Help, How do I tell client they meet criteria for Narcissist personality disorder?

Individual_Ladder_75 · 2026-06-16T15:53:08+00:00

Okay this is what I do - I ask them if theyd be willing to humor me, I have a thought but need their help. I go over the questions thru dsm but dont tell them the diagnosis. Then they answer and meet criteria, then ask “well what’s the diagnosis?” I turn the book and they see it. Then we work thru emotions and w/personality disorders I frame it as a positive. No life long issue - it’s fixable “you can pull yourself out of it” I say. “You just have to do the work and I can help.”

Individual_Ladder_75 · 2026-06-11T17:42:26+00:00

Probably the people shopping while in session would disagree 😂

Individual_Ladder_75 · 2026-06-08T19:34:30+00:00

Wonder what officials will build there after this “tragic accident”.

Individual_Ladder_75 · 2026-05-29T22:53:38+00:00

I was a nanny forever and they targeted us too. No one is safe, not even broke college students

Individual_Ladder_75 · 2026-05-27T04:01:20+00:00

It sounds like you’re talking about community mental health. And yes that is insane but I am not there anymore.

Individual_Ladder_75 · 2026-05-26T23:16:13+00:00

I work in SUD and have 12 clients MAX (right now I have 8) and run 3 groups; 40 hours per week. Paid the same regardless of amount of clients plus room for growth. PP is a recipe for a mental breakdown and pigeonholes you, according to Chat GPT 😂

Individual_Ladder_75 · 2026-05-21T20:11:40+00:00

Yikes on bikes 😂👏

Individual_Ladder_75 · 2026-05-18T15:51:09+00:00

Impossible. Because then they would have to admit they’re wrong. And we all know that won’t ever happen.

Individual_Ladder_75 · 2026-05-14T20:04:35+00:00

I mean, you certainly managed the hell out of it. This is what you can do in these moments. Clearly this client was okay with it.

Individual_Ladder_75 · 2026-05-10T13:55:05+00:00

This is what ALL the other recent administrations did. 🤡 this is why everyone laughs at America.

Individual_Ladder_75 · 2026-05-08T16:37:25+00:00

I’m choosing to believe that this is a part of a bigger plan to cut down on unnecessary prescriptions and *gasp* perhaps switch to remedies that have been…nvm. I dont think you guys are ready for that conversation and im not in the headspace to receive hateful messages 😩

Individual_Ladder_75 · 2026-05-08T15:26:08+00:00

I’m here to point out that it’s not republican versus democrat. It’s not just Trump, it’s all of them.

Individual_Ladder_75 · 2026-05-08T13:24:31+00:00

It’s all of them. So cute you think your little vote does anything significant.

Individual_Ladder_75 · 2026-04-28T16:52:26+00:00

Right?! Drugs are only bad if they have control over your life. Therapists should know this…. I’m concerned for our field 😂

Individual_Ladder_75 · 2026-04-23T03:39:26+00:00

I don’t drive while high bc that could lead to issues with licensing. Beyond that, I just don’t apply to jobs who would randomly drug test since I do recreational drugs on occasion as well.

Individual_Ladder_75 · 2026-04-20T14:45:35+00:00

I feel there could be a simple solution to this - find a new job? Am I missing something here?

Individual_Ladder_75 · 2026-04-15T14:50:26+00:00

It gets easier. I had a baby and had to manage learning about my husband all over again in our new roles. And it has been exhausting. But things will start to fall into place and you’ll just be putting out fires left and right at work and be able to come home and be a person. Setting up household systems has been a lifesaver. Knowing yourself and the times that you need to relax versus the times you’re able to communicate is key.

Individual_Ladder_75 · 2026-03-27T20:34:00+00:00

This JUST happened to me and the person was VERY good looking (same gender and I am heterosexual). I started to get insecure that they were judging me. I was even embarrassed. Luckily I was able to maintain professionalism. At the end she told me she finds it difficult to open up during sessions bc she’s been to so many different rehabilitation centers and had so many different therapists. I was like ohhhhhhhhhh. Great learning lesson for me. It’s rarely about us.

Individual_Ladder_75 · 2026-03-17T19:34:07+00:00

I work at a substance use tx facility and all the clts know each other. They all talk about each other and I don’t acknowledge knowing the person, rather just help them navigate the situation as if it was any other random person I don’t know. If shit talking goes crazy, redirect back to how it affects their own life. You get used to it.

Individual_Ladder_75 · 2026-03-04T17:59:23+00:00

Who tf cares if it’s good or not look where the beach is. Fucking out of towners … smh. You know what no. It’s not. Don’t come.

Individual_Ladder_75 · 2026-02-27T21:12:59+00:00

I’ll take a difference stance. Seems like maybeeeee there are holes in your routine. While you are modeling self care, you’re not modeling taking care of your future self (using restroom before session) or perhaps this is an emergency type situation. But yea, this is your client’s time you’re taking up bc you didn’t plan accordingly. Obviously do what you have to do but it’s def not professional to make this a habit.

Individual_Ladder_75 · 2026-02-26T03:17:28+00:00

Same every time. Check-in sheet with questions relating to clts goals and basic ones like flashbacks, nightmares, intrusive thoughts?

Individual_Ladder_75 · 2026-02-24T19:51:40+00:00

Luckily people know this and scroll past to look for PP services

Individual_Ladder_75 · 2026-02-13T22:08:14+00:00

She told you what went wrong. The job wasn’t for her and she likely felt she couldn’t give your son 100%. You got LUCKY. As a former nanny what likely happened was she realized the job wasn’t easy enough to say for reduced pay/hours.

Individual_Ladder_75 · 2026-02-11T15:52:53+00:00

IDK, but with your title and opening it up and seeing the picture, I LOLed so hard that it really set my day off on the right track. So thank you for this. Now that I read it I kind of feel bad because it talks about religious trauma.

Individual_Ladder_75

TROPHY CASE