Narcissistic Personality (NPD) Psychiatrists in Comal County, TX

As a Veteran, I acknowledge the Warrior ethos that exists in all humans, especially when it comes to mental health and wellness. i am here to work with you, as a team, to achieve the goals that you aspire for yourself. It can range from not being 'that' person anymore to improving my relationships with loved ones. I am also here to help kids and teens be the best version of themselves, however they identify. We can achieve these things better, together.
As a Veteran, I acknowledge the Warrior ethos that exists in all humans, especially when it comes to mental health and wellness. i am here to work with you, as a team, to achieve the goals that you aspire for yourself. It can range from not being 'that' person anymore to improving my relationships with loved ones. I am also here to help kids and teens be the best version of themselves, however they identify. We can achieve these things better, together.

Lydia is a Board Certified Psychiatric Mental Health Nurse Practitioner. She believes that every patient is unique in their needs and circumstances, and each one requires great care in harmonizing treatment plans, provider-patient interactions, and medications to achieve positive and therapeutic outcomes. Lydia values listening and understanding her patients more than issuing directives to them. She has extensive experience in the medical field, including 10 years as a Registered Nurse (BSN) and then as a Nurse Practitioner (PMHNP) since 2019. She found her passion for working in psychiatric care in 2014 and has remained ever since.
Lydia is a Board Certified Psychiatric Mental Health Nurse Practitioner. She believes that every patient is unique in their needs and circumstances, and each one requires great care in harmonizing treatment plans, provider-patient interactions, and medications to achieve positive and therapeutic outcomes. Lydia values listening and understanding her patients more than issuing directives to them. She has extensive experience in the medical field, including 10 years as a Registered Nurse (BSN) and then as a Nurse Practitioner (PMHNP) since 2019. She found her passion for working in psychiatric care in 2014 and has remained ever since.

Christina Vasquez
Psychiatric Nurse Practitioner, APRN, PMHNP-, BC, CARN-, AP
1 Endorsed
Serves Area
I want to serve my community and help those in need of assistance with their mental health and or substance use disorder I offer an evidence based non- biased approach for all clients. My goal is to decrease the stigma associated with mental health.
I want to serve my community and help those in need of assistance with their mental health and or substance use disorder I offer an evidence based non- biased approach for all clients. My goal is to decrease the stigma associated with mental health.

Dr. John Pichot is located in Alamo Heights and is a graduate of the UT Southwestern Medical School in Dallas, He is certified by the American Board of Psychiatry & Neurology and specializes in psychotherapy with or without medications related to the treatment of anxiety, depression, relationship issues, and substance use disorders. Dr Pichot is selected for the Best Doctors in America (Database of the top 5% physicians in the country. Specialists who have been chosen by peers in their specialty as best in their field). www.bestdoctors.com. He is licensed in both Texas and Colorado.
Dr. John Pichot is located in Alamo Heights and is a graduate of the UT Southwestern Medical School in Dallas, He is certified by the American Board of Psychiatry & Neurology and specializes in psychotherapy with or without medications related to the treatment of anxiety, depression, relationship issues, and substance use disorders. Dr Pichot is selected for the Best Doctors in America (Database of the top 5% physicians in the country. Specialists who have been chosen by peers in their specialty as best in their field). www.bestdoctors.com. He is licensed in both Texas and Colorado.

Dr. Elena Gherman is a spectacular Leader and Psychiatrist in our community for more than 13 years. She is also an amazing mother of 3 beautiful children. She is Board certified in Adult Psychiatry & Neurology, with specialty fellowship training in Child & Adolescent Psychiatry. Dr G's training and professional experiences will allow her to offer you and your family the best care and treatment plans with safety and well-being in mind. The ONLY Psychiatrist doing PharmacoGenomic Testing in the office in San Antonio!
Dr. Elena Gherman is a spectacular Leader and Psychiatrist in our community for more than 13 years. She is also an amazing mother of 3 beautiful children. She is Board certified in Adult Psychiatry & Neurology, with specialty fellowship training in Child & Adolescent Psychiatry. Dr G's training and professional experiences will allow her to offer you and your family the best care and treatment plans with safety and well-being in mind. The ONLY Psychiatrist doing PharmacoGenomic Testing in the office in San Antonio!
Online Psychiatrists

I am a Psychiatric Mental Health Nurse Practitioner certified by the ANCC. I provide compassionate, evidence-based care for patients 12 and up. My holistic approach focuses on personalized treatment plans to empower mental wellness. Together, we’ll foster a supportive environment to help you thrive. I enjoy being with my family and playing fetch with my golden retriever in my free time.
I am a Psychiatric Mental Health Nurse Practitioner certified by the ANCC. I provide compassionate, evidence-based care for patients 12 and up. My holistic approach focuses on personalized treatment plans to empower mental wellness. Together, we’ll foster a supportive environment to help you thrive. I enjoy being with my family and playing fetch with my golden retriever in my free time.

