Hypersexuals Who Were Traumatized By One Event, I Love You.

I want to break down a common point of conflict when addressing NPD stigma.

A lot of hangups people have tend to be along the lines of "but I DO see a lot of people with actual NPD who are acting in toxic or abusive ways".

This will be kind of long, so bear with me.

Point #1: People are way more likely to be diagnosed if they exhibit "stereotypical" symptoms.

There's this image of NPD as a disorder that is only present in those with patterns of destructive behavior towards others. Many therapists have this conception. (Shockingly, the mental health field is not perfect & without stigma.)

Gonna copy-paste this here from my other blog (so forgive me if you've seen it before), because it's a good example.

Three people are criticized at work. Their boss yells at them for their performance in front of everyone. Person A gets mad and defensive. They yell back, using cutting remarks as a way to try and ease the distress they feel. Person B acts really mature and responsible the whole time, nodding along and agreeing and promising to do better, just desperate to maintain and improve their status. Desperate to be liked. Later they go home and handle their distress through self-destructive means, and spend the next few months overworking themself to the point of illness. Person C doesn't seem to respond much at all. They go quiet and seem distant. They don't lash out or lash in, but for the next month or so, their productivity drops. They simply aren't able to focus on work or self-care, no matter how hard they try. The stress is overwhelming. All three of these people have the same root issues, but only the first would be labeled a narcissist. Outwards behaviors and presentations don't reflect the pain, distress, and difficulties with life that are underlying them.

So, three main things happen.

There ends up being a higher rate of people with destructive behaviors who are diagnosed with NPD

The people who don't particularly exhibit behaviors and are considered ""too nice to have it"" are overlooked entirely (and never get any sort of help for their underlying issues, yayyy)

People are more likely to be more honest about "ugly" symptoms / symptoms that are frowned down upon than they are in other mental health communities.

(Also some people decide to act super edgy about it, which is annoying but here we are. Some of them are trolls.)

(And while I'm at it, some people are misdiagnosed with NPD because a psych sees someone who committed a violent crime and is like "uhh slap them with the Evil Asshole™ disorders!! no further thought given.")

Point #2: People who have messed up are not inhuman monsters who deserve no help or support

While I do think it's important for people to understand that patterns of toxic behaviors aren't the ONLY way NPD can present, I'm not going to let the conversation stop at "some of us are nice though!!"

Human beings aren't RPG characters who can be sorted into "monster" or "ally". Every single person has done something hurtful, has messed up, exhibits some sort of behavior that puts strain on their relationships sometimes.

So I'll bullet point some aspects of this that need to be talked about.

People without NPD also commonly exhibit toxic behaviors, but people ignore that nowadays. Either they armchair diagnose anyone who's slightly rude, or they only focus on it in pwNPD and ignore it in themselves or others. NTs can be jerks too, and they're probably less likely to acknowledge it than pwNPD who are constantly watching and checking themselves and analyzing their behaviors and attempting to do better.

Assuming that NPD makes someone abusive doesn't help anyone. Can it impact behaviors, and make it more difficult for people to be self-aware? Of course. But an important step in healing from any mental health condition (especially personality disorders, ime) is realizing that you're not inherently ""bad"", and that you can take responsibility for your actions and learn to deal with things in constructive ways. Just going "NPD makes people bad, full stop"- other than being a mean shitty thing to say- absolves people of guilt and asserts that there's no reason for them to try and improve.

Yes, it's okay for people to hate their abusers. Their abuser. Not an entire community of people who happen to (maybe) share a trait with them.

Building on the above point, people tend to go in defense mode when they hear things like "pwNPD who have acted in toxic ways can learn to improve their behavior", "people shouldn't be saying awful things about folks with this condition", etc. because they automatically try to apply this to their abuser. Interpersonal situations are very different from society-wide mental health access. No, don't stay with your abuser expecting them to change, and don't hold onto the hope that they will. No, don't censor yourself or your hatred or anger towards them. Just don't make blanket statements about a disorder that they may or may not have- blame their abusive actions, not their mental health.

"I hate you for your abusive actions and the harm that you caused me." =/= "I hate a group of people because of an inherent unchangeable part of them that's tied directly to severe childhood trauma they suffered. Because of it, they're evil and unlovable and are incapable of change. They're inhuman and will never experience real connection with others." ..........See the difference??

