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Tagged field notes

Filtered field notes — Goldwater Rule.

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Antagonistic Personality

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
Clinical Commentary

Therapy Speak: Why Everyone Calls Their Ex a Narcissist Now

Just 6.2% of U.S. adults meet DSM-5-TR criteria for NPD, yet TikTok tags every ex a narcissist. A clinician traces the concept creep behind therapy speak.

May 02, 2026 Matthew Sexton, LCSW
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Mental Wealth Solutions, Inc. is the company behind Couch Commons and VibeCheck.luxury. The VibeCheck.luxury EMR is in beta; email [email protected] for more information.

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