In-depth analysis of narcissistic personality disorder, emphasizing the distinction between narcissists, psychopaths, and borderlines, highlighting narcissists as delusional and psychotic with impaired reality testing and confabulation rather than manipulative liars. It discussed the complexities of narcissistic relationships, including “hoovering,” the dynamics of narcissistic abuse, and the detrimental impact on partners, advocating no contact as the only long-term solution. The session also touched on the challenges in treating narcissism, potential future medical advancements, and the interactions and conflicts between narcissists and psychopaths in relationships.