Reality Testing Is the First Forensic Question
6.2% of adults have NPD lifetime (NESARC) — the pyramid's base, where most narcissistic-abuse trauma starts, not apex psychopathy. Cole Allen's case and field guide.
May 05, 2026 Matthew Sexton, LCSW
Filtered field notes — Forensic Mental Health.
Sorted newest first. Each post links primary sources and methodology.
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