Can a Narcissist Change? It's Complicated! episode artwork

EPISODE · Nov 28, 2025 · 30 MIN

Can a Narcissist Change? It's Complicated!

from Been There Got Out Podcast · host Chris & Lisa | Marissa De Sa

Could personality disorders be more flexible than we think? Discover surprising insights with psychotherapist Marissa De Sa as she dismantles the misconception that personality disorders are unchangeable. Marissa's expertise in Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT) reveals how our environments and early experiences shape these conditions, providing a pathway to healing and growth. You'll hear about the transformative potential of DBT beyond its roots in treating borderline personality disorder, offering hope for managing a wide range of disorders including narcissistic and obsessive-compulsive types.Marissa takes us on a journey through the structured and life-changing processes of DBT, where motivation, commitment, and dialectics play crucial roles. Dive into the core elements of DBT that help clients cultivate a "wise mind" for managing intense emotions and avoiding impulsive decisions. Through individual therapy and skills groups, clients master mindfulness, interpersonal effectiveness, distress tolerance, and emotion regulation, showcasing promising outcomes in therapy. Plus, discover the visible indicators of success that mark a client's progress and transformation.We also tackle high-conflict situations with practical strategies for effective communication. Learn how DBT's DEAR MAN technique can defuse defensiveness and reduce emotional reactivity, especially in sensitive interactions involving personality disorders or addiction. Explore powerful communication and negotiation tactics, such as those from David Burns' five secrets of effective communication, that offer solutions for high-conflict family dynamics. As we conclude, Marissa emphasizes the significance of hope and the continued conversation around mental well-being, inviting you to stay connected through the resources available at the Cognitive and Behavioral Care Center.

Episode metadata supplied by the publisher feed · Published Nov 28, 2025

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Could personality disorders be more flexible than we think? Discover surprising insights with psychotherapist Marissa De Sa as she dismantles the misconception that personality disorders are unchangeable. Marissa's expertise in Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT) reveals how our environments and early experiences shape these conditions, providing a pathway to healing and growth. You'll hear about the transformative potential of DBT beyond its roots in tre...

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Can a Narcissist Change? It's Complicated!

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