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Similarities between Narcissistic Personality Disorder (NPD) and Borderline Personality Disorder (BPD) include a fear of abandonment, utilization of maladaptive strategies for closeness, and a tendency for tumultuous relationships across various domains. Both exhibit impaired insight into behaviors, motivations, and consequences, struggle with treatment compliance due to a fear of change, and face challenges in maintaining healthy boundaries. Cognitive distortions, such as believing their behavior dictates others' actions and beliefs, are common to both disorders. Additionally, there is a shared need for constant attention and a pattern of idealizing and devaluing.
Differences between Narcissistic Personality Disorder (NPD) and Borderline Personality Disorder (BPD) include stable self-image in NPD versus shifting goals in BPD. NPD involves grandiosity and a need for admiration, while BPD is characterized by low self-value and a need for intense connection. NPD individuals expect others to revolve around them, whereas those with BPD revolve their lives around someone else. NPD suicide attempts are less impulsive but more lethal, often preceded by life challenges. BPD suicide attempts result from impulsive responses to emotional pain, serving as a communication of distress, usually directed at a significant other, family member, or therapist.
Daniel J. Fox, Ph.D., is a licensed psychologist in Texas, international speaker, and award winning author. He has been specializing in the treatment and assessment of individuals with personality disorders for over 15 years in the state and federal prison system, universities, and in private practice. His specialty areas include personality disorders, ethics, burnout prevention, and emotional intelligence.
He has published several articles in these areas and is the author of:
The Borderline Personality Disorder Workbook: An Integrative Program to Understand and Manage Your BPD -COMING SOON-
Antisocial, Borderline, Narcissistic and Histrionic Workbook: Treatment Strategies for Cluster B Personality Disorders (IPBA Benjamin Franklin Gold Award Winner): goo.gl/BLRkFy
Narcissistic Personality Disorder Toolbox: 55 Practical Treatment Techniques for Clients, Their Parents & Their Children: www.amazon.com...
The Clinician’s Guide to Diagnosis and Treatment of Personality Disorders: goo.gl/ZAVe9v
Dr. Fox has been teaching and supervising students for over 15 years at various universities across the United States, some of which include West Virginia University, Texas A&M University, University of Houston, Sam Houston State University, and Florida State University. He is currently a staff psychologist in the federal prison system, Adjunct Assistant Professor at University of Houston, as well as maintaining a private practice that specializes in the assessment and treatment of individuals with complex psychopathology and personality disorders.
Dr. Fox has given numerous workshops and seminars on ethics and personality disorders, personality disorders and crime, treatment solutions for treating clients along the antisocial, borderline, narcissistic, and histrionic personality spectrum, emotional intelligence, managing mental health within the prison system, and others. Dr. Fox maintains a website of various treatment interventions focused on working with and attenuating the symptomatology related to individuals along the antisocial, borderline, narcissistic, and histrionic personality spectrum (www.drdfox.com).
KZfaq: / drdanielfox
Dr. Fox’s website: www.drdfox.com/
Facebook: / appliedpsychservices
Twitter: / drdanieljfox1
LinkedIn: / drdfox
Instagram: / drdfox
Amazon Author’s Page: amazon.com/author/drfox
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Citations:
Kacel, E. L., Ennis, N., & Pereira, D. B. (2017). Narcissistic Personality Disorder in Clinical Health Psychology Practice: Case Studies of Comorbid Psychological Distress and Life-Limiting Illness. Behavioral Medicine (Washington, D.C.), 43(3): 156-164.
Diamond, D. et al. (2014). Attachment and mentalization in female patients with comorbid narcissistic and borderline personality disorder. Personality Disorders, 5: 428-433.