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S5E7 Narcissism in Therapy: Moving past social media labels | Dr Ruth-Ann Harpur
What do you do when a client arrives in therapy convinced that their partner, parent or sibling is a narcissist?
In this episode, Dr Natalie Stott speaks with clinical psychologist Dr Ruth Ann Harpur about the sizeable gap between narcissism as a clinical concept and narcissism as social-media shorthand for somebody who has behaved badly. The conversation also tackles the difficult boundary between a painful relationship and abuse. Ruth explains why coercive control, financial restriction and physical violence require direct assessment, careful attention to safety and appropriate specialist support. Narcissism and abuse are not synonyms. Harm should be named clearly without turning a diagnosis into a moral verdict. They also consider critical parents, therapist anger and the point at which consuming yet another video about narcissism stops helping a client build a life beyond the relationship.
Content note: This episode discusses emotional and psychological abuse, coercive control, financial abuse and physical violence.
Guest Information:
Dr Ruth Ann Harpur is a clinical psychologist specialising in relationships and issues of narcissism. Her work includes supporting people with narcissistic traits, people affected by damaging or abusive relationships, and couples seeking to understand difficult relational patterns. She also creates educational content about narcissism, personality and relationships.
Website: https://www.ruthannharpur.co.uk/
YouTube: https://www.youtube.com/@drruthannharpur
Instagram: https://www.instagram.com/drruthannharpur/
TikTok: https://www.tiktok.com/@drruthannharpur
Resources mentioned:
- *Disarming the Narcissist* by Wendy T. Behary: https://www.newharbinger.com/9781684037728/disarming-the-narcissist/
- *Rethinking Narcissism* by Dr Craig Malkin: https://www.drcraigmalkin.com/
- Heal NPD videos by Dr Mark Ettensohn: https://www.healnpd.org/videos
- The Nameless Narcissist YouTube channel, mentioned in the discussion of self-esteem regulation:
** Check out Mastering Therapy’s Youtube Channel for all podcast episodes **
For notification on up coming episodes and for occasional summaries of tools discussed on the podcast sign up here: www.masteringtherapy.com
To recommend a topic you’d like to hear about, or if you’d like to appear on the podcast please get in touch at www.masteringtherapy.com/podcast
*****
Subscribe to the Mastering Therapy Podcast YouTube channel
Follow Mastering therapy on instagram
Connect with Dr Natalie Stott on LinkedIn
AIRNOTE
AirNote is an affordable AI-powered note-taking app designed specifically for therapists in private practice. It securely transcribes sessions and creates professional clinical notes, without the price tag of many traditional AI scribes. Priced at only £14.99 per month. Available to mac users only
DOWNLOAD AIRNOTE (1 month free trial using to code 30FREE)
SUPERVISOR PLATFORM
Supervisor Platform is an online directory designed for therapists, psychologists, counsellors, and other mental health professionals to connect with qualified clinical supervisors. It makes it easy for practitioners to browse, compare, and contact supervisors based on their expertise, approach, and availability, while giving supervisors a professional space to showcase their services.
Disclaimer: The Mastering therapy podcast and the information provided by Dr Natalie Stott (Dclinpsych, HPCP reg), is solely intended for informational and educational purposes and should only be used by qualified professionals.
Mentioned in this episode:
AIRNOTE | AI SCRIBE FOR THERAPISTS
AirNote is an affordable AI-powered note-taking app designed specifically for therapists in private practice.
AIRNOTE
S5E6: How to Find Your Therapy Niche with Josephine Hughes
Do therapists really need a niche, or is this simply another piece of marketing advice that makes private practice feel more complicated than it already is?
In this episode, Dr Natalie Stott speaks with counsellor and Good Enough Counsellors podcast host Josephine Hughes about finding the clients you genuinely want to work with. They explore why being trained to work with a wide range of people can make narrowing your focus feel uncomfortable, particularly when you are worried about finding enough clients.
Josephine explains that a niche does not have to box you in. It gives potential clients, colleagues, search engines and AI a clearer signal about the work you offer. A client may never search for “single-incident trauma”, but they might search for help after a road accident or because they panic every time they get behind the wheel.
