Look deeply at it and its elements. That's how it feels to work for, and live with, an extreme narcissist like David. People like that are completely self-absorbed, seeing the world as revolving around them because they see something in themselves that is absolutely fantastic. As a result of this intrinsic quality, they see the people around them as inferior, there to be manipulated, used, and in the case of the malignant narcissist, abused. David's behavior is the result of a combination of traits that skew his view of himself and his relationship with others. Those specific traits include extreme self-centeredness, a lack of empathy for others, and a lack of whole object relations and object constancy. These last two are important concepts that deserve an explanation. When we talk about whole object relations, we are referring to the ability to see yourself and others in a realistic and stable way and recognize that people are complex, with good traits and qualities as well as bad ones. This is needed to form a stable, realistic picture of themselves and anyone else. Narcissists can't do that, so they tend to sort people into two groups: The worthy and the unworthy. The worthy are special and deserve special attention and treatment. Then they taper off, just as progesterone starts to rise to its own peak on days 21 to 23. So for you to be hormonally healthy--to remain fertile and to avoid PMS, cramping, and perimenopausal symptoms--estrogen and progesterone need to be in balance with one another. The most common way for estrogen and progesterone to fall out of balance is a condition known as estrogen dominance, in which there is simply too much estrogen relative to the amount of progesterone. Sometimes, we can restore balance by lowering estrogen levels; at other times, we boost progesterone levels; we can also alter levels of both. Keeping these two hormones properly balanced is nearly impossible, however, if stress hormones and insulin are not properly balanced as well. Estrogen keeps your skin soft and supple. In the right amounts, it supports mood, sexual health, and energy.

Estrogen keeps you moist, not just in your vagina and genital area but all over. Smile with compassion at the suffering these elements have caused. Dwell in the present moment. Breathe in and remember your good inner nature, your capacity for calm and compassion. Breathe out and let go of judgment, without scolding yourself and creating a new judgment. Vow to ingest only items that preserve peace, well-being, and joy in your body and in your consciousness. Toning is the creation of extended vocal sounds on a single vowel in order to experience the sound and its effects in other parts of the body. Through toning you can immediately experience the effects of sound on your physical, mental, emotional, and spiritual well-being. Lie down on your back with your knees bent. Relax and inhale through your nose. Sit comfortably and close your eyes. The unworthy are the precise opposite. They are worthless and deserve only what the worthy folk chooses to give them. Object constancy is a person's ability to maintain a good emotional connection to someone who has hurt, annoyed, or disappointed them, or is absent. Without it, one is likely to whip-saw between loving and hating someone depending on what that person has done or said at the moment and this is something we see in malignant narcissists. They know what they are doing, that it is harming people, but have no reason to care since they're not suffering. In David, we see someone who is extremely self-centered, who lacks empathy for others, and who desperately needs to protect his self-esteem. He acts thoughtlessly, refuses to apologize, and if he is cornered, forced to talk about what he did, he becomes hostile and defensive and tries to turn the blame on the other person because admitting wrongdoing would force him to face the truth about himself, which would undermine his fragile self-esteem. That hostility is an important trait in and of itself. Any time he feels a threat to his self-esteem, anything that makes him feel bad or vulnerable, he will look at the other person and see them as responsible for their issue, with blame often growing into retaliation.

