In this episode, we explore the fragile emotional terrain that follows the softening of grandiose defenses. From emotional regulation to the risk of collapse, I share how healing begins—not with insight alone, but with containment, timing, and psychodynamic work. Through clinical examples, we uncover how real change happens beneath the surface. 

Higher Listenings: Joy for Educators
A new podcast from Top Hat delivering ideas, relief, and joy to the future of teaching.

Listen on: Apple Podcasts   Spotify

To read more about the various facets of narcissism please click here

If you are interested in a consultation or seeking virtual therapy services, Dr. Mazzella is accepting new patients. Please click here for more detailed information.

For more information about Dr. Mazzella’s psychoanalytic affiliations and membership in The International Psychoanalytic Association (IPA) -which is restricted to psychoanalysts who fulfill the most recognized international standards for psychoanalytic training- please click here

For a deeper dive into narcissism, I now offer courses approved for continuing education credits, available [here]. As a NYS Education Department-approved provider (#SW-0211), licensed social workers in New York can earn credits through these programs. Also, these courses are a wonderful opportunity for those who may simply want to further educate themselves on all issues related to narcissistic and personality disorder dynamics.

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