Followers

Wednesday, November 29, 2023

More of my year

 I think there are a few things I forgot to mention.  In February my mom had a horrible fall that gave her a trimalleolar fracture of her ankle.


She was in the hospital SEVEN times over this and the complications she had.

She had two surgeries to fix this fracture (if you want to call it fixed-not impressed with the surgeon at all!)  She ended up with a pulmonary embolism, (blood clot in her lungs) and the last 4 hospitalizations were for heart failure where she basically filled up with fluid from feet to torso.  I thought I was going to lose her several times.  Anyone that knows me, knows my mamma is my world and that was a lot for me to handle. I felt responsible to advocate for her because I work in medicine and no one seemed to give a shit what was going on with her.  She left the hospital with oxygen 24/7 and is JUST NOW getting some answers.  No one even tried to figure out why when she was in the hospital.  I wrote a letter and sent over 100 pages of hospital records to Sacred Heart in Eugene and got her hooked up with a heart failure specialist (who looks 12 by the way) he blew my mind! He knew her whole history, had a plan when he walked in that room.  She started feeling better within a week of changing medications.  Her cardiologist locally, never changed a fucking thing after 4 hospitalizations! People in the hospital need advocates...without question!     This was the first time my mom has had significant health problems and it took a toll on me emotionally.  Its hard to see her still now in so much pain, can't hardly walk etc. .

.

Work has been a challenge, things are getting so much busier.  There have been days I come to work after my regular ONE day off and have had 60 messages to deal with. Seeing patients, documents, rxs, messages, people wanting things right now. With the other things going on, I stopped functioning.  My brain went into overload.    That is part of the deal with my career, but I am getting burned out and it isn't a good feeling when I want to take care of people and practice medicine the way I want to practice which is above and beyond most, which I have seen being on the other side of things with my mom.  I thought she bragged about me bc I was her daughter, nope, I kind of kick ass as a provider! lol  

.

One thing I keep forgetting as well, since 7/31/22 I have lost 130 lbs.  HUGE change and transition for me.  Started being more social which has been great. I didn't realize I hid so much bc of my weight.  That has been difficult for Greg as well to see the change...not that he isn't happy about it but I also became more social, I got more attention, I became more confident in myself.   I think there is always a fear that when someone loses weight like this, they may leave their spouse etc.  We have had some in depth conversations about this as well as what happened this year.  Its brought us closer and I always am amazed that we continue to get closer when I already think we are close!  I know he also struggles to see me in pain, especially when I cry like I have. Some gut wrenching pain/crying!  I always tell him it is okay for me to cry, but he always tries to make me laugh- I have told him to stop trying that but I doubt he will lol.  For example, (which only his family would get) my first ketamine treatment last week I was very emotional prior and he came in with the sausage that his brother left on my Jeep two years ago and asked if I wanted to eat it.  Good lord no!  But bless him for trying to make me feel better. If he only realized, just sitting with me makes me feel better. 

.

One thing that has been steadfast, Greg.  Jesus, he has endured a lot with my treatment of past trauma, shit that went down with my friend, my mom etc.  He has always been right there next to me. Great, crying now.  He amazes me. He may not understand what I am feeling but he listens and hugs me, makes me feel heard, loved, supported and best of all makes me laugh-which is so valuable to me right now.  I didn't know you could cry for weeks and weeks every. single. day.  I will tell you, it happens because I am still there.  I know things will get better, they always do.  Taking time off unpaid was worth it. I wish I could take months off to work on myself but I can't. My work has been very supportive as well. 

I have had people come out of the woodwork to support me. I never realized how loved I was until now.  I feel it every day.  

2nd Treatment Ketamine-needed its own post!

 

*I saved this the day prior to treatment, more on this at the end of the post.
*Greg just reminded me I also saw Frogs so I am updating that at the end!

                                              


11/29/23 BP prior-118/83, pulse 78. After 124/74, pulse 63

THIS was more a ketamine experience!  They doubled my dose to 800mg (rapid dissolving tablets that are 15-20% bioavailable)  I started feeling it before the 7 minutes were up to spit out my saliva.  (Not supposed to swallow this version due to increased side effects)   It took me into complete relaxation very quickly.  The playlist they had me listen to was perfect.  It's interesting, every emotion, the music etc is heightened.  I feel the music much more, brings on more emotion than usual. ( I am very tied to music and my feelings)  I didn't have any visions this round, like my other ketamine experience but I think the two things I really remember is the overwhelming sense of peace/happiness bubble up and overflow inside of me.  When I came out, my mask was wet from tears...although it's not like crying like if I was talking to someone.  Tears just flow.  The only thing that came to me several times was turtles.  No clue what that is about, until I told a friend about my experience and now I get it.  I will post more about that at the end.   I was under for 40 minutes total.  Felt quite tired afterwards but peaceful.  

