In this episode I explore the concept of narcissistic deflation and its potential misdiagnosis as depression. I highlight the importance of detecting and properly treating narcissistic deflation, which often goes unnoticed without the expertise of a trained professional in personality disorders. Shame states are identified as a key factor in this phenomenon, with examples provided to illustrate their impact on individuals. The connection between excitement, disappointment, and shame is explored, emphasizing the role of misattunement in triggering shame. I discuss the importance of regulating shame and developing self-regulation skills to prevent narcissistic injury.  Finally, I offer a treatment approach focused on long-lasting change and “robust” self-regulation, and provide further resources and support for those struggling with these issues.

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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