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Therapist Uncensored Podcast

Challenging Personalities: Understanding Borderline & Narcissism with Robert Drozek (307)

August 4, 2026·58 min
Episode Description from the Publisher

Borderline and narcissism are often misunderstood—this episode separates myth from science. Robert Drozek explores the science behind borderline and narcissistic personality disorders, separating common myths from current research. Together, he and Sue discuss attachment, trauma, genetics, parenting, evidence-based treatments, and why understanding these often misunderstood conditions can bring greater compassion, hope, and healthier relationships. “Borderline is driven by a need to reconnect.” – Robert P. Drozek, LICSW Time Stamps for Challenging Personalities: Understanding Borderline & Narcissism with Robert Drozek (307) 04:14 Understanding Borderline Personality Disorder 09:25 Exploring narcissism: Definitions and types 13:29 Vulnerable vs. grandiose narcissism 18:56 The Role of Trauma in Personality Disorders 22:25 Parenting styles and their impact on narcissism 27:14 Identifying narcissism in relationships 33:34 Treatment approaches for Borderline Personality Disorder 36:45 Challenges in treating Narcissistic Personality Disorder 45:26 Navigating relationships with narcissistic individuals About our Guest – Robert P. Drozek, LICSW Robert P. Drozek, LICSW is the clinical director of the Mentalization-Based Treatment Clinic at McLean Hospital in Belmont, Massachusetts. He is a teaching associate in the Department of Psychiatry at Harvard Medical School, specializing in the treatment of borderline personality disorder, narcissistic personality disorder, and post-traumatic stress disorder. He is author of the new book, Mentalization: Utilizing reflection to heal from borderline personality disorder—the first book for the general public about mentalization-based treatment.   Resources for Challenging Personalities: Understanding Borderline & Narcissism with Robert Drozek (307) MBT Boston – An organization that Robert co-founded that offers training and supervision to clinicians across the world in MBT MBT USA – A consortium of MBT providers and organizations in the United Robert’s faculty page at McLean Hospital Instagram: @RobertDrozek Mentalization book – Facebook page Get your copy of Mentalization: Utilizing Reflection to Heal from Borderline Personality Disorder here!     Please support our sponsors – they keep our podcast free and accessible to all!  SimplePractice is an all-in-one EHR that is HIPPA compliant, HITRUST certified and built specifically for therapists. If you are ready to simplify the business side of your practice, now is a great time to try SimplePractice. Start with a 7-day free trial, then get 50% off your first three months. Just go to SimplePractice.com/TU to claim the offer.

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