Treating NPD vs Treating BPD | IGOR WEINBERG
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Published 2023-06-20
Dr. Igor Weinberg is a psychotherapist and expert on pathological narcissism, personality disorders (BPD and NPD) and suicidal behaviors. He works at Harvard Medical School & McLean Hospital.
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All Comments (15)
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I had a psychiatrist diagnose me with BPD and not tell me. I found out from a general practitioner who was substituting for mine, months later. Having my diagnosis kept from me then later "accidentally" revealed was extremely distressing and traumatic. It delayed me getting proper treatment for months. It gave me a whole new level of distrust for doctors. There's no shame in a diagnosis; the shame is going undiagnosed and going untreated.
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This is great. Hoping to hear the rest. Also it resonates with something I was reading this morning (on psychoanalytic diagnosis) about patients who become curious vs those who retreat when a therapist makes an interpretation, for example.
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It would be VERY interesting to study people who are already in addiction recovery (AA / NA / GA etc), to assess what percentage have NPD features, and to determine how much the addiction recovery has the side-effect of improving their NPD symptoms. My hunch is that these programs do at least improve the overall neurology and symptoms. Maybe pure NPDs should seek life-structuring / life-changing programs like addiction-recovery...
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A psychiatrist put NPD in my record without saying anything about it to me. I became aware when my lawyer sent me my medical records. My current psychiatrist doesn't think I have/am this though. Isn't that unethical to put a label on someone without even discussing it with the patient?
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What a cliff hanger! I’m curious about these effective attachment theory treatment interventions
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Interesting. I wonder how this might manifest in a person who isnt quite one or the other but has traits of both.
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Very informative :)
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Did he ever deem a person seeking help as a lost cause? why?
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Just a quick thanks to feed the almighty algorithm!
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✅
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ummm interesting
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Promo SM 🙏
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I dealed with people who have lot of NPD traits, but don't have any significant trauma, unlike BPD's. What NPD's often have had is exessive pampering, helicopter parenting, been made feel very special and extrodinary, admiration - which BPD's often lack (except maybe attention to their looks and sexuality)
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This guy has no business interacting with any vulnerable population of people. He is a perfect example of how the healthcare system fails patients