More than that, he feels justified in making such retaliation because he now sees that person as an evil enemy, with no regard for the positive history he has with them. Dry skin might be a sign of too little estrogen, as might dry eyes. Estrogen protects against cardiovascular disease and in the right amounts it also fights inflammation, a problematic immune-system response associated with numerous disorders including heart disease and cancer. Estrogen's anti-inflammatory properties are welcome any time but especially as we age. In addition, estrogen is involved with body weight. This is why it's easier to gain weight and harder to lose it after hysterectomies, and during perimenopause and menopause. And once again, balancing stress hormones and insulin is the best way both to maintain healthy estrogen levels and a healthy weight. Although estrogen plays a big role in sexual desire and fertility, we have estrogen receptors everywhere in the body. Estrogen is also involved in memory, healthy sleep, and maintaining pain-free joints. Estrogen also affects neurotransmitters, the biochemical messengers in the brain that influence energy, mood, and focus. When their estrogen levels are too low, women come into my office feeling frazzled, unbelievably irritated, and anxious during the week or so before their periods. As you inhale naturally, smile and sense your abdomen expanding with the spaciousness of your smiling breath. Your abdomen feels warm. Exhale gently through the mouth while smiling. A spacious sensation spreads into your bones, organs, and tissues. You may also sense inner tensions and toxins going out with the exhalation. You can come away from or dissolve a negative mind state, using smiling breath. Taoists say that when you smile, your organs release a honey-like secretion that nourishes the whole body. True mindfulness is an awareness that develops when your mind stays in contact with whatever you are doing. Every so often, just stop what you are doing and breathe, noticing the world all around you.

Begin by saying stop and pausing the activity. With all that, David is still in the minor leagues of malignant narcissists. Let's take a look at a few people who have graduated to the majors. Famous Narcissists Because extreme narcissists crave attention and power, they often end up in the public eye, in politics, religion, or entertainment. You've heard of them. You may even be a fan. Perhaps you voted for one of them. Let's take a look at a few of the more famous narcissists. Trump has been a public figure for decades and has displayed extreme narcissistic behavior the entire time. He is the son of a successful real estate developer and followed in his father's footsteps. And when women in perimenopause tell me, I can't think clearly or my attention is just off, these symptoms also reveal that their estrogen levels are in decline. On the other hand, too much estrogen in combination with low progesterone is associated with depression. This is why many girls start struggling with depression prior to menses and why women with PMS often struggle with depression as well. I'm sharing this information with you because I want you to understand the power of your hormones and to learn to listen to what your body is telling you. But I also want you to hear the good news: many of these problems can be resolved through diet, herbs and supplements, exercise, sleep, and psychological support, occasionally complemented with bioidentical hormones. Your hormonal symphony may be playing out of tune, but balancing your hormones is well within your reach--and you can make a terrific start in just 28 days. Estrogen is actually a generic name for a type of hormone. Your body has not one type of estrogen but three: estrone, estradiol, and estriol. Each behaves differently.

You might have heard that higher levels of estrogen in your system can potentially contribute to hormonal cancers, including breast and uterine cancer. Open your senses to the environment. Breathe slowly and deeply. As you inhale, create space in your mind and environment. As you exhale, imagine that time is expanding. Continue to do this, each time lengthening the out-breath. Experience the present moment in complete stillness. After a couple of minutes, resume what you were doing with a calmer mind. Take a deep breath while sitting or standing. Where do you feel your breathing? What is the quality of your breathing? Since then, his grandiose sense of his own ability, as well as his disregard for the feelings and rights of others has grown unchecked until now, as president of the United States, it has taken on new meaning. Trump is notorious for his behavior around women, especially those whom he feels are somehow beneath him. Another example of this behavior is that, as the owner of the Miss USA articleant, he thought nothing of strolling through the dressing room unannounced while the women were changing, and once had the entire introduction section of a articleant repeated because the first time around, the contestants didn't look him in the eye. In this, we again see his sense of entitlement as well as his need to be the focus of attention and his utter disregard for others. Trump also demonstrates a constant need to self-promote, describing himself and his accomplishments (whether his own or taking credit for those of others) in superlative terms, while any failures are hidden away, excused, or blamed on others. This last is important since he is well-known for attacking anyone who happens to raise his ire, rivals, former associates that he casts in the role of a betrayer, and particularly critics. To call Trump thin-skinned would be an understatement. He is highly sensitive to criticism, lashing out with demeaning responses at the smallest provocation, yet he thinks nothing of criticizing others in deeply hurtful and insulting ways, as is very clear from his numerous outbursts on Twitter, such as his recent tweets telling four members of the House of Representatives to go back where they came from (three of them were born here in the United States). We can also see it in his constant self-congratulatory language as if he is trying to reassure himself and convince the rest of us, that what is saying is right and true.