Even if there were a disorder with a 100% rate of toxic douchey behaviors, I'd want the conversation around it to be changed. I'd want different words to be used to divide up the spaces and conversations and resources, so that survivors of abusive or toxic behavior can get help, but that the disorder still has space to be treated. Otherwise, there are zero resources for healing. Nothing is being done to help these people or solve the issue. They're just told they may as well not try. They're blocked from healthcare entirely, despite how the entire point of being diagnosed with a condition is supposed to be to treat it.

There's a wide range of people who have NPD- it presents in many different ways, a person who has it may or may not exhibit harmful behaviors- but no one deserves to be denied treatment or told they're unlovable because of a condition they have that was formed from trauma.

Speak out against abusive behavior. Don't destroy healthcare for a medical condition.

Captions shouldn't be censored. If the video says fuck or cum or cunt the captions should say the fucking word.

Medical condition: gets worse without sleep

Medical condition: makes it harder to sleep

When I say “school should be disability accessible”, I don’t just mean we need handicap rails and EAs. Kids should be able to miss a day without failing out of school. You shouldn’t be dismissed from clubs because your attendance record is “spotty” (true story). I once missed an entire week of school because of a terrible, unending migraine. I was expected to keep up with my studies despite the blinding pain that came with working on my computer. When I heard my teachers say that you couldn’t miss exams, I asked what I would have to do to be excused from them. Their response? “Either get a doctor’s note an hour before the exam or death of an immediate family member.”

I cannot express how rigid this expectation was. First of all, with my condition, I wouldn’t have enough warning about my sickness to go to the doctor and request a note. For many people, this is exceptionally difficult, especially with the current shortage of medical professionals. Next, it ignores the fact that my schedule may not line with theirs because of my medical needs. Once, I had to visit a hospital a province away (which I was on the waiting list of for over a year) on the same day as an exam. I begged my mother not to take me because I was so nervous that I would be marked as an automatic fail. I was lucky enough to make it work, but that’s only because of my spectacular support system consisting of family members and wonderful doctors.

Disabilities aren’t always about needing a bus that can accommodate wheelchairs. It’s already difficult enough for many of us to maintain school attendance without the harsh punishments involved for skipping a day. We need to be able to miss school without being punished. Only than can you claim that the school is “accessible”

to the disabled person who needs to hear this:

you don't have to earn or "deserve": resting, sleeping, taking your medications (including OTC meds, cannabis, creams, etc.), using your mobility aids, eating, declining to go to an event, choosing to stay home, having a self care/lazy day, or taking care of yourself in any other capacity. you can be good to yourself today.

I sure hope people don't take tiktok autism misinformation as "all these people are faking autism and being a gatekeeper is good actually" because I personally think the actual answer is "we need to learn how to discuss neurodivergencies in a way that includes nuance and doesn't overgeneralize things, we should also normalize questioning people for their sources and not taking everything at face value".

"Oh you talk to yourself! That's unhealthy!"

UGHHHHH NO ITS NOT SHUT UPPPPPP. I'm tired of people acting like it's a bad thing! I talk to myself because what ELSE am I supposed to down with all this energy??? I talk to myself because it makes me feel like I'm releasing energy! ITS A GOOD THING and actually BENEFITS ME. And I only do it when I'm alone anyways, so who CARES.

DESTIGMATIZE TALKING TO YOURSELF.

Autistic people’s relationship with sex is treated so horribly in so many different ways it’s genuinely fucking frustrating. Whenever a character is depicted with autistic traits a thousand weirdos manifest into existence to say that their cute little autism blorbo “doesn’t know what sex is and must be protected” but over in real kink circles with high populations of autistic people (furry porn and shit) they suddenly become the crazy degenerate perverts. To the greater society at large autistic people expressing their sexuality aren’t allowed to be considered normal, we either have to be sterile and nonexistent or a group of freaky sexual deviants. Give me a fucking break dude.

therapists saying you're surprisingly self aware is like being called a pleasure to have in class for adults

You’re still chronically ill if you have a good day. You’re still valid. Your chronic illness is still valid if you have one good day out of a hundred bad days.