Currently offering online telemedicine appointments to all Texas Residents. My pledge to you: I will actively listen to your unique story-what is troubling you, impairing you and distressing you. I will work in collaboration with you to primarily discover what your personal goals are for treatment and then secondarily formulate a mutually-agreed upon strategy for treatment, for achieving your goals. I will do this with empathy and compassion; I will do this with all dignity, respect and complete confidentiality; and I will do this without judgment or assumption.
Currently offering online telemedicine appointments to all Texas Residents. My pledge to you: I will actively listen to your unique story-what is troubling you, impairing you and distressing you. I will work in collaboration with you to primarily discover what your personal goals are for treatment and then secondarily formulate a mutually-agreed upon strategy for treatment, for achieving your goals. I will do this with empathy and compassion; I will do this with all dignity, respect and complete confidentiality; and I will do this without judgment or assumption.

MindWell Urgent Care is a revolutionary, first of its kind psychiatric practice that provides the residents of Texas with state of the art, same-day psychiatric care for a wide range of mental health issues. Currently, we are offering same-day psychiatric and telepsychiatry services in Texas. Our services include medication management, psychotherapy, ADHD testing, and Spravato / ketamine treatment.
MindWell Urgent Care is a revolutionary, first of its kind psychiatric practice that provides the residents of Texas with state of the art, same-day psychiatric care for a wide range of mental health issues. Currently, we are offering same-day psychiatric and telepsychiatry services in Texas. Our services include medication management, psychotherapy, ADHD testing, and Spravato / ketamine treatment.

Book with me through my Headway link. My ideal client values mental health, seeking support for issues like anxiety, depression, or trauma. They desire a safe space to explore, gain insights, and develop coping strategies. Their goals include emotional stability, improved relationships, and enhanced self-esteem. They prioritize mental health because they recognize its impact on their overall well-being and seek therapy to achieve personal growth, healing, and a more fulfilling life. Reach out to start your journey.
Book with me through my Headway link. My ideal client values mental health, seeking support for issues like anxiety, depression, or trauma. They desire a safe space to explore, gain insights, and develop coping strategies. Their goals include emotional stability, improved relationships, and enhanced self-esteem. They prioritize mental health because they recognize its impact on their overall well-being and seek therapy to achieve personal growth, healing, and a more fulfilling life. Reach out to start your journey.

Are you seeking a place where your story is truly heard and respected? Facing challenges like depression, anxiety, bipolar disorder, PTSD, or mood disturbances can be overwhelming, but you’re not alone. With over five years of experience, I provide compassionate care in a safe, nonjudgmental environment. My approach focuses on understanding you as a whole person, not just a diagnosis. Together, we’ll explore the root causes of your struggles and work toward healing, growth, and lasting well-being.
Are you seeking a place where your story is truly heard and respected? Facing challenges like depression, anxiety, bipolar disorder, PTSD, or mood disturbances can be overwhelming, but you’re not alone. With over five years of experience, I provide compassionate care in a safe, nonjudgmental environment. My approach focuses on understanding you as a whole person, not just a diagnosis. Together, we’ll explore the root causes of your struggles and work toward healing, growth, and lasting well-being.

School or work schedule creating difficulty making your appointments? Well, worry no more. I can visit with you as LATE as 8PM. I am a compassionate driven mental health provider. Goal oriented and personable. I enjoy working with my patients to attain a wholistic wellness state of mind. Many people experience depression and other mental health disorders that are non-responsive to conventional medications. There is hope for your symptoms. The clinic also offer the FDA approved Spravato (Esketamine) for treatment resistant depression, anxiety, and PTSD. Call for inquiries.
School or work schedule creating difficulty making your appointments? Well, worry no more. I can visit with you as LATE as 8PM. I am a compassionate driven mental health provider. Goal oriented and personable. I enjoy working with my patients to attain a wholistic wellness state of mind. Many people experience depression and other mental health disorders that are non-responsive to conventional medications. There is hope for your symptoms. The clinic also offer the FDA approved Spravato (Esketamine) for treatment resistant depression, anxiety, and PTSD. Call for inquiries.

I am a licensed a Psychiatric and Mental Health Nurse Practitioner interested in providing comprehensive, compassionate and exceptional mental health care for adults and adolescents. I incorporate both psychiatric medicine and psychotherapy into my practice. I employ evidence-based practice unified with clinical experience, education, and patient observation to provide the best treatment on a patient-by- patient basis. I believe in treating all patients with the dignity and respect they deserve and strive to build excellent rapport with both the patient and their family.
I am a licensed a Psychiatric and Mental Health Nurse Practitioner interested in providing comprehensive, compassionate and exceptional mental health care for adults and adolescents. I incorporate both psychiatric medicine and psychotherapy into my practice. I employ evidence-based practice unified with clinical experience, education, and patient observation to provide the best treatment on a patient-by- patient basis. I believe in treating all patients with the dignity and respect they deserve and strive to build excellent rapport with both the patient and their family.