I taped audio when I came out to try to remember anything.  It was funny to listen to though because I would say something , then nothing for a bit.  I must have been processing and I also repeated several things.

I described to my mom about how with the mask on, you are in total darkness and the music is your only sense really.  Ketamine heightens that.  I have had a different experience every time I have done this. Total of 9 times now.  Its hard to describe- I have had visions where I had my eyes open under the mask and saw visions.  The very first time, I saw a wall of red utah rock (which is one of my favorite places) and I cried , I felt safe and protected. My therapist told me it was protection I didn't have as a child.  Made a lot of sense with the emotion I felt.  This time, I envisioned things in my brain not visually.  I saw Greg laughing and I remember smiling, I love his smile and laugh so much. The turtles came several times.   When I came out this time, I felt happy, relaxed and then energetic. Slept AMAZING!  Wish I slept that good all the time, insomnia has plagued me for two decades.  It took 10 minutes or so to be more stable to walk, the spins to resolve!   

SOOOOO, back to the turtles. 

My friend sent me a thing about the turtle spirit animal symbolizing wisdom, luck and longevity. Connecting with your turtle guide allows you to access these qualities in your life. :) I did more searching and found several other things. I underlined the things that spoke to me personally.




The significance of turtles in dreams

When turtles appear in our dreams, they often carry profound symbolism. Turtles are ancient creatures, known for their wisdom, resilience, and patience. In dreams, they can represent these qualities and serve as a reminder of our own need for patience and perseverance in our waking lives.

Turtles may also symbolize the importance of taking things slow, embracing change, and adapting to new situations with grace.

Exploring the symbolism of turtles in dream interpretation

Delving deeper into dream interpretation, the symbolism of turtles can vary depending on the context of the dream. If a turtle is seen in its natural habitat, such as a calm lake or a serene beach, it may symbolize harmony and a sense of peace in our lives.

Conversely, if the turtle is trapped or in distress, it may reflect our own feelings of being stuck or overwhelmed in a particular situation.

Turtles are also associated with protection and guidance. In dreams, they may appear as guides or protectors, offering us wisdom and solace during challenging times. Their slow, steady movements can teach us the importance of navigating life at our own pace and not succumbing to the pressures of the fast-paced world around us.

Unraveling the hidden messages behind turtle dreams

When we have dreams about turtles, it is essential to pay attention to the specific details and emotions accompanying the dream. For instance, if the turtle is swimming gracefully, it might signify emotional well-being and a sense of tranquility in our lives.

On the other hand, a dream about a turtle hiding in its shell could indicate a need for self-protection and introspection.

These dreams may also carry hidden messages related to our relationships and personal growth. Perhaps a turtle dream is urging us to nurture our relationships, be patient with our loved ones, and cultivate a sense of rootedness and stability in our connections.

Understanding the spiritual connotations of dreaming about turtles

In many spiritual traditions, turtles are revered symbols of longevity, wisdom, and ancient knowledge. Dreaming of a turtle can, therefore, be seen as a connection to the spiritual realm and an invitation to tap into our inner wisdom. Paying attention to these dreams can lead to profound self-discovery and spiritual growth.

Turtle dreams may also serve as reminders to trust our intuition and listen to the inner guidance that resides within us. They can symbolize the importance of finding balance in our lives and embracing the wisdom of both our minds and our hearts.

The different interpretations of turtle dreams across cultures

Green turtle
Source: Istockphoto. Green turtle

Turtle dreams hold cultural significance in various parts of the world. In Native American traditions, turtles are seen as sacred and are believed to carry the earth on their backs.

Dreaming of a turtle in this context may symbolize a deep connection to the earth, a call to honor our environment, and a reminder to live in harmony with nature.

In Asian cultures, turtles are associated with longevity, good fortune, and protection. Dreaming of a turtle in this cultural context may be seen as a positive omen, indicating blessings and a long, prosperous life ahead.

Analyzing common scenarios and situations involving turtles in dreams

Let’s explore some common scenarios and situations involving turtles in dreams and their possible interpretations. If you dream of a turtle crossing your path, it may signify a need for caution and careful decision-making in your waking life.

It could be a reminder to slow down and consider the consequences of your actions before proceeding.

