeline-nc.org (877.235.4525), suicidepreventionlifeline.org (800.273.8255), kidshelpphone.ca (800.668.6868).”

Опубликовано:

7 авг 2023

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Комментарии : 45

@lorenzrosenthal119 7 месяцев назад

he seems like a very empathic and good therapist!

@BlackCoffeeee 10 месяцев назад

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

@doreenplischke2169 10 месяцев назад

Yes. Indeed.

@ThreetwoOne-wu7ye 9 месяцев назад

shallow and evil.... nice of them

@BlackCoffeeee 9 месяцев назад

@@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.

@adhdself-love 8 месяцев назад

Wow, I want him to be my therapist!

@alizaofbrooklyn 11 месяцев назад

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

@jackhunter4534 2 месяца назад

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

@kevinhornbuckle 10 месяцев назад

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

@adip6476 9 месяцев назад

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 8 месяцев назад

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 8 месяцев назад

@@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 5 месяцев назад

Seems like you drank the Kool-Aid. Many narcissists can self identify -- if you read enough comments on RU-vid 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 3 месяца назад

@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.

@herbieshine1312 10 месяцев назад

As always Thank you

@doreenplischke2169 10 месяцев назад

Excellent!!!

@marvinsmith9039 11 месяцев назад

Very useful information. Thanks!!

@doreenplischke2169 10 месяцев назад

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 10 месяцев назад

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

@slofty 11 месяцев назад

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 10 месяцев назад

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 9 месяцев назад

what does guanfacine do for a person with narcissistic pathology?

@slofty 9 месяцев назад

@@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 Месяц назад

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 Месяц назад

@@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.

@Star-dj1kw 11 месяцев назад

✅

@user-xt7pp5yy9w 11 месяцев назад

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

@magdam8290 11 месяцев назад

What is "latness" ?

@slofty 11 месяцев назад

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

@aboetarikske 10 месяцев назад

I do have ADD as well.

@BlackCoffeeee 10 месяцев назад

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

@magdam8290 10 месяцев назад

@@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.

@nikolt2000 11 месяцев назад

Helppp

@figgettit 11 месяцев назад

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

@aboetarikske 10 месяцев назад

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

@kevinhornbuckle 10 месяцев назад

toosh, eh?

@NaNa-re3wc 10 месяцев назад

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

@crispaynoodIes 3 месяца назад

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 Месяц назад

No. Just leave us alone. Thank you.