On this episode of The Dr. Cloud Show:   Cheri wants to know: Do narcissists know what they're doing or are they unaware of it? Is it automatic for them to be manipulative, like a defense mechanism? Is there a way to make them see it?   Question: What's the difference between shame and guilt?   Question: Disapproval triggers me and I'm hard on myself about it. I'm married with kids yet I still feel like a child. How do I get my needs met without feeling afraid and more insecure?   Dr. Cloud's upcoming workshop Mentally Healthy Faith is a two hour workshop covering how your mental health and your spiritual life intertwine. Discounted pricing is available for a limited time at www.boundaries.me/faith   Get a free 14 day trial to Boundaries.me with over 90 video courses, daily coaching emails and more. We've got courses on codependency, finding safe people, dealing with a narcissist, and over 90 other courses. You'll also get daily coaching videos delivered to your inbox--short 2-4 minute videos that give you one thing to do that day to build your way to a better version of yourself. We've also got a members-only support community on the site where you can discuss what you're learning, and get support and share support along the way. It's a free two-week trial, cancel at anytime, and only $9 a month after that. https://www.boundaries.me