In this discussion, Anthony Bateman, a co-founder of Mentalization-Based Therapy (MBT), psychiatrist Brandon Unruh, and clinical social worker Robert Drozek tackle the complexities of treating pathological narcissism. They highlight the transformative potential of MBT for individuals with Narcissistic Personality Disorder, emphasizing emotional regulation and self-awareness. The guests dive into the nuances of grandiose vs. vulnerable narcissism, treatment techniques, and the role of empathy, providing insights that could revolutionize therapeutic approaches for those often perceived as challenging.