If you find yourself dreaming of a turtle laying eggs, it can represent fertility, creativity, and the birth of new ideas or projects. This dream may be an encouragement to nurture and protect these creative endeavors, allowing them to grow and flourish.

How the color and size of the turtle in your dream affects its interpretation

When analyzing turtle dreams, it is essential to consider the color and size of the turtle, as they can provide additional insights into the dream’s meaning. A large turtle could represent a situation or challenge that may require significant effort and endurance to overcome.

Conversely, a small turtle may symbolize starting small, taking incremental steps towards your goals, and honoring the process of growth.

The color of the turtle can also contribute to the dream’s interpretation. For example, a black turtle might symbolize protection, mystery, or the need to confront hidden fears. A green turtle may represent healing, growth, and harmony with nature, while a blue turtle could signify calmness, intuition, and emotional balance.

Uncovering the emotional and psychological implications of turtle dreams

Turtle dreams can have profound emotional and psychological implications. They might indicate a need for emotional resilience, reminding us to protect ourselves and prioritize self-care. These dreams can also point to the importance of maintaining emotional boundaries and not becoming overly defensive or withdrawn.

If you find yourself feeling calm and serene in a turtle dream, it may reflect emotional stability and a sense of inner peace. On the other hand, feeling trapped or suffocated in a turtle dream could suggest repressed emotions or the need to break free from emotional constraints.

Exploring the connection between turtles and wisdom in dream symbolism

Wisdom is often associated with turtles in dream symbolism. When a turtle appears in our dreams, it is an invitation to tap into our own inner wisdom and trust the guidance it provides.

The slow, deliberate movements of turtles remind us to take our time in making decisions and to seek wisdom from within rather than rushing into actions driven solely by impulse.

Turtle dreams may also be a reminder to seek wisdom from elders or mentors in our lives. They can inspire us to value the wisdom that comes with age and experience, and to cherish the knowledge passed down through generations.

The transformative power of turtle dreams: What they may be trying to tell you

Turtle dreams can hold transformative power, offering insights into areas of our lives that may require change, growth, or adaptation. These dreams may be urging us to embrace the transformative potential within ourselves and to open ourselves up to new possibilities.

They can also signify a need for patience in the face of challenging circumstances. Just as a turtle slowly walks its path, turtle dreams may encourage us to trust the process, even when progress seems slow and obstacles appear insurmountable.

How recurring turtle dreams may indicate a need for patience and perseverance

Recurring turtle dreams often indicate a need for patience and perseverance. These dreams may suggest that we need to cultivate resilience and steadfastness in pursuing our goals and dreams. They remind us not to lose hope and to stay committed, even when faced with setbacks or delays.

Recurring turtle dreams can also be a sign of personal growth. They may reflect our journey towards greater self-acceptance and a deeper understanding of ourselves. These dreams encourage us to embrace change and grow through the challenges we encounter along the way.

Examining the role of turtles as guides or protectors in dream experiences

Turtles frequently appear as guides or protectors in dream experiences. Their presence in our dreams symbolizes their role in guiding us through difficult times and offering protection when we need it most. These dreams may provide reassurance that we are not alone, and that there are unseen forces looking out for us.

When a turtle acts as a guide in a dream, it may be guiding us towards making wise decisions or leading us towards a path of personal growth. As protectors, turtles shield us from harm and offer a sense of safety and security in our waking lives.

The relationship between turtles and longevity in dream analysis

Longevity is often associated with turtles in dream analysis. Dreaming of a turtle may signify a desire for a long and prosperous life, both physically and spiritually. It can serve as a reminder to prioritize our well-being and strive for a balanced and fulfilling existence.

When turtles appear in dreams, they may also symbolize the importance of honoring our roots and heritage. Just as turtles have existed for millions of years, the dream may be telling us to honor our ancestors, preserve our traditions, and learn from the wisdom of those who came before us.

******************************************************************



Frog spirit brings us into a deeper connection with our feelings, perspectives and our ability to purge negativity from our lives be that “dis-ease” spiritual, mental or physical.

Frog cannot endure a toxic environment and challenges you to release those emotions (like anger, hatred, bitterness, etc.) that hold you back. These outlooks show up in a person’s aura like dark splotches and, in turn, decrease our natural protective and intuitive abilities.

Frog spirit often comes to people who are simply not taking care of themselves the way they should. Sometimes this relates to diet, exercise and lifestyle. In other cases it may relate to a relationship on which you’re spending too much energy with little return. In both cases it’s time for a change. Step back and take the time to consider new ideas and outlooks. Just like the tadpole, you’re about to grow into something new and wonderful.

