Can Someone with Narcissism Truly Change—and Heal from Within? | Epi 111 episode artwork

EPISODE · Nov 19, 2025 · 22 MIN

Can Someone with Narcissism Truly Change—and Heal from Within? | Epi 111

from The Narcissism Decoder · host Dr. Anthony Mazzella

In this episode, we join a conversation with Deborah from Healing from Toxic Abuse right at the moment she expresses surprise that people actually come to therapy identifying as narcissistic—because self-reflection is the very thing they resist. From there, we explore what happens when the illusion of the grandiose self begins to crack, when the fantasies that hold the self together collapse under reality. We look at how narcissistic defenses break down, how modes of repair can become destructive, and how these patterns can blur into borderline dynamics.If you are interested in a consultation or seeking virtual therapy services, Dr. Mazzella is accepting new patients. Please click here for more detailed information.  Contact me Directly with observations, questions or comments:  [email protected] You can follow The Narcissism Decoder on: https://www.instagram.com/thenarcissism.decoder/ https://www.tiktok.com/@thenarcissismdecoder https://www.youtube.com/@thenarcissismdecoder  Dr. Mazzella’s personal website: drmazzella.comDr. Anthony Mazzella is a psychoanalyst and psychodynamic psychotherapist specializing in narcissism, personality disorders, and relational dynamics.

Episode metadata supplied by the publisher feed · Published Nov 19, 2025

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In this episode, we join a conversation with Deborah from Healing from Toxic Abuse right at the moment she expresses surprise that people actually come to therapy identifying as narcissistic—because self-reflection is the very thing they resist. From there, we explore what happens when the illusion of the grandiose self begins to crack, when the fantasies that hold the self together collapse under reality. We look at how narcissistic defenses break down, how modes of repair can become destruc...

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Can Someone with Narcissism Truly Change—and Heal from Within? | Epi 111

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