The definition of narcissism can be a moving target. Is it an excess of self-love? Profound insecurity? Low self-esteem? Too much self-esteem? Because of the multifaceted nature of narcissistic personality disorder (NPD), treating this disorder presents clinicians with a range of wholly unique challenges. Dr. Laura Roberts, M.D. unwraps Narcissism with Glen O. Gabbard, M.D., and Holly Crisp-Han, M.D. authors of the book Narcissism and Its Discontents, Diagnostic Dilemmas and Treatment Strategies with Narcissistic Patients.  

01. Narcissism and Its Discontents

Psychiatry Unbound is APA Publishing's Books podcast, hosted by APA Books Editor-in-Chief, Laura Roberts, M.D. It offers the opportunity to hear the voices behind the most prominent psychiatric scholarship in the field today. Subscribe now to learn about important topics in the field of psychiatry and see how our authors are making an impact in clinical settings 
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Release date: December 29th, 2023 Welcome back to Psychiatry Unbound, the podcast from the Publishing department of the American Psychiatric Association. In this episode, Dr. Laura Roberts is joined by Dr. John Barry, and Dr. “Dr.” Sepideh Bajestan to discuss their careers in the realms of Neuropsychiatry and Neurology, and their roles in the creation of the Concise Guide to Neuropsychiatry and Behavioral Neurology, Third Edition. In this episode:  Introduction (0:45) The background to the book’s creation and Neuropsychiatry (3:42) Bias in diagnosing and treating patients (14:28) Dr. Barry’s professional journey (20:20) Dr. Bajestan’s professional journey (23:32) When to reach for a second opinion (27:55) Thinking Fast and Slow (33:15) Keeping the curiosity ‘on’ and the importance of saying “I don’t know” (38:10) Empathy (39:12) Last thoughts (42:20)  Show Notes and Resources:  Concise Guide to Neuropsychiatry and Behavioral Neurology, Third Edition (American Psychiatric Association Publishing) 2023  John J. Barry, M.D., is Fellowship Director of Neuropsychiatry and Behavioral Neurology, Director of the Neuropsychiatry Clinic, Co-Director of the Individual Psychiatry Clinic, and Professor of Psychiatry and Behavioral Sciences in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine and Stanford University Hospital in Stanford, California.  Sepideh N. Bajestan, M.D., Ph.D., is Chief of Neuropsychiatry Services, Associate Director of the Neuropsychiatry and Behavioral Neurology Fellowship, Co-Director of the Individual Psychotherapy Clinic, and Clinical Professor in the Department of Psychiatry and Behavioral Sciences at the Stanford University School of Medicine in Stanford, California.  Transcript and Further Episodes here.

28. Neuropsychiatry and Behavioral Neurology

Dr. Laura Roberts is joined by Art Walaszek to discuss his recent book  Late-Life Depression and Anxiety, which he created using a rich and deep team of contributors. The conversation explores our preconceptions of the aging population and their “default mindset”, how to identify the early-warning signs, mitigating the risk of suicide, access to medical and MH services, and thoughts about the motivations our writers have while creating their books. In this episode:Introduction (0:32) Why we need this book (2:24) Our assumptions about mindset in an aging population (4:30) Early warning signs – what to look out for (8:18) What should a primary care physician look for? (14.10) Suicide risk reduction and social isolation (19:32) Access to services (25:56) Principles of management (31:04) Community action and responses (39:10) Writing books to reinforce and support (44:48) Exciting news about the future of Unbound! (47:15)  Show Notes and Resources:Late-Life Depression and Anxiety by Dr. Art Walaszek (American Psychiatric Association Publishing) 2023 Learn more about Dr. Art Walaszek. Transcript and More Episodes: https://psychiatryonline.org/psychiatry-unbound

27. Late-Life Depression and Anxiety

Release date: October 27th, 2023 Dr. Laura Roberts is joined by Dr. Carolyn Rodriguez and Dr. Randy Frost, authors of the new book  Hoarding Disorder – A Comprehensive Clinical Guide, which tackles a condition which has been part of the zeitgeist for a while now (just ask fans of Marie Kondo) yet was only codified as a disorder in the DSM-5 in 2013. This is therefore a pioneering new work in the field, and the authors discuss the book’s genesis and their ambitions for understanding and treating a condition now thought to be more prevalent than OCD. In this episode:  Introduction (0:30) Why did the world need this book? (2:27) The Collyer Brothers (4:45) The natural history of the condition in younger patients (7:00) The status of research in the area (10:25) the tipping point (14:24) Who’s psychologically uncomfortable here? (22:10) How do we do a better job of recognizing this disorder earlier? (28:10) Hoarding, affluence and popular culture (37:03) Understanding the nature of the attachments that people have (38:50)  Show Notes and Resources:Hoarding Disorder – A Comprehensive Clinical Guide by Dr. Carolyn Rodriguez and Dr. Randy Frost (American Psychiatric Association Publishing) 2023  Learn more about Dr Rodriguez and Dr Frost. Read more about the Collyer Brothers.  Transcript and More Episodes: https://psychiatryonline.org/psychiatry-unbound

26. Hoarding Disorder

Release date: June 30th, 2023 Dr. Laura Roberts is joined by Ezra Griffith, M.D., Professor Emeritus of Psychiatry at the Yale School of Medicine and recipient of the 2023 Chester Pierce Human Rights Award, to discuss his book Race and Excellence: My Dialogue with Chester Pierce, the culmination of his personal and professional relationship with Pierce. In the second of two episodes, Ezra looks back on his own journey into psychiatry, his life’s work, and his own legacy. In this episode:  Introduction (0:46) Ezra’s journey (2:40) Interest in the black question (09:25) Thinking about injustice (11:35) On becoming a psychiatrist (18:40)  Show Notes and Resources:Race and Excellence: My Dialogue with Chester Pierce by Ezra Griffith (American Psychiatric Association Publishing) 2023  Learn more about Dr. Ezra Griffith.  Transcript and More Episodes: https://psychiatryonline.org/psychiatry-unbound

25. Lived Experience

Dr. Laura Roberts is joined by Ezra Griffith, M.D., Professor Emeritus of Psychiatry at the Yale School of Medicine and recipient of the 2023 Chester Pierce Human Rights Award, to discuss his book Race and Excellence: My Dialogue with Chester Pierce, the culmination of his personal and professional relationship with Pierce, (1927 – 2016) a tenured professor of education and psychiatry at Harvard Medical School, the first African-American full professor at Massachusetts General Hospital, and past-president of the American Board of Psychiatry and Neurology and the American Orthopsychiatric Association. Pierce was a fellow in the American Academy of Arts and Sciences, a senior consultant for the acclaimed educational children's television series Sesame Street and coined then developed the term "microaggression". In the first of two episodes in the company of Ezra Griffith, he discusses the life of the pioneering psychiatrist Pierce, and explores his legacy. In this episode: Introduction (0:41) Why the book had to be put together (3:41) “Who was Chester Pierce to you?” (7:07) How Ezra came to speak regularly with Chester (9:23) The notion of dignity (12:45) Leadership (17:05) On microaggressions (19:00) Contribution by, and legacy of, Chester Pierce (29:43)  Show Notes and Resources:Race and Excellence: My Dialogue with Chester Pierce by Ezra Griffith (American Psychiatric Association Publishing) 2023 Learn more about Dr. Ezra Griffith.  Transcript and More Episodes: https://psychiatryonline.org/psychiatry-unbound   

01. Narcissism and Its Discontents

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