visit: menstherapy.online/start
He's written the book on it. She built her whole channel on being one. Between them and two clinicians who've spent decades untangling the difference between "narcissistic" and evil, "traumatized" and untreatable, this panel takes on the internet's most overused, most misunderstood diagnosis.
In this roundtable episode of the Men's Therapy Podcast, host Marc Azoulay sits down with Dr. Mark Ettensohn (clinical psychologist and host of Heal NPD), Dr. David Hawkins (Marriage Recovery Center), Sarah, known online as Cluster B Milkshake, and therapist Darren F. Magee, to actually define pathological narcissism, separate it from garden-variety grandiosity, and explain why the DSM's narrow criteria make NPD look far rarer than clinical experience suggests.
The conversation covers why almost every diagnosed case of NPD traces back to developmental trauma, why having empathy doesn't make you good and lacking it doesn't make you the villain, and the real difference between narcissism and emotional abuse. Sarah offers a rare first-person account of what grandiosity, collapse, and parenting through that lens actually feel like from the inside. The panel closes on a genuinely hopeful note: why recovery from NPD is possible, what it actually takes, and why it often gets worse before it gets better.
đź”” If any part of this hits home, subscribe and check out the resources below.
CHAPTERS
00:00 - Introduction
01:00 - Meet the Panel: Dr. Mark Ettensohn
03:00 - Meet the Panel: Sarah, "Cluster B Milkshake"
06:00 - Meet the Panel: Dr. David Hawkins
08:00 - Meet the Panel: Darren F. Magee
10:00 - Why Narcissism Is So Misunderstood Online
12:00 - What Pathological Narcissism Actually Is
15:00 - Is NPD Rare, or Just Rarely Defined Correctly?
19:00 - Inside a Narcissist's Self-Protective Logic
22:00 - Where Does Narcissism Come From?
30:00 - Traits vs. Disorder: Where's the Line?
32:00 - Redefining Trauma as an "Injury"
34:00 - Why "Conditioning" Explains It Better Than "Trauma"
38:00 - The Empathy Myth, Busted
41:00 - Empathy Isn't Fixed, It's State-Dependent
43:00 - Sarah on Parenting Through a Narcissistic Lens
48:00 - Attachment Styles and Narcissism
51:00 - Narcissism vs. Emotional Abuse
54:00 - Masking at Work, Unmasking at Home
59:00 - Maladaptive Behavior vs. Deliberate Intent
1:00:00 - Are Narcissists Masterminds?
1:05:00 - The Scarcity Model of Identity
1:07:00 - Is Recovery From NPD Actually Possible?
1:12:00 - Why Treatment Feels Worse Before It Feels Better
1:18:00 - Where to Find the Panel
Connect with Panel
Dr. Mark Ettensohn:
Website: https://www.healnpd.org/
YouTube: @healnpd
Dr. David Hawkins:
Website: https://drdavidbhawkins.com/
Marriage Recovery Centre: http://marriagerecoverycenter.com
Sarah / Cluster B Milkshake:
YouTube: clusterbmilkshake
Darren F. Magee:
YouTube: darrenfmagee
Instagram: Instagram: darrenfmagee
Resources Mentioned
Individual Therapy:
https://menstherapy.online/?utm_sourc...
Men’s group:
https://menstherapy.online/mens-group...
MTO Slack:
https://menstherapy.online/slack/?utm...
Website:
https://menstherapy.online/
Tags (ignore): Psychology, Mental health, Therapy, Masculinity, Narcissism, NPD, Anxiety, Personality disorder
visit: menstherapy.online/start
He's written the book on it. She built her whole channel on being one. Between them and two clinicians who've spent decades untangling the difference between "narcissistic" and evil, "traumatized" and untreatable, this panel takes on the internet's most overused, most misunderstood diagnosis.
In this roundtable episode of the Men's Therapy Podcast, host Marc Azoulay sits down with Dr. Mark Ettensohn (clinical psychologist and host of Heal NPD), Dr. David Hawkins (Marriage Recovery Center), Sarah, known online as Cluster B Milkshake, and therapist Darren F. Magee, to actually define pathological narcissism, separate it from garden-variety grandiosity, and explain why the DSM's narrow criteria make NPD look far rarer than clinical experience suggests.
The conversation covers why almost every diagnosed case of NPD traces back to developmental trauma, why having empathy doesn't make you good and lacking it doesn't make you the villain, and the real difference between narcissism and emotional abuse. Sarah offers a rare first-person account of what grandiosity, collapse, and parenting through that lens actually feel like from the inside. The panel closes on a genuinely hopeful note: why recovery from NPD is possible, what it actually takes, and why it often gets worse before it gets better.
đź”” If any part of this hits home, subscribe and check out the resources below.
CHAPTERS
00:00 - Introduction
01:00 - Meet the Panel: Dr. Mark Ettensohn
03:00 - Meet the Panel: Sarah, "Cluster B Milkshake"
06:00 - Meet the Panel: Dr. David Hawkins
08:00 - Meet the Panel: Darren F. Magee
10:00 - Why Narcissism Is So Misunderstood Online
12:00 - What Pathological Narcissism Actually Is
15:00 - Is NPD Rare, or Just Rarely Defined Correctly?
19:00 - Inside a Narcissist's Self-Protective Logic
22:00 - Where Does Narcissism Come From?
30:00 - Traits vs. Disorder: Where's the Line?
32:00 - Redefining Trauma as an "Injury"
34:00 - Why "Conditioning" Explains It Better Than "Trauma"
38:00 - The Empathy Myth, Busted
41:00 - Empathy Isn't Fixed, It's State-Dependent
43:00 - Sarah on Parenting Through a Narcissistic Lens
48:00 - Attachment Styles and Narcissism
51:00 - Narcissism vs. Emotional Abuse
54:00 - Masking at Work, Unmasking at Home
59:00 - Maladaptive Behavior vs. Deliberate Intent
1:00:00 - Are Narcissists Masterminds?
1:05:00 - The Scarcity Model of Identity
1:07:00 - Is Recovery From NPD Actually Possible?
1:12:00 - Why Treatment Feels Worse Before It Feels Better
1:18:00 - Where to Find the Panel
Connect with Panel
Dr. Mark Ettensohn:
Website: https://www.healnpd.org/
YouTube: @healnpd
Dr. David Hawkins:
Website: https://drdavidbhawkins.com/
Marriage Recovery Centre: http://marriagerecoverycenter.com
Sarah / Cluster B Milkshake:
YouTube: clusterbmilkshake
Darren F. Magee:
YouTube: darrenfmagee
Instagram: Instagram: darrenfmagee
Resources Mentioned
Individual Therapy:
https://menstherapy.online/?utm_sourc...
Men’s group:
https://menstherapy.online/mens-group...
MTO Slack:
https://menstherapy.online/slack/?utm...
Website:
https://menstherapy.online/
Tags (ignore): Psychology, Mental health, Therapy, Masculinity, Narcissism, NPD, Anxiety, Personality disorder