Narcissist Therapy

21 sessions with Dr Daniel Fox

This Narcissistic Personality Disorder (NPD) therapy module offers comprehensive insights into NPD, including its etiology, covert and overt presentations, core psychopathology, maladaptive behaviors, defense mechanisms, relationship cycles, co-morbid conditions, online behavior, power struggles, assertiveness, and therapeutic strategies for working effectively with narcissistic clients and their partners.

Test your knowledge – complete the short quiz at the end of each session for professional development (CPD/CME/CE). By successfully completing all quizzes in this module you will be eligible for a Certificate of Achievement.

Worksheets – Narcissist Personality Disorder workbook coming soon.

This content is only available to wisemind.com members.

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SESSIONS IN THIS MODULE

01

Introducing Narcissistic Personality Disorder and Dr Daniel Fox 

In this session, Dr Daniel Fox introduces narcissistic personality disorder, drawing on his research and extensive clinical experience. Discover what lies ahead in this therapy series and gain a clear roadmap for understanding, assessing, and effectively working with narcissistic clients and the partners of narcissists.

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02

Malignant Narcissism

In this session, Dr Daniel Fox explores malignant narcissism, highlighting its key signs and unique challenges. Learn how this severe form of narcissism influences treatment dynamics, affects therapeutic engagement, and shapes the likelihood of successful outcomes, providing essential insights for clinicians working with high-risk or complex narcissistic presentations.

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03

Chocolate Cake Dilemma

In this session, Dr Daniel Fox explores the landmark Chocolate Cake Dilemma study and its powerful relevance to narcissistic relationships. Learn how early emotional highs mirror idealisation, and why these intense beginnings often give way to disappointment, confusion, and emotional lows over time.

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04

Aetiology of Narcissism 

In this session, Dr Daniel Fox explores the aetiology of narcissism, examining its developmental foundations. Learn how early relational and environmental experiences shape narcissistic traits and increase the likelihood of developing Narcissistic Personality Disorder, using clinically relevant insights to inform assessment and treatment.

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05

Core Psychopathological Content

In this session, Dr Daniel Fox explores the core psychopathological content of individuals along the NPD spectrum. Learn how fear, shame, guilt, doubt, and feelings of inferiority form the underlying structure of narcissistic pathology, shaping behavior, relationships, and treatment approaches in clinical practice.

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06

Speak Narcissism

In this session, Dr Daniel Fox explores effective communication strategies with individuals with NPD. Learn how to deliver challenging content in a way that reduces defensive reactions, fosters engagement, and enhances therapeutic dialogue, providing essential tools for clinicians to navigate sensitive conversations with narcissistic clients successfully.

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07

Enlistment and Other Recruitment Strategies

In this session, Dr Daniel Fox examines enlistment and relationship-retention strategies used across the narcissistic spectrum. Learn which traits make individuals more likely to enter these relationships and the common tactics narcissistic partners use to maintain often intense, unstable, and emotionally turbulent relational dynamics.

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08

Do Narcissists Really Come into Treatment?

In this session, Dr Daniel Fox explores the circumstances that bring individuals along the narcissistic spectrum into therapy. Typically prompted by a “narcissistic wound,” he examines the triggers, presenting issues, and patterns that lead to treatment, offering clinicians insight into engagement and early intervention strategies.

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09

Surface maladaptive patterns 

In this session, Dr Daniel Fox examines the surface-level maladaptive behaviors common in individuals along the NPD spectrum. Learn how patterns such as exploiting others, reacting to criticism with rage, and displaying excessive self-importance manifest, offering crucial insights for understanding, assessing, and managing narcissistic behaviors in clinical settings.

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010

The Stages of Change and NPD

In this session, Dr Daniel Fox explores how to work with clients with NPD using the stages of change model. Learn how to apply this framework from the initial session to plan treatment, guide engagement, and create a structured trajectory for effective therapeutic intervention.

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011

Power Struggles

In this session, Dr Daniel Fox explores power struggles in therapy with individuals along the NPD spectrum. Learn how to recognize these common dynamics, understand their impact on treatment, and implement strategies to manage conflicts effectively, maintaining therapeutic focus and fostering productive engagement.

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012

Breaking the Cycle of Glorify, Belittle, Abandon

In this session, Dr Daniel Fox unpacks the relationship cycle of glorifying, belittling, and abandoning. Each phase is explored in depth, revealing the dynamics that keep individuals along the narcissistic spectrum—and their partners—entangled in turbulent, often destructive relationships.

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013

Covert and Overt Narcissism 

In this session, Dr Daniel Fox explores covert and overt narcissism, highlighting the similarities and differences between these two common subtypes of Narcissistic Personality Disorder. Gain clarity on how each presents in behavior, relationships, and clinical settings, enhancing assessment and intervention strategies for diverse clients.

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014

Common Defence Mechanisms

In this session, Dr Daniel Fox explores the classic defense mechanisms used by individuals along the NPD spectrum, including projection, fantasy, and acting out. He also highlights how these defenses differ between covert and overt presentations, offering essential insight into understanding and responding to narcissistic behavior in clinical practice.

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015

Enhancing Empowerment Through Assertiveness

In this session, Dr Daniel Fox explores how to enhance empowerment through assertiveness for individuals along the narcissistic spectrum. Learn the distinctions between assertiveness, aggressiveness, and passivity, and discover strategies to build assertiveness skills while addressing the unique barriers of covert and overt narcissistic presentations.

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016

Conceptualising Successful Treatment

In this session, Dr Daniel Fox explores how to define therapeutic success with clarity and purpose. Learn how to create a clear vision of treatment goals and apply practical metrics to track progress, evaluate outcomes, and guide clinical decision-making across the full treatment journey, from assessment to long-term change practice.

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017

Empowerment to Change

In this session, Dr Daniel Fox explores the five areas of empowerment: awareness, values, skills, information, and goals. By understanding these areas, clients can gain clarity about their relationships with narcissistic partners and develop the insight and tools needed to make healthier, more empowered choices.

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018

Distinction between Entitlement and NPD

In this session, Dr Daniel Fox clarifies the critical distinction between entitlement and Narcissistic Personality Disorder (NPD). Learn why entitlement is often misdiagnosed as NPD, explore the prevalence and likelihood of developing NPD, and understand how treatment approaches differ depending on whether a client presents with entitlement or NPD.

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019

Online Behaviour and NPD

In this session, Dr Daniel Fox explores the online behaviors of individuals along the NPD spectrum. Learn how narcissistic traits manifest in digital spaces, and how these behaviors reinforce pathology, manipulate others, and perpetuate relational patterns, providing insight into modern expressions of NPD in the online world.

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020

Commitment to do Things Differently

In this session, Dr Daniel Fox examines the key issues and problematic behaviors common in narcissistic relationships. By understanding these patterns, clients can strengthen insight, clarify their commitment to change, and learn to trust their instincts when evaluating the health and quality of their relationships.

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021

Co-morbid NPD conditions

In this session, Dr Daniel Fox explores co-morbid conditions frequently seen alongside Narcissistic Personality Disorder (NPD). Learn how NPD can intersect with bipolar disorder, depression, anxiety, borderline personality disorder, and other personality disorders, and gain insights into identifying and addressing these complex overlapping clinical presentations.

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