They also discuss what happens when you are highly skilled in an area you no longer enjoy, whether you need to be an expert before choosing a specialism and why your niche can change as your practice develops.
Josephine shares a practical exercise for identifying the common thread running through the clients you most enjoy working with. If the instruction to “find your niche” has left you staring blankly at your website biography, this is a useful place to begin.
KEY TAKEAWAYS
GUEST
Josephine Hughes is a BACP Accredited Counsellor who mentors therapists as they develop their private practices. She hosts the Good Enough Counsellors podcast and runs the Good Enough Counsellors community on facebook
** Check out Mastering Therapy’s Youtube Channel for all podcast episodes **
For notification on up coming episodes and for occasional summaries of tools discussed on the podcast sign up here: www.masteringtherapy.com
To recommend a topic you’d like to hear about, or if you’d like to appear on the podcast please get in touch at www.masteringtherapy.com/podcast
*****
Subscribe to the Mastering Therapy Podcast YouTube channel
Follow Mastering therapy on instagram
Connect with Dr Natalie Stott on LinkedIn
AIRNOTE
AirNote is an affordable AI-powered note-taking app designed specifically for therapists in private practice. It securely transcribes sessions and creates professional clinical notes, without the price tag of many traditional AI scribes. Priced at only £14.99 per month. Available to mac users only
DOWNLOAD AIRNOTE (1 month free trial using to code 30FREE)
SUPERVISOR PLATFORM
Supervisor Platform is an online directory designed for therapists, psychologists, counsellors, and other mental health professionals to connect with qualified clinical supervisors. It makes it easy for practitioners to browse, compare, and contact supervisors based on their expertise, approach, and availability, while giving supervisors a professional space to showcase their services.
Disclaimer: The Mastering therapy podcast and the information provided by Dr Natalie Stott (Dclinpsych, HPCP reg), is solely intended for informational and educational purposes and should only be used by qualified professionals.
Mentioned in this episode:
Supervisor platform
SUPERVISOR PLATFORM:
Guide
S5E5: Practical AI for Therapists: Green, Amber and Red Uses
How can therapists make practical use of AI without handing over sensitive information, clinical judgement or half the contents of their inbox?
In this solo episode, Dr Natalie Stott explores how AI has moved beyond simple chatbot prompts. Today’s tools can listen, create, research and act on your behalf. That brings useful opportunities for clinical work and private practice. It also introduces risks that cannot be solved by removing a client’s name and hoping for the best.
Natalie introduces a green, amber and red framework for assessing AI use. She also explains the differences between consumer chatbots, clinical scribes, agents and AI builders.
Practical examples include creating accessible therapy worksheets, rehearsing psychoeducation through voice mode, preparing for appraisal, auditing a private-practice website and using AI as a research or marketing assistant. The episode also considers AI scribes, agent permissions and why human review remains essential.
Resources mentioned:
** Check out Mastering Therapy’s Youtube Channel for all podcast episodes **
For notification on up coming episodes and for occasional summaries of tools discussed on the podcast sign up here: www.masteringtherapy.com
To recommend a topic you’d like to hear about, or if you’d like to appear on the podcast please get in touch at www.masteringtherapy.com/podcast
*****
Subscribe to the Mastering Therapy Podcast YouTube channel
Follow Mastering therapy on instagram
Connect with Dr Natalie Stott on LinkedIn
AIRNOTE
AirNote is an affordable AI-powered note-taking app designed specifically for therapists in private practice. It securely transcribes sessions and creates professional clinical notes, without the price tag of many traditional AI scribes. Priced at only £14.99 per month. Available to mac users only
DOWNLOAD AIRNOTE (1 month free trial using to code 30FREE)
SUPERVISOR PLATFORM
Supervisor Platform is an online directory designed for therapists, psychologists, counsellors, and other mental health professionals to connect with qualified clinical supervisors. It makes it easy for practitioners to browse, compare, and contact supervisors based on their expertise, approach, and availability, while giving supervisors a professional space to showcase their services.
Disclaimer: The Mastering therapy podcast and the information provided by Dr Natalie Stott (Dclinpsych, HPCP reg), is solely intended for informational and educational purposes and should only be used by qualified professionals.
