“That’s because these days, most mental illnesses exist on a spectrum. “Even disorders we thought ... you either had it or not — categorical things like schizophrenia — we now know are much more like spectrum disorders...there is no magical point where you go from having sub-threshold narcissism to a disorder. We can make a cutoff, but we should acknowledge it is arbitrary. ... There is no sharp divide between ... a sh**ty personality and a disorder.”