When Frog makes an appearance as a Spirit Animal he comes to remind us of our connection to the earth and the seasons. You may find yourself going through a time of growth and transformation, guided by the Frog’s alluring song.

Native American meanings for Frog have commonalities with Celtic symbolism. This medicine animal brings rain and can heal. In one example of folk traditions, Shamans used Frogs for curing coughs. The Shaman would put a Frog in an ailing person’s mouth, recite sacred words, then command the Frog to “hop away” with the sickness (this is a type of disease transference). That is how we come by the phrase, “a Frog in my throat.”

Other Native American meanings for Frog spirit include fertility, prosperity, rebirth and growth.

The frog may symbolize the unconscious, or some part or function of the psyche that still lies buried in your unconscious, perhaps something you find horrifying or disgusting because of some traumatic experiences that gave rise to anxiety and / or guilt-feelings.

Depth Psychology: The frog stands for emotional and spiritual changes, like the changes that take place from spawning to the final form 

In dreams, frogs suggest an extra, deeper element to ourselves and if we can integrate it, our life will become richer. The frog has also been associated with the power of resurrection and renewal by meeting that which we find difficult or repulsive in life and ourselves.




Tuesday, November 28, 2023

Intention goal- Ketamine , PRIOR to 2nd treatment

Scheduled today for session two

My intention for today is letting go of grief. Grief that holds on to me like a vice.  Sadness of trusting someone who wasn't who I thought they were and the grief of me going backwards in my recovery.  I do know, I will come out the other side better, more confident and able to see these types of people for who they are and not allow them into my precious circle.  

https://helloinnerwell.com/reflections/135-intention-setting-examples-for-ketamine-therapy

.

I am in a good place this morning. Feeling emotional but also still excited for the healing process. I need to remember to let go during the ketamine experience. Not try to understand etc, just feel it, get curious etc.   

I am rediscovery of myself mode.  Remembering who I was prior to this last set back.  I completely lost myself and felt like a shell of a person.  Which is infuriating, I was doing so amazing prior to this.  Although, was I really? Would I have let this person in and hurt me if I was in a good place? Well maybe. I was trying to help, be there for someone I cared about.  I just went to the extreme and gave all I had and in turn, emptied my own tank.  I was asked to reflect on what I loved about myself prior to this set back.

I love that I care about people, no matter who or where they are in life. 

I love that I love people the way I do, so intensely. I just need to give it to the right people.

I love that I had calmness, safety and understanding of who I was after my first ketamine therapy.

I love that I was a better wife, friend and provider because I went through the fire and came out the other side.

I love that I had control over my emotions, could have a conversation without crying. I was NEVER able to have a confrontation without crying even if in a calm conversation.  I will get there again.  DAMN IT I WILL!  It was such an amazing after effect of ketamine treatment that I never had until 2 years ago. 

I love that the lightness I felt emotionally etc was for the first time in my life.

I love that I reconnected with other lifelong friends and still have them in my life :) 


Today, I love and appreciate the people I realize love and care about me. I don't think I ever really knew this but this, but there are so many people from so many different aspects of my life that are behind me, are there for me and I am humbled by that.  I think I am normally in the " I need to help people" mode, ie being a PA and in the caregiver role makes that obvious.

I listened to a video Mindbloom sent me about my goals.  Here is the info, ketamine is so fascinating to me!

~The more impulses along neurons the stronger they become. New skills, behaviors, etc is part of what you are doing with ketamine...wiring/bonding this information. This is why repetition skills are easier to perform.  This includes ruminating thoughts, patterns of depression/anxiety, there is less resistance to go that path. The more it is done, the stronger the path.

~When the brain has chronic stress, it is harder for the neurons to sustain or connect. They tend to wither away and have reduced neuroplasticity.  It keeps you from making new pathways bc the circuits will predominate in that direction

~Ketamine causes grooves to disappear, brain is more flexible, MALLEABLE, and easier to develop new behavior.  that’s 3-7 days after Ketamine. It is CUMULATIVE 

Will update more after my treatment today......


**************************************************************
Very basic info for the session

T.L.O. Framework — Trust

This program is going to give you the tools to dive deeper into your experiences and navigate your sessions with greater confidence. 

The T.L.O. – Trust, Let Go, Be Open — framework is how you do that. In this overview, Dr. Paleos dives into the first stage, Trust, in greater detail.


Setting Intentions

As always, setting a clear, written intention for every session is paramount. Consider creating an intention around cultivating your trust — trust in yourself and trust in the experience.


Session Prep Checklist

  • Treat this experience like something that can change your life (because it can!)