Mentioned in this episode:
Supervisor platform
SUPERVISOR PLATFORM:
Guide
S5E4: How Therapists can start and grow a business | Dr Jo Carlile from PEAR
What happens when a therapist has a business idea but no idea how to build it?
In this episode, Dr Natalie Stott speaks with clinical psychologist and Pear founder Dr Jo Carlile about moving from private practice into entrepreneurship. Jo explains why she now sees every private therapist as a founder. She also shares how her therapist identity helped her spot gaps in the way people find therapy and in the support available to private practitioners.
This is a candid conversation about the parts of building a business that are rarely covered in clinical training. Jo talks about finding the right co-founder, getting help when you are not remotely techy and testing an idea before spending heavily on it. She also explains why she and her co-founder stepped back from fundraising after realising that the expected pace did not fit the lives or business they wanted to build.
Natalie and Jo also discuss one of the hidden costs of founder life: the work does not stay neatly in the room. There is always another email, post or idea waiting. They explore what sustainable ambition can look like when clinical work, parenting and personal life all need real space too.
If you have ever thought, “I could build something, but where on earth would I start?”, this episode offers a refreshingly practical answer. Start small. Talk to people. Test whether anybody wants the thing. Then build from what you learn.
KEY TAKEAWAYS
- Private therapists already run businesses, even when “entrepreneur” is not part of their professional identity.
- A business idea can develop gradually from noticing gaps in your own work and the wider therapy landscape.
- Support does not have to mean finding a co-founder. It can come from networks, mentors and people with complementary expertise.
- Early-stage businesses benefit from testing demand before investing heavily in a polished product.
- Fundraising can bring money and momentum, but it can also change who sets the pace and who you answer to.
- Clinical work often has a natural boundary. Founder work can spread into evenings, weekends and mental space unless you contain it deliberately.
- Visibility may never feel like the enjoyable part of the job. It can still be useful when it serves a clear purpose.
Guest Information:
Dr Jo Carlile is a clinical psychologist and co-founder of Pear, a therapy matching platform and therapist community. Pear helps people find a therapist and offers its therapist members community and marketing support.
Website: https://www.ilovepear.com
Email: [email protected]
Social media:
Website:
Resources
- Pear therapy matching platform and therapist community: https://www.ilovepear.com
** Check out Mastering Therapy’s Youtube Channel for all podcast episodes **
For notification on up coming episodes and for occasional summaries of tools discussed on the podcast sign up here: www.masteringtherapy.com
To recommend a topic you’d like to hear about, or if you’d like to appear on the podcast please get in touch at www.masteringtherapy.com/podcast
*****
Subscribe to the Mastering Therapy Podcast YouTube channel
Follow Mastering therapy on instagram
Connect with Dr Natalie Stott on LinkedIn
AIRNOTE
AirNote is an affordable AI-powered note-taking app designed specifically for therapists in private practice. It securely transcribes sessions and creates professional clinical notes, without the price tag of many traditional AI scribes. Priced at only £14.99 per month. Available to mac users only
DOWNLOAD AIRNOTE (1 month free trial using to code 30FREE)
SUPERVISOR PLATFORM
Supervisor Platform is an online directory designed for therapists, psychologists, counsellors, and other mental health professionals to connect with qualified clinical supervisors. It makes it easy for practitioners to browse, compare, and contact supervisors based on their expertise, approach, and availability, while giving supervisors a professional space to showcase their services.
Disclaimer: The Mastering therapy podcast and the information provided by Dr Natalie Stott (Dclinpsych, HPCP reg), is solely intended for informational and educational purposes and should only be used by qualified professionals.
This episode discusses sexual abuse, including childhood sexual abuse, trauma memory, shame and the effects of abuse on sex and relationships. Please listen in a way that prioritises care of yourself
EPISODE SUMMARYHow do you name possible sexual abuse without turning therapy into another experience in which something is being done to the client?
In this episode, Dr Natalie Stott speaks with counselling psychologist and EMDR trained Dr Kelly Savery about working with sexual abuse and sexual trauma. They explore the language of victimhood and survival, the care required around first disclosures and what to do when a client has not named what happened. Kelly offers ways to raise concerns tentatively while leaving control with the client.
