In this episode, Dr Craig Malkin, Psychology lecturer at Harvard Medical School and narcissism expert, discusses with Dr Supriya McKenna and Karin Walker how ageing can affect narcissists. We talk about narcissistic collapses, and how  in older narcissists whose relationships have broken down they use projection (blaming others of what they themselves are thinking, feeling or doing) as a defence. Dr Malkin talks about the concept of the psychotic spiral, and how during a narcissistic collapse narcissists may even become delusional in their thinking. We also discuss therapy for narcissists, and what Dr Malkin's experience of this has been.