Can Narcissism Change? What ‘Healing Narcissism’ Looks Like | Epi 158

In this episode, we return to the question of healing narcissism and what real change actually looks like in clinical work and everyday functioning.  We move beyond the common belief that narcissistic structures are fixed or unchangeable. Through a clinical illustration, we begin to trace the subtle moments where something starts to shift internally—where old ways of experiencing closeness, need, and recognition are quietly disrupted. What emerges is not a simple answer, but a deeper look inside the process itself: how change begins to take shape from within the structure of the mind.

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Dr. Anthony Mazzella is a psychoanalyst and psychodynamic psychotherapist specializing in narcissism, personality disorders, and relational dynamics.