I have worked with individuals across the lifespan facing conditions such as schizophrenia, bipolar disorder, major depression, PTSD, and substance use disorders. I have seen the impact of untreated trauma and systemic inequities—and I have seen the resilience that emerges when people are finally met with appropriate care. Whether supporting medication adherence, facilitating de-escalation, or providing a listening ear during moments of crisis, I’ve learned that small interventions can make a life-changing difference. I want to be the provider who partners with patients to understand their needs and their goals for recovery.
I have worked with individuals across the lifespan facing conditions such as schizophrenia, bipolar disorder, major depression, PTSD, and substance use disorders. I have seen the impact of untreated trauma and systemic inequities—and I have seen the resilience that emerges when people are finally met with appropriate care. Whether supporting medication adherence, facilitating de-escalation, or providing a listening ear during moments of crisis, I’ve learned that small interventions can make a life-changing difference. I want to be the provider who partners with patients to understand their needs and their goals for recovery.

Taking NEW Patients! I am a Board-Certified Psychiatric Nurse Practitioner looking to build my clientele. I am with Mental Health Associates of San Antonio. I see adult, child and adolescent patients. I have worked in behavioral health since 2009 and it is my passion. I have been told that I am easy to talk to and patients have been known to easily open up to me. I want my patients to feel like they are comfortable and safe when they are with me and are talking to just another human being and not in a hospital or office setting. Come see me so we can start your journey to feeling better!
Taking NEW Patients! I am a Board-Certified Psychiatric Nurse Practitioner looking to build my clientele. I am with Mental Health Associates of San Antonio. I see adult, child and adolescent patients. I have worked in behavioral health since 2009 and it is my passion. I have been told that I am easy to talk to and patients have been known to easily open up to me. I want my patients to feel like they are comfortable and safe when they are with me and are talking to just another human being and not in a hospital or office setting. Come see me so we can start your journey to feeling better!

As a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP), I am dedicated to helping individuals achieve lasting mental wellness through a holistic and personalized approach to care. I believe that mental health treatment should address the whole person, not just symptoms, and empower individuals to live their best lives.
With a compassionate, patient-centered approach, I take the time to truly understand your unique needs, concerns, and goals. Whether you’re seeking medication management, therapy, or a comprehensive mental health plan, I work collaboratively with you to create a treatment plan that promotes healing,
As a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP), I am dedicated to helping individuals achieve lasting mental wellness through a holistic and personalized approach to care. I believe that mental health treatment should address the whole person, not just symptoms, and empower individuals to live their best lives.
With a compassionate, patient-centered approach, I take the time to truly understand your unique needs, concerns, and goals. Whether you’re seeking medication management, therapy, or a comprehensive mental health plan, I work collaboratively with you to create a treatment plan that promotes healing,

Dr. Paparone is an experienced psychiatrist specializing in family systems, attachment disorders, PTSD, treatment resistant depression, ADHD, post partum depression and adjustment disorders. Dr. Paparone has trained and worked closely alongside experts in the field of psychoanalytic therapy, family therapy and psychopharmacology. She has over a decade of treating patients in psychotherapy and psychopharmacology.
Dr. Paparone is an experienced psychiatrist specializing in family systems, attachment disorders, PTSD, treatment resistant depression, ADHD, post partum depression and adjustment disorders. Dr. Paparone has trained and worked closely alongside experts in the field of psychoanalytic therapy, family therapy and psychopharmacology. She has over a decade of treating patients in psychotherapy and psychopharmacology.

Effulgence Psychiatry
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
1 Endorsed
San Antonio, TX 78229
My name is Ifeoma Irokwe, a Psychiatric Mental Health Nurse Practitioner at Effulgence Psychiatry. With a deep-rooted belief in the interconnectedness of spirit, body, and soul, I strive to be a guiding light for those navigating the complex journey of mental health. I approach mental wellness from a holistic perspective, recognizing that true healing occurs when all aspects of our being are in harmony. I believe that when the spirit, body, and soul are aligned, individuals can experience a profound sense of peace and fulfillment.
My name is Ifeoma Irokwe, a Psychiatric Mental Health Nurse Practitioner at Effulgence Psychiatry. With a deep-rooted belief in the interconnectedness of spirit, body, and soul, I strive to be a guiding light for those navigating the complex journey of mental health. I approach mental wellness from a holistic perspective, recognizing that true healing occurs when all aspects of our being are in harmony. I believe that when the spirit, body, and soul are aligned, individuals can experience a profound sense of peace and fulfillment.

