Ep 21:  Narcissistic Personality Disorder | The 9 Symptoms

Ep 21: Narcissistic Personality Disorder | The 9 Symptoms

Author: Dr. Rebecca Houvener, Psy.D. LCP February 11, 2025 Duration: 34:35
In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) delve into the complexities of narcissism and narcissistic personality disorder (NPD). We explore the historical origins of narcissism, the DSM criteria for diagnosing NPD, and the key characteristics of individuals with this disorder, including a lack of empathy and pervasive envy. Our conversation highlights the roots, characteristics, and the dual nature of narcissism, as well as the challenges in researching NPD. We highlight characteristics such as grandiose self-importance, the need for excessive admiration, and the interpersonal exploitation that can occur in relationships. We also give a preview on the vulnerable aspects of narcissism, highlighting how it can manifest as low self-esteem and social withdrawal, a topic that will be discussed in an upcoming episode! Chapters00:00 Intro to Narcissistic Personality Disorder01:07 Historical Context of Narcissism06:02 Defining Narcissistic Personality Disorder09:32 First Symptom: Lack of Empathy     10:52 NPD vs Autism14:24 Second Symptom: Envy15:46 Third Symptom: Fantasies of Success, Power, Beauty16:33 Fourth Symptom: Grandiosity17:55 Fifth Symptom: The Need for Specialness20:54 Sixth Symptom: Excessive Admiration22:22 Seventh Symptom: Entitlement24:17 Eighth Symptom: Exploitation in Relationships26:25 Ninth Symptom: Arrogance and Haughty Attitudes27:37 Vulnerable Narcissism References: American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders: DSM-5-TR (5th edition, text revision.). https://doi.org/10.1176/appi.books.9780890425787 Blaney, P. H., Krueger, R. F., Millon, T. (Eds.). (2014). Oxford textbook of psychopathology (3rd ed.). Oxford University Press. Blashfield, R. K., & Intoccia, V. (2000). Growth of literature on the topic of personality disorders. American Journal of Psychiatry, 157(3), 472-473. Millon, T. (2011). Disorders of personality: Introducing a DSM / ICD spectrum from normal to abnormal (3rd edition). John Wiley & Sons, Inc. South, S. C., Eaton, N. R., & Krueger, R. F. (2011). Narcissism in official psychiatric classification systems: Toward DSM-5. In Campbell, W. K. & Miller, J. D. (Eds.), The handbook of narcissism and narcissistic personality disorder: Theoretical approaches, empirical findings, and treatments (pp. 22-30). John Wiley & Sons, Inc.. https://doi.org/10.1002/9781118093108.ch3

On the Personality Couch podcast, the subtle and often confusing tensions that shape our daily lives are brought into focus. Hosted by clinical psychologists Dr. Rebecca Houvener (“Doc Bok”) and Dr. Cheyenne Fisher (“Doc Fish”), this conversation moves beyond abstract theory to examine the real-world friction we navigate. Every other week, they take apart those puzzling interactions-the off-kilter feeling with a relative, the unexpected clash with a colleague-and trace them back to their roots in personality structure. Their dialogue is a practical exploration, offering listeners a framework to understand not just others, but their own reactions and patterns. You’ll hear detailed breakdowns of complex relational dynamics, all discussed with the clarity and nuance that comes from clinical expertise. The aim is to provide actionable insight, transforming confusion into comprehension. This isn’t about labeling people; it’s about deciphering the hidden language of human behavior that operates in our friendships, families, workplaces, and broader culture. By tuning in, you gain a shared vocabulary for the unspoken, making sense of the conflicts we all face but don’t always know how to address. The podcast serves as a guide for anyone looking to improve their connections and their own self-awareness, one conversation at a time.
Author: Language: English Episodes: 50

Personality Couch
Podcast Episodes
Ep 23: The 4 Narcissistic Subtypes You Need to Know [not-audio_url] [/not-audio_url]

Duration: 44:31
In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the complex world of narcissism, focusing on its various subtypes. We unpack grandiose narcissism, its c…
Ep 22: Vulnerable and Grandiose Narcissism | The Mirror Has Two Faces [not-audio_url] [/not-audio_url]

Duration: 35:25
In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) delve into the complexities of pathological narcissism, exploring its various expressions, including covert, ove…
Ep 20: Narcissism Gone Bad | 5 Signs Its Pathological [not-audio_url] [/not-audio_url]

Duration: 34:33
In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack the 5 major signs of pathological narcissism, as well as 3 bonus invisible signs of narcissism. We explor…
Ep 19: Is Narcissism Good? The Surprising Truth About Self-Importance [not-audio_url] [/not-audio_url]

Duration: 29:30
In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) delve into the complexities of narcissism, exploring its cultural labeling, the distinction between pathological…
Ep 18: The 6 Mental Health Trends: 2024 in Review [not-audio_url] [/not-audio_url]

Duration: 33:34
In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the cultural and clinical trends of 2024, focusing on global unrest, political polarization, re-examinin…
Ep 17: BPD Part 5: Quiet Borderline: A Closer Look at Subtypes [not-audio_url] [/not-audio_url]

Duration: 37:04
In this episode of the Personality Couch Podcast, we continue to explore the complexities of Borderline Personality Disorder (BPD), particularly focusing on the lesser-known subtype: Quiet BPD. We delve into the historic…
Ep 16: BPD Part 4: What BPD Therapy Really Looks Like [not-audio_url] [/not-audio_url]

Duration: 39:45
In this episode of the Personality Couch Podcast, we dive into the complexities of Borderline Personality Disorder (BPD) treatment, in particular, the healing power of the invisible dynamics in therapy. We discuss the im…
Ep 15: BPD Part 3: Suicidal Behavior and Self Injury [not-audio_url] [/not-audio_url]

Duration: 39:34
In this episode of the Personality Couch Podcast, we delve into the complexities of Borderline Personality Disorder (BPD), focusing on the themes of suicidal ideation and self-harm. We explore the DSM criteria for BPD, t…
Ep 14: BPD Part 2: Fear of Abandonment, Psychosis, and Dissociation [not-audio_url] [/not-audio_url]

Duration: 31:43
In our second episode of the Borderline Personality Disorder (BPD) series, we discuss how this condition manifests in relationships and clinical practice. We explore the pervasive patterns of instability, fear of abandon…