If feelings could talk

S1 E15 Understanding Narcissistic Personality Disorder & How DBT Can Help

Karen Strober MSW Episode 15

In this episode, we take a grounded, therapeutic look at Narcissistic Personality Disorder (NPD)—what it is, what it isn’t, and how it often develops as a protective strategy rooted in early emotional wounds. Whether you're navigating a relationship with someone showing narcissistic traits or exploring your own patterns of emotional regulation, this conversation offers clarity and nuance.

We’ll also explore how Dialectical Behavior Therapy (DBT) can help build skills like distress tolerance, emotion regulation, and interpersonal effectiveness—tools that are often missing or underdeveloped in narcissistic structures.

This episode offers:

  • A clear, non-shaming explanation of NPD
  • The difference between narcissistic traits vs. a full diagnosis
  • How DBT skills can support both people living with NPD and those affected by it
  • Practical tools to stay grounded, set boundaries, and stay connected to self