I’m so glad you’re here! I’m April, a board-certified Psychiatric Mental Health Nurse Practitioner with 15+ years of experience as a Registered Nurse in pediatric and adult settings. I chose to specialize in mental health to help destigmatize mental health conditions and improve access to care. My own journey through therapy helped me recognize the importance of addressing mental health as it relates to physical health.
I take a trauma-informed, holistic and culturally sensitive approach to help my clients identify and address underlying factors that negatively impact their overall quality of life.
I’m so glad you’re here! I’m April, a board-certified Psychiatric Mental Health Nurse Practitioner with 15+ years of experience as a Registered Nurse in pediatric and adult settings. I chose to specialize in mental health to help destigmatize mental health conditions and improve access to care. My own journey through therapy helped me recognize the importance of addressing mental health as it relates to physical health.
I take a trauma-informed, holistic and culturally sensitive approach to help my clients identify and address underlying factors that negatively impact their overall quality of life.

Our ideal client is someone seeking support for anxiety, depression, trauma, or co-occurring conditions, often feeling overwhelmed or misunderstood. They need a safe, non-judgmental space with trusted providers who listen and collaborate transparently. Their goal is to regain control, understand their struggles, and develop effective coping strategies. Ultimately, they seek meaningful progress and a trusted partner in their mental health journey. At Crosstown Mental Health, we’re committed to providing personalized care that builds trust and fosters lasting wellness.
Our ideal client is someone seeking support for anxiety, depression, trauma, or co-occurring conditions, often feeling overwhelmed or misunderstood. They need a safe, non-judgmental space with trusted providers who listen and collaborate transparently. Their goal is to regain control, understand their struggles, and develop effective coping strategies. Ultimately, they seek meaningful progress and a trusted partner in their mental health journey. At Crosstown Mental Health, we’re committed to providing personalized care that builds trust and fosters lasting wellness.

Shana's philosophy of practice is “a generic perfect path for all does not exist in our reality; to treat every person a clinician sees as if one does, is to do a disservice to an individual’s uniqueness and personal strengths. Everyone deserves to explore and uncover which direction is the best for them”. This philosophy of practice has been developed from her experience across a variety of clinical populations, such as individuals struggling with mood, personality, and anxiety disorders, substance use disorders, grief/loss, homelessness, Active-Duty Service members and Veterans, and people in the criminal justice system.
Shana's philosophy of practice is “a generic perfect path for all does not exist in our reality; to treat every person a clinician sees as if one does, is to do a disservice to an individual’s uniqueness and personal strengths. Everyone deserves to explore and uncover which direction is the best for them”. This philosophy of practice has been developed from her experience across a variety of clinical populations, such as individuals struggling with mood, personality, and anxiety disorders, substance use disorders, grief/loss, homelessness, Active-Duty Service members and Veterans, and people in the criminal justice system.
See more therapy options for Comal County
Narcissistic Personality (NPD) Psychiatrists
What type of therapy is best for narcissistic personality disorder?
Narcissistic personality disorder (NPD) is best treated with talk therapy, which could involve cognitive behavioral therapy, dialectical behavior therapy, schema therapy, gestalt therapy, or similar approaches. A therapist will help a patient uncover the feelings that may drive their behavior and discover how to engage with themselves and those around them with greater empathy and understanding, fewer demands, and less defensiveness, with the goal of developing a more authentic sense of self that enables healthier relationships.
How do therapists treat NPD?
By developing a strong therapeutic relationship, and continually focusing patients on relationships, community, and connection, a therapist, through talk therapy, may be able to help someone with NPD change. In sessions, a therapist will help an individual achieve relief from their current stressors, including the treatment of co-occurring conditions such as anxiety or depression. A therapist may also help an individual to recognize unhealthy coping mechanisms, learn new ways of interacting with others, and eventually become able to feel and display empathy.
Can a narcissist be cured with therapy?
Therapy can be effective. After a serious setback or great loss, someone with NPD may be forced to recognize that they are not immune to life’s challenges. That can spur feelings of melancholy and depression that lead them to seek professional help. Once an individual decides to seek help, they have already taken a step that the majority of those with NPD never will. Still, people with NPD often quit therapy as they naturally resist feeling vulnerable, being challenged, or admitting to flaws.
How can you get narcissistic personality disorder treatment for someone?
It is notoriously difficult to convince someone with NPD to seek help. With their feelings of superiority, they may be unlikely to recognize or acknowledge that they have a problem, or that their problem is narcissism. Sometimes, they are aware that they are arrogant and that others resent them but they don’t see it as a problem because they are convinced of their superiority. People with NPD have trouble maintaining relationships, but family members and others who do feel close to them, and whose presence they value, may be able to encourage them to seek therapy.