  • Write intentions for this session

  • Don’t eat within 3 hours or drink within 1 hour prior to treatment to avoid the slight risk of nausea or a bathroom break that interrupts your experience

  • Calm the body/mind beforehand (brief meditation, short walk, slow yoga, etc.)

  • Pets/family/roommates are out of, and stay out of, your session space

  • Use the restroom

  • Comfy clothes, blankets, pillows, etc.

  • Phone in Do Not Disturb mode

  • Spit cup for medicine, glass of water, and listerine strips nearby

  • Dim mood lighting (lamps instead of overhead lights, if possible)

  • Have your Bloombox with you (medicine, journal, pen, eye mask)


Taking the medicine

Right after you place the ketamine between your cheek and gums, play the video above. Close your eyes and soak in the message of the first track. When the music fades and you hear a chime around 7 minutes, spit out the medicine.

Journaling After Your Session

There is a second chime at around 60 minutes. You may take off your mask at this point and continue to listen to the music as you journal. Make sure to journal everything you recall that came up during your experience to solidify those memories. Powerful insights, questions, and feelings can quickly dissipate if you don’t capture them immediately!


Integration Material

Here is your personalized integration concept. Throughout our integration sessions in this program, you’re going to cover the brain science behind ketamine therapy to help you gain a clear understanding of the science and potential you have in your integration window to make big, beneficial changes to your life.


Commit to an Integration Action

Now we know that you’re in a highly neuroplastic and flexible state in the days following your sessions. Your brain is more receptive to new input and new actions, and this helps form healthy habits, behaviors, and thought patterns that you can build up and solidify.

With this in mind, as you reflect further on your experience, see if there’s something new that you can commit to doing. What’s one action you can take to start a new habit or introduce into your daily life.

To support in your integration process, you also have unlimited access to our Mindbloom Integration Circles. The circles provide a safe spaces, facilitated by one of our Guides, to share your experiences so far with the medicine and also hear about the experiences of others. In the circle, it will be at your discretion if you wish to disclose your name or remain anonymous. We do ask that you keep your video on in order to keep the space safe for all participants. 


For these sessions, there’s no need to check in with your guide before or after your session.

But remember, please coordinate with your Peer Treatment Monitor to replicate the process from your first Virtual Visit and make sure to utilize each component of your ketamine therapy program – such as preparation materials, helpful tips and soundscapes for your sessions, and integration guidance.

This session focuses on exploring the first part of your T.L.O mantra, Trust, Let Go, and Be Open. Trust is a central component in your relationship to yourself, to the world, to your future, and to your growth.

Book Recommendations

Some books I read during my first Ketamine Treatment. If anyone has others , please leave in comments! First one listed is the most recent I read, really good!

~Trauma Bonding: How to stop feeling stuck and overcome heartache, anxiety and PTSD. by Annely Alexander

~The Body Keeps Score- Brain, mind, and body in the healing of trauma by Bessel van der Kolk, MD.

~Fierce Self Compassion: How Women Can Harness Kindness to speak up, Claim Their Power and Thrive by Dr. Kristin Neff

~Healing Trauma: A Pioneering Program for Restoring the Wisdom of Your Body by Peter Levine, Ph.D.

~How to do the Work: recognize your patterns; heal from your past and create yourself. By Nicole LePera

~Trauma through a Childs Eyes: Awakening the Ordinary Miracle of Healing by Peter Levine Ph.D and Maggie Kline

~POWER: Surviving and Thriving after Narcissistic abuse by Shahida Arabi

~The Narcissists in your life: coping and surviving narcissists in the workplace, at home and wherever you are forced to associate with people suffering from Narcissistic Personality Disorder. By Belinda McDaniel


 














Healing is fucking messy (few memes)









 

Monday, November 27, 2023

Types of Attachment

Codependency- 1 person who invest a lot of energy in rescuing or helping another and the 1 being helped is taking the attention but also abusing the give her a becoming dependent on the help.  The help her also becomes dependent as the give a role. 

Fawning is common for the giver so you show your useful in cooperative

.



The four attachment styles:

1.

Secure attachment

Secure attachment style refers to the ability to form secure, loving relationships with others. A person with a secure attachment style is able to trust others and be trusted, love and accept love, and become close to others with relative ease. They're not afraid of intimacy, nor do they feel panicked when their partners need time or space away from them. They're able to depend on others without becoming totally dependent.

About 56% of adults have a secure attachment type, according to foundational attachment research by social psychologists Cindy Hazan and Phillip Shaver in the 1980s.

