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Psychobabble

Psychobabble

By: Hannah Spier MD
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Psychiatrist analyzing how cultural trends and modern therapy incentivize dysfunction.

hannahspier.substack.comHannah Spier
Hygiene & Healthy Living Philosophy Psychology Psychology & Mental Health Social Sciences
Episodes
  • #54. Why Women Get Away With Narcissism (3 Patterns You’ll Recognize)
    Jan 27 2026

    In this video, I walk through three everyday patterns in which narcissistic traits are reframed as vulnerability, self-awareness, or moral superiority and therefore escape recognition altogether. From self-diagnosis culture to parenting ideology, these behaviours are often praised rather than named appropriately.I also make an important distinction between Munchausen by proxy and the narcissistic mother, two dynamics that are frequently conflated, but psychologically and motivationally very different.This is not about demonising women or dismissing genuine mental health struggles. It’s about understanding how certain traits gain social immunity by wearing the language of care, suffering, and insight, and why that makes them so difficult to name.

    Episode Chapters: 00:00 Why This Is Never Called Narcissism02:18 Narcissism That Looks Like Vulnerability06:12 Self-Diagnosis as Status and Shield12:04 Munchausen by Proxy vs. the Narcissistic Mother18:47 Gentle Parenting and Moral Superiority25:36 Why This Pattern Is So Hard to Name

    Psychobabble Insider Interview: The Four Horsewomen of Modern FeminismA conversation with David Maywald on misandry, gamma bias, gynocentrism, and gaslighting, and how these cultural forces shape therapy culture, family dynamics, and emotional double standards.

    Upcoming Live SessionThis Saturday, 31st January at 2 PM Eastern, I’ll be hosting a live clinical case session with Luella Jonk, PhD, on couples therapy:

    “When She Says She’s Done.”A real-time analysis of emotional withdrawal, shutdown, resentment, and what actually happens in relationships when one partner disengages. Please join in the conversation!



    This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit hannahspier.substack.com/subscribe
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    19 mins
  • #53. AuDHD: When Psychiatry Becomes Customer Service
    Jan 7 2026

    Therapists can’t say no to women, psychiatry won’t protect its categories, and TikTok has turned serious disorders into identity accessories.In this video, I walk you through a proper differential diagnosis and show why the behaviours commonly labeled “AuDHD” are not autism, not ADHD, and not neurodevelopmental at all.

    0:00 — The rise of AuDHD: diagnostic Frankenstein1:03 — The AuDHD Differential Diagnosis1:29 — Why this isn’t autism3:51 — Masking becomes an unfalsifiable excuse5:40 — Meltdowns, “stimming,” anxiety: misdiagnosis exposed8:04 — This isn't AuDHD, it's borderline behaviour10:03 — The gender inversion comorbidity split 14:53 — The death of differential diagnosis

    👉Missed the live clinical case session? You can watch the full recording here:



    This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit hannahspier.substack.com/subscribe
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    16 mins
  • #52 The Survival Guide for Dealing with Cluster B and Borderline Women
    Dec 24 2025

    This episode sits very deliberately at the “how do I deal with this?” level. It’s for people who find themselves repeatedly destabilised in relationships marked by manipulation, emotional volatility, and confusion — and who are tired of being told to simply communicate better, be more empathetic, or search for faults that aren’t actually there.

    As the year comes to a close, I wanted to write a brief note about Psychobabble. What many of you have responded to most strongly, and how I’m shaping the project going forward.

    What I’ve enjoyed most over the past weeks, especially through the live sessions, is how concrete and personal these conversations have become. When people bring real situations, real patterns, real moments of confusion, the psychological mechanisms stop being abstract. They become recognisable. And once they’re recognisable, they become manageable.

    That experience has pushed me to think carefully about how Psychobabble should evolve.

    All essays and podcast episodes will remain free on Psychobabble — orientation pieces, cultural psychology, and broader analyses that help make sense of what’s happening around us. I want the ideas themselves to circulate widely, and that won’t change.

    Paid Psychobabble, however, is becoming the place where we go deeper together.

    This is where we’ll work carefully through psychological mechanisms as they actually present in real life. Going forward, you’ll have access to twice‑monthly live clinical case sessions — a single, ongoing space where we work through real (composite and anonymised) cases tied to recent essays and episodes, take questions, and focus on precision. You’ll have access to the full recording after, in case you missed the session.

    In addition, the paid tier will include in‑depth, members‑only interviews with academics and authors that expand on the clinical and cultural themes, but differ from the regular public episodes.

    If you’re a paid subscriber, nothing is being taken away. What’s changing is focus and intentionality. I want to create a clearly defined space for shared investigation and practical understanding. Where clinically specific material — the kind that helps people orient themselves in difficult, personal situations — can be handled properly, with context and care.

    I’m genuinely excited about this direction! The live sessions have shown me what becomes possible when this work is done in a more contained, collaborative way and I’m looking forward to building that out further in the coming year.

    To those of you who read, comment, restack, share, challenge, and support this work — whether as free readers or paid subscribers — thank you!

    I wish you a thoughtful and steady start to the New Year.

    Warmly,Hannah



    This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit hannahspier.substack.com/subscribe
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    20 mins
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