Narcissistic Personality Disorder: Getting to the core

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Published 2023-07-27
After undergoing two months of therapy, a crucial session unfolds where the patient's* emotions flare up, directed at the therapist. The catalyst for this outburst is the news of Dr. Yeomans’ upcoming two-week absence, during which another therapist will be taking over. Throughout the session, Dr. Yeomans adeptly handles the patient's anger and unravels the underlying issue—the deep-seated fear of abandonment. Superficial reassurances prove ineffective in addressing this profound concern.

*Indie is an actor, this is part of a demonstration for therapists.

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All Comments (21)
  • @sweetmintkiss
    I dont know how therapists are doing this for years, its so hard to rationalise with a person with NPD - hats off to you doctors
  • What I noticed is that the patient blamed the former therapist for not being able to handle the intensity of therapy. Where he actually is afraid of his own emotional intensity.
  • As a psychologist is so hard to say to the client: “ try to reduce the amount of substance abuse”. 😢Thank you for this kind of patient!
  • From what I gather from this video along with experience with others whom I believe to be narcissists is: that any simple question which could lead to a deep conversation gets twisted and turned quite often. Moreover, the questions are potential LAND MINES if you don’t tread carefully and slowly
  • @dottyp137
    It seemed to me that he was expecting a magic trick. I want A,B and C full stop 🛑 He wants to get what he wants without doing what is required to get it 🤷‍♀️, but instead of realising that is the problem he is blame shifting. Wow you need to have a lot of patience. Hats off to you Doctor.
  • @LeandroVelez7
    I’m hearing: “I want to be aware but I don’t want to go through the discomfort of difficult emotions that being aware we require. I want to see but my defenses keep me from looking.”
  • So grateful to be on the other side of Narcissistic Abuse Syndrome. I THANK MY THERAPIST for telling me that I had been viscously narcissistically abused and didn’t know it…. Get away from these people and get a life worth living
  • @le_th_
    "I only use cocaine 2-3 times a month" "You're psychoanalyzing me" Threatens to have to find another therapist Justifies having unprotected sex with multiple partners because there is "a pill" Claims "You're homophobic" Claims trying to force "heteronormative" values on him by questioning random, anonymous hookups "You're like my old therapist" who couldn't deal when things got intense "You keep laughing at me." "You're frustrated with me as I am calm now, so how do I know you won't be frustrated when you see all my emotions???" "I'm supposed to make YOU not frustrated with me???" ...and this is only 20 minutes...
  • @NkaujKabLiaThoj
    This is heartbreaking to watch. I understand that the therapist has to protect himself and set expectations but when a patient is dealing with what seems like an infinite inconsolable suffering, I would understand why some people would rather do drugs than to attend one of these sessions. As someone who once suffered an incomprehensible amount of pain, I feel for this patient and I’m proud he even showed up to therapy. This is the first step to healing. Now he just has to find the therapist that he is able to professionally connect with.
  • I can sense this therapist's frustration and that would make me uncomfortable as a client as well.
  • Dr Yeomans you are a wonderful human being. You are Patient and kind and understanding, yet firm with the expectations of what is needed to make the sessions successful. Despite the attacks on you by the client your love for people transcends the situation. Masterfully done❤
  • @enatp6448
    That is hard to watch! Yes it's a tough client but I think there are points where this therapist could have been a lot more skilled at managing the alliance. Feels like it was going in the opposite direction of that.
  • @scottbailey7150
    Great to See You again Dr Yeomans The Way You Articulate personality disorders is compelling
  • @cinexeon
    This is very un cometa el to watch. But it is very courageous for you to post with integrity and honesty. Because this is what therapy is like is real life sometimes. Thank you for willing to take the risk. ❤
  • @deadprivacy
    blimey...this guy is a kitten in comparison to the 4 narcs in my family...they would never attend therapy in the first place though...
  • @accordionSWE
    Brilliant! Thank you for posting this lecture by Dr. Frank Yeomans. This is really good content.
  • This therapist has set it up that the therapist is having to explain and “sell” the patient on therapy. These two should just start therapy!
  • @L4LA0412
    I encountered some people like this. 😂 some you can see through right away, some it's hidden until you close enough that you can see their true nature. I really amaze with therapists who able handle them while maintaining their own sanity 😂
  • @CB19087
    This is giving me anxiety 😅