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  • Asperger's Syndrome in Adults
  • Working To Come To Terms with Asperger's
  • Sex and Depression - The Real Story
  • The Loss of Joy: Anhedonia
  • All About Schizophrenia
  • Depression: Causes, Symptoms, and Treatment

Asperger Syndrome is an Autism Spectrum Disorder (or Pervasive Developmental Disorder) characterized by significant difficulties in social interaction along with restricted and repetitive patterns of behaviors and interests. Those with Asperger Syndrome, or AS, may exhibit a lack of empathy for their peers, clumsiness, and atypical use of language, though none of these symptoms are required for a diagnosis.1

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The pain of coming to terms with having Asperger's is still very real for me right now. There is a tremendous sense of grief. Grief for all that I suffered through to try to be "normal" and grief for how short of "normal" I always have been. There is also great relief to know that I am not crazy and that not everything can be traced back to an abusive past in the sense that some of what I experience is not choice/emotional but neurons/physical. The greatest challenge I face right now is trying to figure out which is which. This is not easy.

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One of the most common side effects of a number of antidepressant medications is loss of sex drive. I could forgive our friends at fine companies such as Eli Lilly, Bristol Meyers Squibb, and Pfizer if dry mouth, irritability, disrupted sleep patterns, loss of appetite, sloth, and social phobia were the sole issues related to the medications I take on a daily basis. However, it is the sex thing I find most challenging.

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Anhedonia is the technical term for the inability to experience joy. When people are in the depths of depression, nothing touches them, not the most intensely pleasurable activities, not the most familiar comforts. They are emotionally frozen. In this state, people either have to get professional help or simply wait for weeks or months until the depression lifts by itself; nothing is going to make them feel better.

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Schizophrenia is a mental illness which affects one person in every hundred.

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Depression is perhaps the most common of all mental health problems, currently felt to affect one in every four adults to some degree. Depression is a problem with mood/feeling in which the mood is described as sad, feeling down in the dumps, being blue, or feeling low. While the depressed mood is present, evidence is also present which reflects the neurochemical or "brain chemistry" aspects of depression with the depressed individual experiencing poor concentration/attention, loss of energy, accelerated thought/worry, sleep/appetite disturbance, and other physical manifestations. When this diagnosis is present, the individual will exhibit at least five of the following symptoms during the depressive periods:

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Having compassion for anyone who is narcissistic, whether they have Narcissistic Personality Disorder and/or Borderline Personality Disorder does not negate the reality of the fact that relating to these personality disordered people means you are having to deal with a Difficult and/or toxic person in what might well be an abusive relationship. Narcissist are in pain. Their humanity must be recognized.

Narcissistic Personality Disorder (NPD) has become synonymous with pejorative vilifying stereotypes that paint everyone diagnosed with it as monstrous. No one is the sum total of any diagnosis.

Narcissistic Personality Disorder has become synonymous with pejorative vilifying stereotypes that paint everyone diagnosed with it along with others with varying degrees of narcissism as monstrous people without worth. Rarely, in life, is the sum total of any human being with a personality disorder or not that simple or that black and white.

Narcissistic Personality Disorder (NPD) is isolating, disenfranchising, painful, and formidable for those diagnosed with it and often those who know them. Distinctions need to be made between those who have NPD because not each and every person with NPD is the same. Even with similar core issues the way in which one's individual narcissism manifests itself in his or her relationships varies.

There is an irrefutable truth that many who have NPD are abusive. However, not all with NPD are abusive. Among those with NPD who are abusive the form and severity that their abuse takes will vary from individual to individual.

Chief among the traits that define Narcissistic Personality Disorder are what is described as a lack of empathy and a lack of compassion – not to be confused with the lack of conscience seen in the most severe form of narcissism within NPD – The Malignant Narcissism Syndrome (Kernberg 1992 – according to "The Handbook of Personality Disorders – Theory and Practice," edited by Jeffery J. Magnavita - Pg 100) and that is most notably a feature in those diagnosed as having a psychopathic personality known as Antisocial Personality Disorder(APD). NPD and APD are not one in the same.

According to Wikipedia "Otto Kernberg described malignant narcissism as a syndrome characterized by a narcissistic personality disorder (NPD), antisocial features, paranoid traits, and ego-syntonic aggression. Some also may find an absence of conscience, a psychological need for power, and a sense of importance (grandiosity). … Malignant narcissism is considered part of the spectrum of pathological narcissism, which ranges from the Cleckley's antisocial character (today's psychopath) at the high end of severity, to malignant narcissism, to NPD at the low end."

