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BorderlinerNotes: Real Therapy Sessions

BorderlinerNotes: Real Therapy Sessions

NPD Therapy in Action | Consult w/ Dr. Igor Weinberg and Tessa (NPD dx)

BorderlinerNotes: Real Therapy Sessions · Nov 13, 2026 · 50:29

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The (over 1 hour long) extended split-screen version of this consult is available for Tier 2 channel members and at the shop, along with the other PD Project material: https://shop.mndflds.com/productsUploaded 06-07-26Become a member here: https://www.youtube.com/borderlinernotes/joinExtended split-screen version here: https://youtu.be/EN6v6AdkQ1E**This is a consultation/conversation. The two participants are not in therapy together and there is no patient-doctor relationship.**Psych interview / first meeting between Tessa (dx'd w/ NPD) and expert clinician Dr. Igor Weinberg. They explore Tessa's narcissism and why she is "still miserable" despite years of self-awareness. She describes the process of "becoming a new person," shaping herself after a celebrity. She wants to heal but fears no longer being "fascinating." Everything feels hollow and fragmented, and she struggles to be interested in anything. She is looking for a key to stop the cycle of chasing affirmation from outside and then still not feeling fulfilled.0:00 Wanting to Know Why She's Miserable Even Though Self-Aware0:42 Feeling "Hollow" No Matter What She Does2:18 Needing to Be Understood and Doubting Anyone Can5:12 Fearing Being Understood / Not Being "Fascinating" Anymore6:56 "Groundhog Day" of Disappointing, Empty, Boring Life10:36 Wishing She'd Had a Different Childhood / Wasting Her Life13:00 The Disconnect From Her "Ugly Past Self" / Fantasy15:45 The Process of Creating a New Self From a "Worthless, Disgusting" Past Self19:05 Dissociation / External Presentation vs. Internal Experience / "Her" Celebrity27:44 Trapped in the Dilemma of Wanting to "Heal" and Also Remain Special29:41 External Sources of Well-being and Worth / Pros and Cons of Affirmation and Recognition / It's "Never Enough"35:52 Fragmentation of Self / Nothing "Sticks" / Something is Wrong Inside40:15 Wrapping Up / Looking for an Answer (a Key) / A New Way to Be SpecialIf you or someone you know is considering self-harm or suicide, it’s okay to ask for help. 24 hour support is provided by https://www.hopeline-nc.org (877.235.4525), https://suicidepreventionlifeline.org (800.273.8255), https://kidshelpphone.ca (800.668.6868).SAMHSA’s National Helpline: If you or someone you know is dealing with substance misuse or mental illness, call 1-800-662-4357 for free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.Disclaimer: "Please be advised this video may contain sensitive information. All content found within this publication (VIDEO) is provided for informational purposes only. All cases may differ, and the information provided is a general guide. The content is not intended to be used as a substitute for medical advice, diagnosis, or treatment. If you have specific questions about a medical condition, you should consult your doctor or other qualified medical professional for assistance or questions you have regarding a medical condition. Studio Comma The, LLC and BorderlinerNotes does not recommend any specific course of medical remedy, physicians, products, opinion, or other information. Studio Comma The, LLC and BorderlinerNotes expressly disclaims responsibility and shall have no liability whatsoever for any damages, loss, injury, or suffering as a result of reliance on the information in this publication."
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Episodes: BorderlinerNotes: Real Therapy Sessions

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