Mark Ettensohn, Psy.D.
Heal NPD
Dr. Mark Ettensohn shares his perspectives as a clinical psychologist who specializes in the treatment of narcissism and related disorders.
Author
Mark Ettensohn, Psy.D.
Category
Podcast website
Latest episode
Jun 3, 2026
Where to listen?
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Episodes
The Birth of Sorrow | Part 1: Crossing into Neurotic-Level Narcissism 27.05.2025 17:07
Link to episode 1 in this series, on psychotic-level NPD: https://youtu.be/IoxUCbNUJUE Link to episode 2 in this series, on borderline-level NPD: https://youtu.be/Oz-C503q_9Y This is the third episode of a four-episode series describing the narcissistic personality style across different levels of severity. Due to the length of the material, this episode has been divided into three parts. This is...
Weekly Insights: The Myth of Hardwired Narcissism 27.05.2025 12:17
In this video, Dr. Ettensohn examines the growing claim that Narcissistic Personality Disorder (NPD) is almost entirely genetic, offering a critical, clinically grounded reflection on what the current science actually supports—and where it falls short. He discusses how genetic contributions to personality traits are often misunderstood, and why claims of “hardwired narcissism” oversimplify a profo...
Weekly Insights: Healing Without a Therapist 27.05.2025 11:29
In this Weekly Insight, Dr. Ettensohn shares an adapted preview from his upcoming video on narcissism at the neurotic level of personality organization. He reflects on what it means to move toward psychological integration, emotional complexity, and the capacity for self-reflection - especially for those doing this work without a therapist. Drawing from clinical understanding and developmental the...
Weekly Insights: It Feels Real...But It's Not - Grandiosity in NPD 27.05.2025 9:00
In this Weekly Insight, Dr. Ettensohn explores the nature of grandiosity in pathological narcissism and Narcissistic Personality Disorder (NPD), emphasizing that grandiose self-states are distortions that mask underlying vulnerability. He examines how these states emerge, why they are so compelling, and how they become self-reinforcing through positive feedback loops. Dr. Ettensohn also discusses...
Weekly Insights: The Hidden Fear Behind NPD - Being Ordinary 27.05.2025 8:26
In this Weekly Insight, Dr. Ettensohn explores the deep existential conflict at the heart of pathological narcissism and NPD: the fear of being ordinary. Drawing from a recent presentation by psychiatrist and psychoanalyst Dr. Salman Akhtar, he examines how the pressure to be extraordinary—instilled early in life—becomes a defining and isolating feature of the narcissistic identity. Dr. Ettensohn...
Weekly Insight: Do Narcissists Seek Therapy? 27.05.2025 9:27
In this weekly insight, Dr. Ettensohn addresses the common misconception that individuals with Narcissistic Personality Disorder (NPD) never seek therapy—and the even more misleading idea that simply wondering whether you have NPD means that you don’t. This episode explores the origins of these myths, explaining how they stem from a misunderstanding of personality disorders and the role of insight...
Weekly Insights: The Cycle of Narcissistic Dehumanization 30.01.2025 10:24
The "Weekly Insights" series is for paid members of Dr. Ettensohn's Heal NPD Youtube channel. In the short-term, Dr. Ettensohn is posting all even-numbered episodes free of charge. If you would like access to the full series, please follow this link: https://www.youtube.com/channel/UCHeT5kujD1JqHRAi-x8xD-w/join In this weekly insight, Dr. Ettensohn explores how cycles of narcissistic wounding and...
Weekly Insights: Reflections on Dichotomous Thinking 30.01.2025 8:35
The "Weekly Insights" series is for paid members of Dr. Ettensohn's Heal NPD Youtube channel. In the short-term, Dr. Ettensohn is posting all even-numbered episodes free of charge. If you would like access to the full series, please follow this link: https://www.youtube.com/channel/UCHeT5kujD1JqHRAi-x8xD-w/join In this weekly insight, Dr. Ettensohn discusses the limitations of polarized or dichot...
Weekly Insights: Narcissism vs. Self Love: Understanding the Difference 30.01.2025 5:17
The "Weekly Insights" series is for paid members of Dr. Ettensohn's Heal NPD Youtube channel. In the short-term, Dr. Ettensohn is posting all even-numbered episodes free of charge. If you would like access to the full series, please follow this link: https://www.youtube.com/channel/UCHeT5kujD1JqHRAi-x8xD-w/join What’s the difference between healthy self-love and pathological narcissism? In this w...
Weekly Insights: Try This Instead of Gratitude 30.01.2025 5:31
The "Weekly Insights" series is for paid members of Dr. Ettensohn's Heal NPD Youtube channel. In the short-term, Dr. Ettensohn is posting all even-numbered episodes free of charge. If you would like access to the full series, please follow this link: https://www.youtube.com/channel/UCHeT5kujD1JqHRAi-x8xD-w/join In this episode of the members-only "Weekly Insights" series, Dr. Ettensohn reflects o...
The False Self: A Tragic Survival Strategy 22.12.2024 20:55
In this episode, Dr. Ettensohn explores the insights of Alice Miller regarding emotional abandonment and narcissistic use of the child, focusing on how these early dynamics shape pathological narcissism and Narcissistic Personality Disorder (NPD). Drawing from Miller’s groundbreaking work, Dr. Ettensohn examines how a child growing up in a narcissogenic environment learns to adapt by creating a f...
