In this episode,  we explore the complex relationship between anxiety and shame stress. I highlight how shame stress often goes undetected and untreated in individuals dealing with narcissism. The manifestations of anxiety, including perfectionism, procrastination, and self-destructive thoughts are described and I emphasize how traditional approaches to anxiety only treat the symptom and not the underlying cause. I introduce the concept of "shame stress" and its role in driving anxiety.  I share a case study to illustrate how shame stress can manifest in social situations and  I demonstrate the tools and techniques that I use to foster lasting changes.  I conclude by  highlighting the need for us to further consider the relationship between the shame stress and one's "critical voice." 

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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