Secure attachment is considered the healthy ideal for relationships. All other attachment styles that are not secure are known as insecure attachment styles.2.

Anxious attachment

Anxious attachment style is a type of insecure attachment style marked by a deep fear of abandonment. People with an anxious attachment style tend to be very insecure about their relationships, often worrying that their partner will leave them and thus always hungry for validation.

Anxious attachment is associated with "neediness" or clingy behavior in relationships, such as getting very anxious when your partner doesn't text back fast enough and constantly feeling like your partner doesn't care enough about you.

Anxious attachment is also known as anxious-preoccupied attachment, and it generally aligns with the anxious-ambivalent attachment style or anxious-resistant attachment style observed among children. Some 19% of adults have the anxious attachment type, according to Hazan and Shaver's research



3.Avoidant attachment

Avoidant attachment style is a type of insecure attachment style marked by a fear of intimacy. People with an avoidant attachment style tend to have trouble getting close to others or trusting others in relationships, because they ultimately don't believe their needs can get met in a relationship.

In relationships, avoidant people typically maintain some distance from their partners or are largely emotionally unavailable. They may even find relationships suffocating and avoid them completely, preferring to be independent and rely on themselves.

Avoidant attachment is also known as dismissive-avoidant attachment, and it generally aligns with the anxious-avoidant attachment style observed among children. Some 25% of adults have the avoidant attachment type, according to Hazan and Shaver.



4.Fearful-avoidant attachment (aka disorganized)

Fearful-avoidant attachment style is a combination of both the anxious and avoidant attachment styles. People with fearful-avoidant attachment both desperately crave affection and want to avoid it at all costs. They're reluctant to develop a close romantic relationship, yet at the same time, they feel a dire need to feel loved by others. 


Fearful-avoidant attachment is also known as disorganized attachment because the attachment behaviors displayed by these individuals can seem inconsistent and oscillate between the extremes of avoidance and anxiousness.


In general, the fearful-avoidant attachment style is relatively rare and not well-researched. But we do know it's associated with significant psychological and relational risks1, including difficulty regulating emotions, heightened sexual behavior, and increased risk for violence in their relationships.

*****************************

Took a little test on attachment style-

https://attachments.docdroid.com/a8NGc8O/secure-avoidant-quiz-pdf#page=19


com

Narcissist- light bulb moment!

 Narcissists- if you ever experienced one,  this will likely hit home



1.  Since if superiority

2.  Prone to  daydreaming, not living in reality

3.   Sense  of  entitlement: expected to be given what they want, everyone needs to jump to their needs, feel like allowed to treat people however they want 

4.  Need for reassurance:  They take everything to extreme.  They are the unluckiest person  and the world is against them.  They need continued reassurance.  They deserve compensation from the world.

5.  Fear of intimacy:  Hate real intimacy or vulnerability.  Extremely insecure.  Shame and fear of being judged.  Lack of open this but wants you to bow to every emotional need they have.

6.  Pop us demeanor:  They want to make others feel inferior.  This is especially true if they feel like they are not getting the respect to they deserve.

7.  Need for admiration:  At their core they are insecure and fragile

8. Extremely charming: Shares you with praise and manipulates you with love bombing

9.  Manipulative tendencies:  They will when you over and then suddenly change.  Make you do all the work.  Only nice when getting validation.  Can become controlling and aggressive to keep you around.

10. Overly jealous:  Do not want you spending time with anyone else.  Do not want you paying attention to anything else.  When you do, you pay for it

11. Lack of empathy:  Does not consider others perspectives and does not care

12.  Lack of responsibility:  Loves control but not responsibility.  It is always somebody else's fault.

13. Controlling behavior:  Feels  entitled

14. Feel they are always being attacked:  Misinterpret facial expressions, comments and jumps straight to the worst case scenario

15.  Will not listen to reason:  That is because  they do not think with logic

16. Insecurity:  Fear of rejection, fear of losing what they love

17.  Lack of self awareness

18.  Prone to depression

**********************************

Signs and symptoms of narcissistic personality disorder

Grandiose sense of self-importance

Grandiosity is the defining characteristic of narcissism. More than just arrogance or vanity, grandiosity is an unrealistic sense of superiority. Narcissists believe they are unique or “special” and can only be understood by other special people. What's more, they are too good for anything average or ordinary. They only want to associate and be associated with other high-status people, places, and things.

Narcissists also believe that they're better than everyone else and expect recognition as such—even when they've done nothing to earn it. They will often exaggerate or outright lie about their achievements and talents. And when they talk about work or relationships, all you'll hear is how much they contribute, how great they are, and how lucky the people in their lives are to have them. They are the undisputed star and everyone else is at best a bit player.