Most with NPD struggle to understand the experience of others because they are too involved in their own inner experience. An inner experience that is then projected out onto others in ways that leave others being treated as mere extensions of the narcissist who needs to have reflected back his or her own image of self. When this image of self is reflected back in ways that enhance how the narcissist feels about him/herself, all is well. This, for the narcissist is the experience of the gratification of narcissistic supply.

The person with NPD cannot really see others separately from the way he/she experiences the world from his or her point of view only. Most everything is experienced as being about them, some extension of them, or as thwarting their wants and/or needs.

What is the difference between Narcissistic Personality Disorder and Borderline Personality Disorder? What does the false self mean? To read more in answer to these two questions please check out my Ebook, The Shadows and Echoes of Self- The False Self Born Out of the Core Wound of Abandonment in Borderline Personality Disorder.

Those with NPD are blinded to the external unfolding experience of others in relation to them. They are lacking in self-awareness, often, of how others experience them. Narcissists live their lives from the inside and do not have a very flexible or evident insight into what the difference is between their image of themselves versus who they really are (as seen and defined by others) and who they hold themselves out to be.

Narcissists, often, tremendously lack insight and awareness into themselves because they cannot see past this created, exaggerated and aggrandized image of self that is incongruent with who they really are and how others experience them. Trying to feedback to those with NPD about their actions, or behavior and so forth can be very frustrating because it is too painful for the narcissist to look behind the reflection of aggrandized self that they must have mirrored back to them in order to psychologically survive. The narcissist's grandiosity is a defense against profound psychological pain.

The narcissist's self-focus, along with his or her constant taking as they reel in this much-needed supply that buffs up and sustains their, albeit illusionary, image of grandiose and special self, interferes in this or her ability to share in the mutuality and/or reciprocity needed for healthier relating.

Those with NPD, while often described as stuck on themselves, or as full of themselves, truly are lost to themselves. Unlike those with BPD who have no sense of an actual known self and whose core wound of abandonment results in a lost self – those with NPD experience an emotional arrest at an earlier stage of early childhood development than do those with BPD (Masterson) that results in an image of a self that is held to perfection in a way that excludes the reality of the narcissist's pain. Anything that contradicts the image of perfection threatens his or her psychological survival and is much too painful and threatening to even acknowledge.

Being on the other side of a narcissist or someone with BPD with considerable narcissism can be very painful and frustrating. Relationships with most with NPD are usually not very satisfying or rewarding, emotionally, for those who are non-personality disordered.

Most people, who have been in, or are in, a relationship with someone with NPD feel very lonely and often invisible. Being in a relationship with someone with NPD or the combination of BPD/NPD often makes for a toxic and/or abusive relationship Those who have NPD are not emotionally available and this is one of the most difficult things to come to terms with for others.

The reality that someone has Narcissistic Personality Disorder or Borderline Personality Disorder or in some cases, both personality disorders, does not and should not excuse their abusive behavior in any way. The challenge for the personality disordered is to learn how to take personal responsibility. Often those with NPD and/or BPD will put the responsibility for their poor, disrespectful, or abusive behavior onto those they are relating to. Do not accept this responsibility. To do so is painful and crazy-making and only gives permission to the personality-disordered to continue to treat you the way they do and to blame you for it or try to have you believe that their behavior results from what you do or don't do - this is not true.

It is important to have compassion for those who have NPD. They are not all monsters, nor do they all behave in monstrous ways. If you are in tremendous emotional pain you may need to find ways to emotionally detach whether you stay in the relationship or not.

With healthy emotional detachment, and even when we have to remove ourselves from the abuse of a narcissist, how can we say that we are any different from a narcissist if we do not have empathy and compassion for those diagnosed with NPD?

How can we criticize what those with NPD are not able to share or do, if we ourselves aren't prepared to share what we are actually capable of?

Having compassion for a narcissist doesn't mean, however, sadly enough in many cases, that we can stay connected to the narcissist or actively share that compassion with the person with NPD. The best we can do is to recognize that not all things that those with NPD do, are done with malice. Those in relationships with those with NPD and/or who have been abused by someone with NPD need to take care of themselves. Having compassion for the narcissist doesn't mean staying in the relationship.

Compassion, like forgiveness, are gifts that you truly give to yourself as much as to anyone with NPD. Actively being aware of both will help you heal and will set you free from any and all painful entanglement with someone with NPD.

© A.J. Mahari 2007

Parent Category: Disorders

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