Without Emotional Skin: Understanding Borderline-Level NPD 25.10.2024 40:02
In this episode, Dr. Ettensohn draws on psychodynamic dimensional models of personality development to describe narcissism and NPD at the borderline level. Characterized by identity diffusion, blurred boundaries, and disrupted internal experience, borderline personality organization represents an "in between" level where the perceptions of the self and others float in and out of clear focus. This...
Live with Dr. Ettensohn 7-25-24 06.08.2024 1:32:44
Dr. Mark Ettensohn answers questions and responds to viewer comments in a livestream broadcast from 7-25-24.
A Nameless Dread: Understanding Psychotic-Level NPD 05.07.2024 29:14
In this episode, Dr. Ettensohn draws on psychodynamic dimensional models of personality development to describe narcissism and NPD at the psychotic level. Characterized by compromised reality testing, symbiotic object relations, low integration between parts of the self, and the use of reality-distorting defense mechanisms, psychotic-level NPD represents both the least developmentally mature and m...
Live with Dr. Ettensohn 4-26-24 26.06.2024 1:35:00
Dr. Mark Ettensohn answers questions and responds to viewer comments in a livestream broadcast from 4-26-24.
Live with Dr. Ettensohn 3-14-2024 29.04.2024 1:33:38
Dr. Ettensohn answers listener questions and responds to comments in a livestream broadcast from 3-14-24.
Lisa Taylor-Austin’s Interview with Dr. Ettensohn 12.03.2024 1:12:02
This episode is the audio from an on-camera interview between licensed psychotherapist Lisa Taylor-Austin and Dr. Ettensohn. The video of this interview can be viewed on Lisa's youTube channel here: https://www.youtube.com/@LisaTaylor-Austin This audio recording is posted with Lisa's permission. This discussion covers numerous topics, from treating pathological narcissism, the diagnostic criteri...
Decoding NPD: The Critical Role of Attachment 08.03.2024 22:41
In this episode, Dr. Ettensohn draws heavily on his own research concerning pathological narcissism and attachment patterns, using attachment theory as a lens to focus explanatory power onto the often confusing dynamics of NPD. Beginning with a general overview of Bartholomew's four-prototype model of adult attachment, Dr. Ettensohn identifies the most common attachment patterns of individuals wit...
5 Common Misconceptions about NPD 13.11.2023 27:27
In this episode, Dr. Ettensohn addresses 5 common misconceptions about pathological narcissism and NPD: 1. NPD is not a mental illness 2. NPD is not treatable 3. Even if NPD is treatable, actual healing is impossible 4. All individuals with NPD are abusers 5. People with NPD change their behavior behind closed doors, so they can't be mentally ill Using authoritative mental health resources like th...
Boundaries, Assertiveness, and NPD 27.08.2023 24:47
In this episode, Dr. Ettensohn discusses the important topic of boundaries. He provides a definition of interpersonal boundaries, discusses the reasons why boundaries are important for mental health and healthy relationships, discusses the problems with boundaries that often occur in pathological narcissism and NPD, and provides some basic tips for assertive behavior. Purchase Unmasking Narcissi...
What Causes Narcissistic Rage? 04.07.2023 19:04
In this episode, Dr. Ettensohn explores the possible causes of narcissistic rage, referencing the work of Ernest S. Wolf, a close collaborator with Heinz Kohut and author of the book 'Treating the Self: Elements of Clinical Self Psychology." Dr. Ettensohn discusses the ways in narcissistic rage functions as a defense of the unbearably wounded self and results from implicit confusion between self a...
Do Narcissists ”Know What They’re Doing?” 11.04.2023 14:47
In this episode, Dr. Ettensohn discusses the topic of self-awareness in NPD. Numerous commenters have shared their belief that narcissists "know what they are doing"...that they are fully aware of the harm caused by their behaviors. Centering the conversation in the idea of mental illness, Dr. Ettensohn discusses the faulty attributions, skewed perceptions, and interpersonal deficits often associa...
Why Narcissists Lack Empathy 25.03.2023 15:21
In this episode, Dr. Ettensohn outline 4 reasons why empathy may be impaired in pathological narcissism and NPD: 1. Lack of self awareness 2. Objectification of the self and others 3. A 'starvation mindset' 4. Avoidant attachment styles Dr. Ettensohn also discusses his disagreement with Dr. Ramani's ideas concerning empathy and NPD, as expressed in the following video on her channel: https://youtu...
Illness Anxiety and NPD 25.02.2023 10:35
In this episode, Dr. Ettensohn explores the connection between illness anxiety and pathological narcissism. This episode explores how illness anxiety in NPD can be disguised anxiety about loss of self or psychological disintegration. Purchase Unmasking Narcissism: A Guide to Understanding the Narcissist in Your Life here: https://amzn.to/3nG9FgH LISTEN ON APPLE PODCASTS: https://rb.gy/cklpum LISTE...
A Real Definition of Narcissistic Abuse 08.02.2023 10:20
The term ‘narcissistic abuse’ has been, itself, heavily abused. Is has largely been a pop-psychology term that means different things depending on how and where it is used. It is often used to demonize individuals with pathological narcissism and NPD, who represent an at-risk population for depression, self-harm, and suicide. In this episode, Dr. Ettensohn provides a new definition for narcissist...
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