Lives in a fantasy world that supports their delusions of grandeur

Since reality doesn't support their grandiose view of themselves, narcissists live in a fantasy world propped up by distortion, self-deception, and magical thinking. They spin self-glorifying fantasies of unlimited success, power, brilliance, attractiveness, and ideal love that make them feel special and in control. These fantasies protect them from feelings of inner emptiness and shame, so facts and opinions that contradict them are ignored or rationalized away. Anything that threatens to burst the fantasy bubble is met with extreme defensiveness and even rage, so those around the narcissist learn to tread carefully around their denial of reality.

Needs constant praise and admiration

A narcissist's sense of superiority is like a balloon that gradually loses air without a steady stream of applause and recognition to keep it inflated. The occasional compliment is not enough. Narcissists need constant food for their ego, so they surround themselves with people who are willing to cater to their obsessive craving for affirmation. These relationships are very one-sided. It's all about what the admirer can do for the narcissist, never the other way around. And if there is ever an interruption or diminishment in the admirer's attention and praise, the narcissist treats it as a betrayal.

Sense of entitlement

Because they consider themselves special, narcissists expect favorable treatment as their due. They truly believe that whatever they want, they should get. They also expect the people around them to automatically comply with their every wish and whim. That is their only value. If you don't anticipate and meet their every need, then you're useless. And if you have the nerve to defy their will or “selfishly” ask for something in return, prepare yourself for aggression, outrage, or the cold shoulder.

Exploits others without guilt or shame

Narcissists never develop the ability to identify with the feelings of others—to put themselves in other people's shoes. In other words, they lack empathy. In many ways, they view the people in their lives as objects—there to serve their needs. As a consequence, they don't think twice about taking advantage of others to achieve their own ends. Sometimes this interpersonal exploitation is malicious, but often it is simply oblivious. Narcissists simply don't think about how their behavior affects others. And if you point it out, they still won't truly get it. The only thing they understand is their own needs.

Frequently demeans, intimidates, bullies, or belittles others

Narcissists feel threatened whenever they encounter someone who appears to have something they lack—especially those who are confident and popular. They're also threatened by people who don't kowtow to them or who challenge them in any way. Their defense mechanism is contempt. The only way to neutralize the threat and prop up their own sagging ego is to put those people down. They may do it in a patronizing or dismissive way as if to demonstrate how little the other person means to them. Or they may go on the attack with insults, name-calling, bullying, and threats to force the other person back into line

Different types of narcissist

Narcissism comes in several forms. Adaptive narcissism is when a person with this disorder leans into positive traits—such as self-sufficiency and confidence—that can actually be healthy. They may help someone set high ambitions at work, for example, or enjoy satisfying relationships without being overdependent on a partner.

Maladaptive narcissism, on the other hand, is characterized by the toxic traits, such as a sense of entitlement and willingness to exploit others. The different forms of maladaptive narcissism include:

Overt or grandiose narcissism. Overt narcissists tend to be extroverted but also uncooperative, selfish, and overbearing. Their exaggerated self-image and high self-esteem allow them to be confident and assertive. However, they’re also likely to overestimate their own emotional intelligence.

Covert or vulnerable narcissism. It's common to imagine all narcissists as dominant and overwhelming in social situations. However, covert narcissists are introverted. They tend to be extremely sensitive to criticism and suffer from low self-esteem. They can be defensive and passive-aggressive, but they are less likely to overestimate their emotional abilities than overt narcissists.  

Communal narcissism. Communal narcissists tend to view themselves as altruistic and claim to care deeply about fairness. They present themselves to others as supportive and selfless. However, their behavior is motivated by a desire for social power and a sense of superiority or entitlement. Because of this, their actions don’t always match their beliefs.

Antagonistic narcissism. In contrast with communal narcissists, antagonistic narcissists take a highly competitive approach to social interactions. They often exhibit zero-sum thinking, believing that every situation has a “loser” and “winner.” This view of the world leads them to be aggressive and hostile. They may be quick to disparage others and slow or unwilling to forgive.

Malignant narcissism. Malignant narcissism can be a more destructive form of the personality disorder. In addition to the typical signs of narcissism, a malignant narcissist might be aggressive, paranoid, or sadistic—taking joy in other people’s pain. They tend to display antisocial behavior, disregarding the rights or safety of others.