The conversation also explores fragmented trauma memory. Do clients need a clear, chronological account before therapy can help? Kelly explains why therapists can work with present-day shame, disgust and bodily responses without trying to excavate a complete narrative.
The episode closes with the impact of this work on clinicians. Kelly discusses supervision, peer connection, caseload management and her approach to staying present without visualising traumatic material.
Timestamps
Dr Kelly Savery is a counselling psychologist, EMDR-accredited practitioner and CAT therapist. She is the founder of Taproot Psychology and specialises in supporting adults affected by sexual abuse and sexual trauma.
Dr Kelly website: https://www.drkelly.uk/
Taproot Psychology: https://www.taprootpsychology.com/
RESOURCESMentioned in this episode:
AIRNOTE | AI SCRIBE FOR THERAPISTS
AirNote is an affordable AI-powered note-taking app designed specifically for therapists in private practice.
AIRNOTE
S5E2 What Community Psychology can teach every therapist | Dr Ron Dodzro
How much of what brings someone to therapy can really be understood by looking at the individual alone?
In this episode, Dr Natalie Stott is joined by clinical psychologist Dr Ron Dodzro, also known as The Accessible Psychologist on social media, to explore community psychology and what changes when therapists widen the lens beyond the person sitting in front of them.
Drawing on his work in prisons and with young people affected by community violence, Ron discusses what it means to formulate the systems around a person, particularly when those systems may be contributing to their distress. He shares how his work has extended beyond individual therapy to include parents, teachers, prison officers and wider organisations.
Natalie and Ron also explore power and trust in therapy, including a striking example where Ron’s attempt to protect a young man’s confidentiality inadvertently made him feel less safe.
They discuss race and therapist identity, what our ideas about “professionalism” might communicate to different clients, and why sharing a demographic with someone doesn’t necessarily mean they will experience you as the right therapist for them.
An episode about looking beyond the individual and becoming more curious about what sits around the therapy room as well as what happens inside it.
Guest Information:
Dr Ron Dodzro is a clinical psychologist whose work spans trauma, community psychology and community violence. He has worked within the prison system and now works predominantly in community, charity and private settings, including with children and young people affected by community violence.
He is also co-founder of Psychologists the Streets Deserve (PTSD) providing psychological therapy, training and consultancy around trauma, PTSD and community violence.
Ron shares his work online as The Accessible Psychologist
Find Ron:
Instagram: The Accessible Psychologist
Organisation/Website: Psychologists the Streets Deserve (PTSD)
** Check out Mastering Therapy’s Youtube Channel for all podcast episodes **
For notification on up coming episodes and for occasional summaries of tools discussed on the podcast sign up here: www.masteringtherapy.com
To recommend a topic you’d like to hear about, or if you’d like to appear on the podcast please get in touch at www.masteringtherapy.com/podcast
*****
Subscribe to the Mastering Therapy Podcast YouTube channel
Follow Mastering therapy on instagram
Connect with Dr Natalie Stott on LinkedIn
AIRNOTE
AirNote is an affordable AI-powered note-taking app designed specifically for therapists in private practice. It securely transcribes sessions and creates professional clinical notes, without the price tag of many traditional AI scribes. Priced at only £14.99 per month. Available to mac users only
DOWNLOAD AIRNOTE (1 month free trial using to code 30FREE)
SUPERVISOR PLATFORM
Supervisor Platform is an online directory designed for therapists, psychologists, counsellors, and other mental health professionals to connect with qualified clinical supervisors. It makes it easy for practitioners to browse, compare, and contact supervisors based on their expertise, approach, and availability, while giving supervisors a professional space to showcase their services.
Disclaimer: The Mastering therapy podcast and the information provided by Dr Natalie Stott (Dclinpsych, HPCP reg), is solely intended for informational and educational purposes and should only be used by qualified professionals.
Mentioned in this episode:
AIRNOTE | AI SCRIBE FOR THERAPISTS
AirNote is an affordable AI-powered note-taking app designed specifically for therapists in private practice.
