Identifying and Treating Pathological Narcissism (Part II)

Pathological narcissism and narcissistic personality disorder are challenging conditions to treat in psychotherapy. This course will focus on identifying patients who are struggling with the range of these conditions. It will cover developmental origins, and diagnostic issues, as well as therapeutic approaches and interventions to address typical problems and specific challenges. The process and evaluation of change in psychotherapy will be discussed.

This field is required.
This field is required.

Updated Course Dates:
8 Sessions:
Wednesdays, April 12, 19, 26; May 3, 10, 17, 24, 31, 2023
8:00-9:30 pm EDT
8:00 pm - 9:00 pm: Lecture/Presentation; 9:00 pm - 9:30 pm: Group Discussion

Old Dates:
8 Sessions
: Wednesdays, 
April 5, 12, 19, 26; May 3, 10, 17, 24, 2023
Time: 8:00-9:30 pm EDT
Schedule: 8:00 pm - 9:00 pm: Lecture/Presentation; 9:00 pm - 9:30 pm: Group Discussion

This course will take place online. 
Registration Deadline: Thursday, March 30, 2023


The course is a second from two courses on understanding and treatment of pathological narcissism (PN), including narcissistic personality disorder (NPD). It advances participants knowledge beyond the material covered in the first part of the course in such areas as understanding, diagnosis, and treatment. It reviews typical manifestations of pathological narcissism (grandiose and vulnerable narcissism), effects of pathological narcissism on co-morbid disorders, as well as dynamics of suicidality and interventions for it. It will also allow the participants to better understand, recognize and intervene in cases where avoidance and dismissal are present and understand complex effects of aging on pathological narcissism. It will review typical challenges in treatment and effective ways to address those, as well as effects of pathological narcissism on the capacity to benefit from interpretation, reflection, and grieving.


Elsa Ronningstam, PhD
Psychoanalyst Member, Psychoanalytic Training Program Faculty, Psychoanalytic Psychotherapy Training Program Faculty, and Explorations in Mind Program Faculty, BPSI. Associate Professor, Harvard Medical School; Clinical Psychologist McLean Hospital. Private practice in Belmont, MA.

Igor Weinberg, PhD
Candidate Member, and Explorations in Mind Program Faculty, BPSI; Associate Psychologist, McLean Hospital; Assistant Professor, Harvard Medical School.

This course is open to intermediate and advanced licensed mental health clinicians. Continuing Education credits are offered for physicians, psychologists, and social workers.

Learning Objectives
At the conclusion of this program, participants will be able to:

  1. Describe four differential intervention strategies for grandiose vs. vulnerable narcissism.
  2. Summarize three interventions for co-morbid conditions in NPD patients.
  3. Identify five risk factors for suicidality in NPD patients.
  4. List three intentions for avoidance in NPD patients.
  5. List three typical challenges in psychotherapies of NPD patients.
  6. Assess three risk and three protective factors in aging NPD patients.
  7. Discuss use and misuse of interpretations in treatments of NPD patients.
  8. Identiry three effective treatment strategies in treatments of NPD patients.

Scholarships are available for BPSI programs.

$375 Course Fee
$300 Early Bird (available until 03/21/2023) Use Code at Checkout: EB2023IPN2
$50 Early Career Clinicians, Residents and Students
The fee is waived for BPSI Members, Trainees, and Partners. Scholarships are available upon request.

Explorations in Mind: Community Education at BPSI is made possible by the generous support of BPSI Members and friends. To make a gift to BPSI, contact Carole Nathan ( or 617-266-0953 x101),
go to, or send mail to BPSI, 141 Herrick Road, Newton Centre, MA 02459.
Program Administrator
Stephanie Cavanaugh:

Program Co-Chairs
Holly Friedman Housman, LICSW:
Chris Lovett, PhD:

Continuing Education 

Physicians: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint provider ship of American Psychoanalytic Association and (name of nonaccredited provider). The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians.”
The American Psychoanalytic Association designates this Live Activity for a maximum of 12 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
IMPORTANT DISCLOSURE INFORMATION FOR ALL LEARNERS: None of the planners and presenters for this educational activity have relevant financial relationship(s)* to disclose with ineligible companies* whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
*Financial relationships are relevant if the educational content an individual can control is related to the business lines or products of the ineligible company. -Updated July 2021-

Psychologists: The Boston Psychoanalytic Society and Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. The Boston Psychoanalytic Society and Institute maintains responsibility for this program and its content. This course offers 12 hours of CE credits for psychologists.

Social Workers: Application for social work continuing education credits has been submitted. Please contact us at or 617-266-0953 for the status of social work CE accreditation.
Please note: Per NASW requirements, social workers must attend 80% of a course in order to be eligible for continuing education credit.

Licensed Mental Health Clinicians: NBCC credits are not available for this course.
Please note: Licensed Mental Health Clinicians may request continuing education credit on an individual basis from NBCC, through their Continuing Education Credit Verification process.

Event Cancellation Policies & Procedures
Any program participant requesting their individual program registration be canceled, must submit their request in writing via email to Stephanie Cavanaugh at For fee-based events, a request for cancellation (and refund using the original form of payment) must be received no later than 48 hours in advance of the event. Requests received later than 48 hours prior to the event will not be processed or accepted. All approved refunds are subject to a $10.00 administrative fee. If BPSI cancels an event, all registrants will receive a full refund of fees paid (no administration charge) no later than two business days following the scheduled date of the event, using the original form of payment.
Grievance Policy
Please address any questions or concerns about your experience at this or any program or event you have attended at the Boston Psychoanalytic Society and Institute to the Program Chair(s), via the Senior Administrator/Continuing Education Administrator, BPSI, 141 Herrick Road, Newton Centre, MA 02459;; 617.266.0953.
The Boston Psychoanalytic Society and Institute, Inc., 141 Herrick Road, Newton Centre, MA 02459, does not discriminate on the basis of race, creed, color, sex, age, sexual orientation, national origin or handicap in the admissions to or administration of its educational programs, scholarship programs or employment.