Dealing with a narcissist: Don't fall for the fantasy

Narcissists can be very magnetic and charming. They are very good at creating a fantastical, flattering self-image that draw us in. We're attracted to their apparent confidence and lofty dreams—and the shakier our own self-esteem, the more seductive the allure. It's easy to get caught up in their web, thinking that they will fulfill our longing to feel more important, more alive. But it's just a fantasy, and a costly one at that.

Your needs won't be fulfilled (or even recognized). It's important to remember that narcissists aren't looking for partners; they're looking for obedient admirers. Your sole value to the narcissist is as someone who can tell them how great they are to prop up their insatiable ego. Your desires and feelings don't count.

Look at the way the narcissist treats others. If the narcissist lies, manipulates, hurts, and disrespects others, he or she will eventually treat you the same way. Don't fall for the fantasy that you're different and will be spared.

Take off the rose-colored glasses. It's important to see the narcissist in your life for who they really are, not who you want them to be. Stop making excuses for bad behavior or minimizing the hurt it's causing you. Denial will not make it go away. The reality is that narcissists are very resistant to change, so the true question you must ask yourself is whether you can live like this indefinitely.

Focus on your own dreams. Instead of losing yourself in the narcissist's delusions, focus on the things you want for yourself. What do you want to change in your life? What gifts would you like to develop? What fantasies do you need to give up in order to create a more fulfilling reality?

Set healthy boundaries

Healthy relationships are based on mutual respect and caring. But narcissists aren't capable of true reciprocity in their relationships. It isn't just that they're not willing; they truly aren't able. They don't see you. They don't hear you. They don't recognize you as someone who exists outside of their own needs. Because of this, narcissists regularly violate the boundaries of others. What's more, they do so with an absolute sense of entitlement.

Narcissists think nothing of going through or borrowing your possessions without asking, snooping through your mail and personal correspondence, eavesdropping on conversations, barging in without an invitation, stealing your ideas, and giving you unwanted opinions and advice. They may even tell you what to think and feel. It's important to recognize these violations for what they are, so you can begin to create healthier boundaries where your needs are respected.

Make a plan. If you have a long-standing pattern of letting others violate your boundaries, it's not easy to take back control. Set yourself up for success by carefully considering your goals and the potential obstacles. What are the most important changes you hope to achieve? Is there anything you've tried in the past with the narcissist that worked? Anything that hasn't? What is the balance of power between you and how will that impact your plan? How will you enforce your new boundaries? Answering these questions will help you evaluate your options and develop a realistic plan.

Consider a gentle approach. If preserving your relationship with the narcissist is important to you, you will have to tread softly. By pointing out their hurtful or dysfunctional behavior, you are damaging their self-image of perfection. Try to deliver your message calmly, respectfully, and as gently as possible. Focus on how their behavior makes you feel, rather than on their motivations and intentions. If they respond with anger and defensiveness, try to remain calm. Walk away if need be and revisit the conversation later.

Don't set a boundary unless you're willing to keep it. You can count on the narcissist to rebel against new boundaries and test your limits, so be prepared. Follow up with any consequences specified. If you back down, you're sending the message that you don't need to be taken seriously.

Be prepared for other changes in the relationship. The narcissist will feel threatened and upset by your attempts to take control of your life. They are used to calling the shots. To compensate, they may step up their demands in other aspects of the relationship, distance themselves to punish you, or attempt to manipulate or charm you into giving up the new boundaries. It's up to you to stand firm.

Don't take things personally

To protect themselves from feelings of inferiority and shame, narcissists must always deny their shortcomings, cruelties, and mistakes. Often, they will do so by projecting their own faults on to others. It's very upsetting to get blamed for something that's not your fault or be characterized with negative traits you don't possess. But as difficult as it may be, try not to take it personally. It really isn't about you.

Don't buy into the narcissist's version of who you are. Narcissists don't live in reality, and that includes their views of other people. Don't let their shame and blame game undermine your self-esteem. Refuse to accept undeserved responsibility, blame, or criticism. That negativity is the narcissist's to keep.

Don't argue with a narcissist. When attacked, the natural instinct is to defend yourself and prove the narcissist wrong. But no matter how rational you are or how sound your argument, they are unlikely to hear you. And arguing the point may escalate the situation in a very unpleasant way. Don't waste your breath. Simply tell the narcissist you disagree with their assessment, then move on.

Know yourself. The best defense against the insults and projections of the narcissist is a strong sense of self. When you know your own strengths and weaknesses, it's easier to reject any unfair criticisms leveled against you.

Let go of the need for approval. It's important to detach from the narcissist's opinion and any desire to please or appease them at the expense of yourself. You need to be okay with knowing the truth about yourself, even if the narcissist sees the situation differently.