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It saddens me to read this and also reminds me of the way I feel towards myself some days. It was your parents job to step in and stop this. I had siblings that could be abusive to those younger/weaker than them. I place all of the blame on my parents for not being parents and putting a stop to...

@Charbella, by "the AI," do you mean chatGPT or something else?

I've come to think CBT isn't the modality for me. I just can't seem to talk or rationalize my way to feeling better. This is the kind of thing I hate hearing, but I suppose you're right. I want to pull the trauma out by its roots somehow. I guess I haven't found coping to be all that helpful...

What I'm trying to understand is: how does writing something in a journal compare to saying it to a therapist? Is saying it to a therapist less likely to be triggering or retraumatizing? The reverse? Is there any way to make journaling more purgative and healing and less painful or agitating?

Whoa, I wasn't aware of this. Are there actual statistics you can cite? I wonder why this is so.

Indeed. As more cases related to the rich/famous/powerful make the news, I'm wondering: will anyone who thinks they can get away with this kind of thing do it? Or is there an abusive personality type that gravitates towards high status?

How have the spate of public cases involving celebrities like Diddy, Weinstein, and others affected survivors of sexual trauma and domestic abuse? How do you feel about plaintiffs waiting years to come forward? Has it made you reexamine past experiences and judge them as abusive or nonconsensual...

Really needing a therapist lately, but unable to find one who takes my insurance and offers in-person sessions. So I turned to journaling the last couple of nights. While doing it, I felt like I was unwinding some coils and breathing a bit easier. You know it - the processing feeling. Then last...

This seems strange since, from what I've read, self awareness is a huge weakness in narcissists. In other words, narcissists aren't self aware enough to know that they're narcissists, let alone make a study of their disorder. That is one thing that struck me as perhaps suspicious, if not...

I saw a television special with him once. He focuses on NPD - and actually claims to be a narcissist himself I believe. I don't know if he has written about the malignant narcissist subtype, with sadism and paranoia being additional distinct features.

@Flossy, did your mother also present paranoid tendencies? This is one of the symptoms of malignant narcissism.

This is interesting. Have any therapists or other healthcare providers you've seen been able to explain how PTSD could cause these physical symptoms? And thank you so much for taking the time to write that. I hope that expressing it here helps you process and release some of the pain.

And what's with the term "malignant?" Is that the most fitting, accurate term? Aren't most Cluster B people malignant? Why is the MN especially malignant?

Not a jolly topic but nonetheless ... LOL. Do you feel confident that you can diagnose those people? Do they check all the boxes on the diagnostic criteria?

There doesn't seem to be a ton of information about malignant narcissism out there. It's a type of narcissism that includes all the traits you'd expect from standard narcissism (profound insecurity, excessive need to admiration, etc.). In addition, malignant narcissists are said to have symptoms...

According to Psychology Today, 50% of therapists in my area are online only. 50% offer both online and in-person sessions. This halves my options for therapy. Someone seeking online therapy has double the options I have. It sucks.

Really? It was already hard to find a therapist that's right for me before remote therapy became the trend. Now it's way harder if I want F2F, and the ease of virtual sessions combined with reduced financial overhead and a broader client base are leaving therapists with no incentive to return to...

I'm all about options. It just seems to me that remote modes are easier and more attractive monetarily for therapists, so if patients don't "vote with their feet," they have no incentive to offer in-person visits. This is disconcerting to me. If I were a therapist, I'd work at least one day a...

Sorry I'm such a simpleton about these things but I still don't quite get it. One in 12 people has what kind of admin access? How do they obtain it? Is it through their job? Isn't our data on apps like Zoom supposed to be encrypted so no one can read it?

Sorry, what is 1:12? And can you explain what kind of access he has, and who else has it?

Maybe some here who don't mind remote therapy are more personally partial to their therapists than most. So when they say they prefer remote, they mean they prefer remote because that's what their therapist, whom they really like and feel attached to, offers. But given a choice with the same...

Do you have reasonable cause to be concerned about privacy with remote therapy? I'd never be fully comfortable with that data being created or existing for a moment in time even if Zoom and whoever else claims it's secure. But I mean have you heard anything or learned anything that makes you...

Actually, I am also located inside a large city. I suppose my local therapists are making money from people in underserved areas outside the city who don't have much of a choice but to accept remote therapy.

@somerandomguy, several people in the thread were pointing to expanded service (to underserved areas, etc.) as a key reason therapists are sticking with remote. I thought I'd address the other side of that equation.

Maybe what feels "off" is that you divulged without trust. I think it's very hard to feel a sense of trust with a digitized rendering of someone who isn't even present.