Toxic Guilt: Why Adult Children of Narcissistic Parents Feel Guilty for Saying No | Epi 168 episode artwork

EPISODE · Jul 15, 2026 · 22 MIN

Toxic Guilt: Why Adult Children of Narcissistic Parents Feel Guilty for Saying No | Epi 168

from Narcissism Decoder · host Dr. Anthony Mazzella

In this episode, I’m joined by Hannah Alderete, a Dynamic Emotion Focused Therapist and Certified Relational Trauma Coach, to explore the difference between healthy and toxic guilt and how toxic guilt often develops within narcissistic family systems. Together, we examine why so many adult children of narcissistic parents feel guilty for setting boundaries, expressing needs, disagreeing, or simply choosing themselves. We also discuss how guilt can become conditioned over time, leading people to mistake autonomy and self-assertion for selfishness, wrongdoing, or betrayal.Learn more about Hannah's work:   heartfeltonlinetherapy.comIf 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.

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In this episode, I’m joined by Hannah Alderete, a Dynamic Emotion Focused Therapist and Certified Relational Trauma Coach, to explore the difference between healthy and toxic guilt and how toxic guilt often develops within narcissistic family systems. Together, we examine why so many adult children of narcissistic parents feel guilty for setting boundaries, expressing needs, disagreeing, or simply choosing themselves. We also discuss how guilt can become conditioned over time, leading people ...

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Toxic Guilt: Why Adult Children of Narcissistic Parents Feel Guilty for Saying No | Epi 168

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