When Love and Helplessness Collide

When Love and Helplessness Collide

In this episode, Jim shares the raw, emotional struggle of trying to connect with a daughter who feels unreachable. We unpack the complex family dynamics where love, guilt, and helplessness intertwine, revealing the hidden pain and unconscious patterns that shape their relationship. If you’ve ever felt stuck trying to help someone who pulls away, this conversation offers deep insight and compassion. If you are interested in a consultation or seeking virtual therapy services, Dr. Mazzell...

Jaksot(119)

What is Depression? An Investigation Into What Leads to Change

What is Depression? An Investigation Into What Leads to Change

What is Depression? In this episode, we discuss the role of aggression and 'bad introjects' in depression. We explore the origins of the critical and aggressive inner voice in depression, which often stems from early caregiver relationships. I emphasize how "bad" introjects develop and later in life the impact they have on fueling depression. A review of several pathways to depression is discussed and I highlight the detrimental effects of ineff...

24 Huhti 202419min

Navigating the Depths of Depression Among Teens: Implementing a Treatment Approach

Navigating the Depths of Depression Among Teens: Implementing a Treatment Approach

In this episode, I discuss a recent paper I presented on adolescent depression. I highlight the urgent need for understanding depression and effective treatment interventions for this growing mental health issue. I explore the role of "exclusion" and separation in healthy development and how, if not resolved, these painful feelings play a significant role in adolescent depression. Using a case study, I delve into the experience of depression in adolescence. Finally, we look at treatment...

10 Huhti 202435min

Intimacy Struggles in Narcissistic Relationships

Intimacy Struggles in Narcissistic Relationships

Takeaways · Self-other differentiation is critical in understanding narcissistic relationships. · Narcissistic relationships thrive when narcissistic needs are met. · The preference for illusion over reality can lead to destructive dynamics. · Embracing differences and engaging in genuine discovery of the "other" is essential for healthier relationships. ·&...

3 Huhti 202419min

Treating Narcissism: How to Deal with A Narcissist

Treating Narcissism: How to Deal with A Narcissist

In this episode, we discuss how to relate to a narcissist in your life without sacrificing your own well-being. We explore the dynamics of dealing with constant accusations, suspicion and invasive tracking measures. I emphasize the importance of taking these accusations seriously and understanding the projection and splitting that may be occurring. I suggest and give clear examples of how to not label your partner's behaviors but instead the goal is to focus on describing wh...

20 Maalis 202417min

Why Narcissism Causes Anxiety in Relationships - And What Can Be Done

Why Narcissism Causes Anxiety in Relationships - And What Can Be Done

This episode explores the links between anxiety and narcissism. It begins by discussing shame stress and the inner critical (angry) voice as significant causes of anxiety. The conversation then delves into the necessity for a flawless self-image and how it triggers anxiety. The connection between anxiety, narcissism, and exclusion is explored through examples of individuals who feel the center of attention. The episode also provides guidance on how to exist with someone with anxiety and narci...

6 Maalis 202415min

Why People Lash Out When They’re Anxious

Why People Lash Out When They’re Anxious

In this episode, we explore the connection between perfectionism and anxiety, highlighting how the inner critical voice fuels feelings of inadequacy and fear of judgment. I discuss the role of anger as a driver of anxiety and explain how the critical inner voice originates from early relationships with overly critical parental figures. I emphasize the importance of recognizing and addressing the critical voice to achieve lasting change. I conclude by discussing anxiety as another ...

28 Helmi 202413min

How to Take Charge of Your Anxiety: A Psychodynamic Approach

How to Take Charge of Your Anxiety: A Psychodynamic Approach

In this episode, we explore the complex relationship between anxiety and shame stress. I highlight how shame stress often goes undetected and untreated in individuals dealing with narcissism. The manifestations of anxiety, including perfectionism, procrastination, and self-destructive thoughts are described and I emphasize how traditional approaches to anxiety only treat the symptom and not the underlying cause. I introduce the concept of "shame stress" and its role in driving anxiety.&...

21 Helmi 202417min

Parenthood and Parenting Problems: Establishing the Bond

Parenthood and Parenting Problems: Establishing the Bond

In this episode, we tackle common parental challenges like tantrums, defiance, and risky behavior. Traditional solutions often fall short, but by understanding the underlying causes—the impact of affective misattunement and rupture in the parent-child bond—we can foster healthier relationships. Rather than focusing solely on behavior, we explore tools and techniques to address the underlying emotional needs and re-establish a strong and loving connection. If you are interested in a consultati...

14 Helmi 202424min

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