The Virtual Couch

The Self-Care Paradox: Why Putting Yourself First Isn't Selfish and Is “Healthy Narcissism” a Thing? Live QA w/Tony and Mackie Overbay


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What happens when you walk face-first into a wall at the movies? For therapist Tony Overbay, it led to a deep discussion about relationships, self-worth, and the challenges of being true to yourself in a world that often demands conformity.


In this engaging episode of The Virtual Couch, Tony is joined by his daughter Mackie for their regular Sunday night Q&A session. After sharing a humorous story about his movie theater mishap (complete with butterfly stitches), they dive into profound conversations about relationships, mental health, and personal growth.


The episode explores the concept of "normal" versus "pathological" narcissism, with Tony breaking down Eleanor Greenberg's research on how healthy ego differs from defensive narcissism. They discuss how true confidence comes from actual accomplishments rather than a fragile facade of superiority.


A significant portion focuses on the challenges of maintaining authenticity in relationships, particularly when dealing with emotional immaturity. Tony explains how many people lose themselves trying to make others happy, and the importance of choosing self-care first - not as an act of selfishness, but as a necessary foundation for genuine connection.


The father-daughter duo tackles numerous listener questions, covering topics like:

- Setting healthy boundaries versus giving ultimatums

- The impact of being a "scapegoat" in family dynamics

- Dealing with betrayal trauma and infidelity

- The struggles of highly sensitive people (HSP)

- Navigating relationships with emotionally immature partners

- The challenges of being authentically yourself in a society that often rewards conformity


Throughout the episode, Tony emphasizes the importance of differentiation - developing a strong but flexible sense of self while maintaining connections with others. He provides practical advice for listeners struggling with various relationship challenges, including resources for finding affordable therapy and support groups for those dealing with emotionally immature partners.


The conversation weaves together clinical insights with personal experiences, creating an authentic and relatable dialogue that helps listeners understand they're not alone in their struggles. Tony and Mackie's natural rapport adds warmth and accessibility to complex therapeutic concepts, making them more digestible for a general audience.



00:00 Introduction and Setting the Scene

01:06 Super Bowl and Halftime Show Reactions

02:30 Movie Theater Mishap and Story Time

07:10 Relationship Dynamics and Self-Care

11:47 Understanding Narcissism and Healthy Ego

17:34 Questions from the Audience

41:14 Navigating the Online Dating World

41:50 The Struggle of Authenticity in Relationships

43:20 The Journey of Emotional Growth

47:22 Dealing with Narcissistic Relationships

53:54 The Importance of Setting Boundaries

01:11:12 Overcoming Trauma and Seeking Therapy

01:14:15 Confronting Relationship Challenges

01:19:59 Final Thoughts and Resources



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The Virtual CouchBy Tony Overbay LMFT

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