The speaker distinguishes narcissistic rage from psychopathic rage, explaining that narcissistic rage is reactive, short-lived, ostentatious, and serves as self-regulation to restore grandiosity, while psychopathic rage is goal-oriented, instrumental, and often driven by frustration. Narcissistic rage stems from internal conflicts between feelings of unworthiness and grandiosity, negates intimacy, and can escalate into borderline-like dysregulation or psychotic micro-episodes. The talk also situates narcissistic rage within broader frameworks of grief, depression, and psychopathology, proposing that grandiosity functions as a compensatory defense against inner despair. Psychopaths, Narcissists Rage Differently, for Different Reasons