TABLE 1.

Understanding psychological disorders through cognitive-behavioral therapy components

Diagnosis	Situation	Belief	Automatic thoughts	Feelings	Behaviors	Consequences
Obsessive-compulsive disorder	Touching a doorknob	Contamination can kill me	“This doorknob probably has germs on it.” “I must wash to be safe.”	Disgust, anxiety, body tension	Resisting touching anything else with hands, wash immediately	Immediate reduction in distress but reinforces belief that one must wash to be safe
Vulnerable narcissism	Receiving negative feedback from boss	No one sufficiently understands or appreciates me	“He should have been clearer about what he wanted.” “I bet a different boss would appreciate me more.” “I should just give up.”	Anxiety, anger, self-loathing	Avoiding boss, fantasizing about “ideal” boss, suicidal ideation motivated by “showing them what they lost”	Avoidance of critiques leads to social and occupational impairment and reinforces belief that criticism is intolerable
Grandiose narcissism	Learning that a peer got a better score on a test	I must be the best in all ways	“It doesn’t matter, I’m still better than them.” “They’ll pay for showing me up.”	Anger, envy	Ridiculing peer for caring about grade, lying that peer got grade by cheating, fantasizing of ways to get even	Aggression and lying severely damages relationships and reinforces the notion that one must (appear to) be the best at all costs