Insights by Dr. Anthony Mazzella

Narcissism vs Borderline: How to Tell the Difference in Relationships

Narcissism and Borderline Personality Disorder (BPD) can look surprisingly similar at first glance, but the emotional logic behind them is very different. Both narcissistic and borderline organizations can involve intense reactions, splitting, idealization, and devaluation, leaving friends, partners, or family members confused and unsure how to respond. While narcissistic defenses often protect a fragile self […]

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How Does Therapy Help People with Narcissism Improve Their Relationships?

Overview: How narcissism shapes extreme defensiveness and self-criticism in daily life How therapy creates emotional safety and helps the inner critical voice lose power Ways curiosity and reflection in therapy allow for growth, autonomy, and healthier relationships Relating to someone whose narcissism triggers anger, denial, or self-attack at even gentle feedback can feel like touching

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How Does Narcissism Affect How You See Yourself?

Working with someone who experiences entrenched narcissistic defenses often reveals a unique paradox: defensiveness coexists with vulnerability, and self-criticism operates as both shield and companion. On the surface, reactions to feedback or challenges can appear extreme — anger, withdrawal, or self-attack — but beneath lies a fragile sense of self shaped by narcissistic defenses, internalized

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