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Heal NPD

Heal NPD

Mark Ettensohn, Psy.D. 62 Episodes Oct 13, 2026

Dr. Mark Ettensohn, a clinical psychologist specializing in narcissism and related disorders, shares his professional perspectives on the topic. The podcast aims to provide insights into narcissistic personality disorder and its treatment. It offers a clinical yet accessible look at the condition for those affected or interested.

Episodes

What Narcissistic Self-Esteem REALLY Looks Like
What Narcissistic Self-Esteem REALLY Looks Like Oct 13, 2026 964 In this episode, Dr. Mark Ettensohn examines what self-esteem actually looks like in pathological narcissism and why common explanations such as “low self-esteem hidden beneath grandiosity” or “grandiosity masking shame” oversimplify a much more complicated psychological process.  The episode begins by examining self-esteem as a regulatory system rather than a fixed quantity that a person either h
The Circular Logic of Narc Abuse Content
The Circular Logic of Narc Abuse Content Oct 13, 2026 849 In this episode, Dr. Mark Ettensohn examines the circular logic that often appears in popular “narcissistic abuse” discourse and how it can create a closed system for interpreting other people’s behavior. The episode begins with a pattern Dr. Ettensohn has repeatedly encountered online: once someone concludes that another person is a narcissist, virtually any response can become further evidence o
Why Every Abuser Looks Like A 'Narcissist'
Why Every Abuser Looks Like A 'Narcissist' Oct 13, 2026 856 In this follow-up to a previous episode, Dr. Mark Ettensohn examines a central problem in the way narcissism is commonly discussed online: the assumption that abusive behavior is sufficient evidence of narcissism. The episode argues that this conclusion arises, in part, from a longstanding problem in the DSM diagnostic criteria for Narcissistic Personality Disorder. Many of the interpersonal chara
Dr. Ramani Says 'Narcissism' Isn't A Diagnosis. I Agree
Dr. Ramani Says 'Narcissism' Isn't A Diagnosis. I Agree Oct 13, 2026 831   About Heal NPD Heal NPD is a clinical practice specializing in the assessment and treatment of pathological narcissism, narcissistic personality disorder, and related personality difficulties. We offer comprehensive diagnostic assessments, individual psychotherapy, and consultations for partners and family members. Learn more or inquire about services: https://healnpd.org
The Truth About Narcissism and Trauma
The Truth About Narcissism and Trauma Oct 13, 2026 424 Dr. Mark Ettensohn examines the common claim that personality disorders such as narcissistic personality disorder (NPD) are either caused by trauma or are primarily genetic. He argues that this framing presents a false dichotomy and does not reflect how personality development is understood in contemporary psychology. The discussion begins by reconsidering what psychologists mean by the word traum
My Problem with 'Narcissistic Abuse'
My Problem with 'Narcissistic Abuse' Oct 13, 2026 867 Dr. Mark Ettensohn examines the concept of “narcissistic abuse” and explains why he no longer considers it a coherent psychological construct. Using the comment from a viewer as a starting point, the discussion explores a common misconception: that skepticism toward the concept of narcissistic abuse reflects a lack of empathy for victims. Dr. Ettensohn argues that his concern is not with the reali
Moving From Me to We: Mentalization-Based Treatment of NPD
Moving From Me to We: Mentalization-Based Treatment of NPD Oct 13, 2026 3137 This episode continues the Heal NPD Seminar Series with Dr. Mark Ettensohn and associate Deanna Young, Psy.D. In this session, the group discusses the article “A Mentalizing Approach for Narcissistic Personality Disorder: Moving From ‘Me-Mode’ to ‘We-Mode’” (Choi-Kain, Simonsen, & Euler, 2022), which explores how Mentalization-Based Treatment (MBT) can be applied to the treatment of narcissist
The Birth of Sorrow | Part 3: Conflict and Defense In Neurotic-Level Narcissism
The Birth of Sorrow | Part 3: Conflict and Defense In Neurotic-Level Narcissism Jun 3, 2026 2602 This is the third part of a three-part exploration of narcissistic personality style at the neurotic level of personality organization. In this episode, Dr. Ettensohn examines the defensive architecture of neurotic-level narcissism, including the characteristic defenses that allow individuals to manage conflict, preserve relationships, and maintain self-esteem without resorting to the identity fra
Internal Absence: Emptiness in NPD
Internal Absence: Emptiness in NPD May 26, 2026 900 Dr. Mark Ettensohn examines the experience of emptiness in narcissistic personality disorder and other forms of personality pathology. Rather than approaching personality disorders as collections of traits or behaviors, the episode frames them as disturbances in identity. Dr. Ettensohn outlines how the sense of self is constructed through early relational experience and how disruptions in that pro
Living with Pathological Narcissism: What Loved Ones Reveal
Living with Pathological Narcissism: What Loved Ones Reveal May 26, 2026 3489 This episode continues the Heal NPD Seminar Series with Dr. Mark Ettensohn, joined by his associates Deanna Young, Psy.D., and Danté Spencer, Ph.D. In this session, the group discusses the paper “Living with Pathological Narcissism: A Qualitative Study” (Day et al., 2020), which examines narcissistic personality pathology from the perspective of partners and family members. Unlike most research on
The DSM's New Model of Personality Disorders: The Good, The Bad, and What's Missing
The DSM's New Model of Personality Disorders: The Good, The Bad, and What's Missing May 26, 2026 3519 This episode continues the Heal NPD Seminar Series with Dr. Mark Ettensohn, joined by his associates Deanna Young, Psy.D., and Danté Spencer, Ph.D. In this session, the group examines the Alternative DSM-5 Model for Personality Disorders (AMPD), a dimensional framework introduced in Section III of the DSM-5 and retained in DSM-5-TR. The model was developed in response to longstanding limitations o
Narcissism Is Not a Moral Category
Narcissism Is Not a Moral Category May 26, 2026 830 Dr. Mark Ettensohn examines a growing tendency in public discourse to treat narcissism as a moral category rather than as a psychological construct.   The episode explores why this shift occurs and how misunderstandings about the nature of mental illness contribute to it. While many people intuitively apply a medical model to psychological conditions, most forms of mental illness do not operate i

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