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 narcissism, emphasizing the importance of questioning and softening the critical inner voice. The underlying issues that contribute to anxiety, such as unprocessed emotions, are addressed. The episode concludes by highlighting the relationship between anxiety, aggression, and narcissism.

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