AIRNOTE
S5E1: What if compassion makes a client feel worse? | Professor Paul Gilbert
What do you do when a client understands compassion perfectly well, but rejects it, distrusts it or feels worse when you introduce it?
Professor Paul Gilbert developed Compassion Focused Therapy for precisely the clients who cannot simply “be kinder” to themselves. In this episode, he explains the three clinical shocks that helped shape CFT. This is for those moments when clients can produce more balanced thoughts but deliver them in a cold or hostile tone. Many people experience kindness as weak, undeserved or almost toxic. For others, receiving care might activate painful memories held within the attachment system.
Dr Natalie Stott, Host and clinical psychologist discuss empathic bridging, the importance of social trust and why receiving compassion from others can be particularly difficult. Paul also revisits the familiar three circles model. He explains threat, drive and the system often called “soothing” through their evolutionary functions, including the role of connection in helping us return to a regulated state.
The conversation finishes with practical ways to bring compassion into everyday behaviour. These include changing the emotional tone of self-talk, practising one compassionate skill at a time and validating the emotion underneath an immediate reaction.
Guest Information:
Professor Paul Gilbert is a professor of clinical psychology at the University of Derby. He is the founder of Compassion Focused Therapy and the Compassionate Mind Foundation. His work has shaped clinical understandings of compassion, shame, self-criticism and threat.
Website: https://www.compassionatemind.co.uk/
CFT Trainings
CFT conference
** Check out Mastering Therapy’s Youtube Channel for all podcast episodes **
For notification on up coming episodes and for occasional summaries of tools discussed on the podcast sign up here: www.masteringtherapy.com
To recommend a topic you’d like to hear about, or if you’d like to appear on the podcast please get in touch at www.masteringtherapy.com/podcast
*****
Subscribe to the Mastering Therapy Podcast YouTube channel
Follow Mastering therapy on instagram
Connect with Dr Natalie Stott on LinkedIn
SUPERVISOR PLATFORM
Supervisor Platform is an online directory designed for therapists, psychologists, counsellors, and other mental health professionals to connect with qualified clinical supervisors. It makes it easy for practitioners to browse, compare, and contact supervisors based on their expertise, approach, and availability, while giving supervisors a professional space to showcase their services.
Disclaimer: The Mastering therapy podcast and the information provided by Dr Natalie Stott (Dclinpsych, HPCP reg), is solely intended for informational and educational purposes and should only be used by qualified professionals.
Mentioned in this episode:
AIRNOTE | AI SCRIBE FOR THERAPISTS
AirNote is an affordable AI-powered note-taking app designed specifically for therapists in private practice.
AIRNOTE
And this season we’re going quite a few places.
We open with Professor Paul Gilbert, founder of Compassion Focused Therapy, getting very practical. We talk through how to work with clients that really dislike the very concept of compassion despite in therapy recognising they might really need it
I’m talking to Dr Ron, The Accessible Psychologist, about community psychology, diversity, working in UK prisons and why he thinks being anti-diagnosis can sometimes be a position of privilege.
There’s Dr Kelly Savery on working with survivors of sexual abuse, including the conversations about sex and intimacy that therapists can be reluctant to have.
And we’re going beyond the clinical work too.
Josephine Hughes joins me to talk about niching and finding the work you really want to do. Blake Roberts from Therapy with Blake talks about social media, visibility and why therapists find putting themselves online so uncomfortable. I also speak to Jo from Pear about building a therapy matching service, fundraising and moving into the business world.
And, twelve months after our first conversation, ChatGPT is back. This time we get further into AI and therapy, safety, ethics and what we should be telling clients who are already using AI between sessions.
There are also conversations on ACT, narcissism and plenty more.
Have a listen to the trailer for a few clips from what’s coming.
Season 5 starts Thursday 17th September, with a new episode every Thursday through to December.
Follow Mastering Therapy now so you don’t miss the first episode and make sure you get yourself on the mailing list.
BONUS: When Clients Disappear: The Reality of Therapy Endings (PT2)
Ever had a client vanish just before their final session? Or wondered why endings can feel so awkward sometimes for everyone in the room? This bonus episode of Mastering Therapy is a practical guide to therapy terminations, with a clinician’s eye on what really happens (and what goes unsaid). The conversation explores messy endings, why clients “ghost”, and how therapists can plan for sessions that fizzle or never happen at all.
Expect practical tools on handling your own reactions, scripts for easing those tricky conversations, and fresh reflections on when saying “goodbye” does or doesn’t mean the work is finished. Useful whether you’re NHS-based or in private practice. No mention of Acceptance and Commitment Therapy (ACT), but plenty to chew over all the same.
The host is Dr. Natalie Stott, clinical psychologist, founder of Mastering Therapy and host of the Mastering Therapy podcast.
Timestamps
What Kind of Ending Is This? 2:56
When Clients Ghost 7:00
Planned Endings & Practical Options 13:10
Therapist-Led Endings 20:07
Resources mentioned:
What to do when guide HERE
** Check out Mastering Therapy’s Youtube Channel for all podcast episodes **
For notification on up coming episodes and for occasional summaries of tools discussed on the podcast sign up here: www.masteringtherapy.com
To recommend a topic you’d like to hear about, or if you’d like to appear on the podcast please get in touch at www.masteringtherapy.com/guest
For private psychology services and therapy visit www.drnataliestott.com
*****
Subscribe to the Mastering Therapy Podcast YouTube channel
Follow Mastering therapy on instagram
Connect with Dr Natalie Stott on LinkedIn
SUPERVISOR PLATFORM
Supervisor Platform is an online directory designed for therapists, psychologists, counsellors, and other mental health professionals to connect with qualified clinical supervisors. It makes it easy for practitioners to browse, compare, and contact supervisors based on their expertise, approach, and availability, while giving supervisors a professional space to showcase their services.
Disclaimer: The Mastering therapy podcast and the information provided by Dr Natalie Stott (Dclinpsych, HPCP reg), is solely intended for informational and educational purposes and should only be used by qualified professionals.
Mentioned in this episode:
AIRNOTE | AI SCRIBE FOR THERAPISTS
AirNote is an affordable AI-powered note-taking app designed specifically for therapists in private practice.
AIRNOTE
What really happens when a client goes blank in therapy?
This episode dives into dissociation and distress in therapy sessions. Dr Natalie Stott helps make sense of those in-the-room moments where clients disconnect or shut down. Instead of offering set techniques, she shares what clients say actually helps, mistakes therapists often make, and how to understand what's really going on beneath the surface. There’s a strong focus on noticing before intervening, working collaboratively, and pacing sessions with care.
Highlights include:
01:15 What clients need when dissociating
04:11 Perfectionism and the urge to fix
10:13 Client quotes on what dissociation feels like
14:05 Distress vs dissociation—key differences
21:05 Therapist errors and how to avoid them
Resources mentioned:
GET THE WHAT TO DO WHEN GUIDE....
** Check out Mastering Therapy’s Youtube Channel for all podcast episodes **
For notification on up coming episodes and for occasional summaries of tools discussed on the podcast sign up here: www.masteringtherapy.com
To recommend a topic you’d like to hear about, or if you’d like to appear on the podcast please get in touch at www.masteringtherapy.com/guest
For private psychology services and therapy visit www.drnataliestott.com
*****
Subscribe to the Mastering Therapy Podcast YouTube channel
Follow Mastering therapy on instagram
Connect with Dr Natalie Stott on LinkedIn
SUPERVISOR PLATFORM
Supervisor Platform is an online directory designed for therapists, psychologists, counsellors, and other mental health professionals to connect with qualified clinical supervisors. It makes it easy for practitioners to browse, compare, and contact supervisors based on their expertise, approach, and availability, while giving supervisors a professional space to showcase their services.
Disclaimer: The Mastering therapy podcast and the information provided by Dr Natalie Stott (Dclinpsych, HPCP reg), is solely intended for informational and educational purposes and should only be used by qualified professionals.
Mentioned in this episode:
AIRNOTE | AI SCRIBE FOR THERAPISTS
AirNote is an affordable AI-powered note-taking app designed specifically for therapists in private practice.
AIRNOTE
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