Narcissistic Personality (NPD) Therapists in San Francisco, CA

I have worked in various mental health settings for over 20 years, and have found that a warm, compassionate, direct, and well-boundaried approach works best in the narcissistic world we're living in.
Do you feel you have it all/have enough, but do not feel satisfied, content, happy, or at peace? Do you want to find meaning and purpose in your life? Do you want to examine the root causes of your emotional suffering instead of putting a bandaid on your symptoms? If so, I invite you to schedule a 20-minute consultation with me to begin exploring your healing and transformation. I can help you to learn to trust yourself, discern what you have and don't have control/responsibility over, and find your center/ true north, which you can utilize to make decisions more effectively and flow through life's ups and downs with more ease.
I have worked in various mental health settings for over 20 years, and have found that a warm, compassionate, direct, and well-boundaried approach works best in the narcissistic world we're living in.
Do you feel you have it all/have enough, but do not feel satisfied, content, happy, or at peace? Do you want to find meaning and purpose in your life? Do you want to examine the root causes of your emotional suffering instead of putting a bandaid on your symptoms? If so, I invite you to schedule a 20-minute consultation with me to begin exploring your healing and transformation. I can help you to learn to trust yourself, discern what you have and don't have control/responsibility over, and find your center/ true north, which you can utilize to make decisions more effectively and flow through life's ups and downs with more ease.

I also have extensive experience and knowledge working with Narcissistic relationships and recovery.
I have 20 years of experience but I don't believe that says anything unless I can relate, connect and feel with my clients. I can be professional when necessary but I am better at just being real. I am not everyones therapist and I am okay with it. I engage in the conversation with respect and authenticity. I'm direct with the intention to help and shift the issues in a place for change . I am good at what I do and passionate about helping people through pain.
I also have extensive experience and knowledge working with Narcissistic relationships and recovery.
I have 20 years of experience but I don't believe that says anything unless I can relate, connect and feel with my clients. I can be professional when necessary but I am better at just being real. I am not everyones therapist and I am okay with it. I engage in the conversation with respect and authenticity. I'm direct with the intention to help and shift the issues in a place for change . I am good at what I do and passionate about helping people through pain.

Claudia Sinay-Mosias, Mft Online Psychotherapy
Marriage & Family Therapist, MA, MHS, LFMT
San Francisco, CA 94118
I specialize in treating survivors of narcissistic abuse, relationship issues, anxiety and depression.
My style is interactive and humanistic meaning that I will listen, talk, offer opinions and sometimes give advice. I've been in a relationship for 40 years and meditating for 45. In my 30's I suffered from anxiety. These facts, along with my education and experience, inform my work to a tremendous degree.
I specialize in treating survivors of narcissistic abuse, relationship issues, anxiety and depression.
My style is interactive and humanistic meaning that I will listen, talk, offer opinions and sometimes give advice. I've been in a relationship for 40 years and meditating for 45. In my 30's I suffered from anxiety. These facts, along with my education and experience, inform my work to a tremendous degree.

Are you looking to recover from the wounds of narcissistic abuse and codependency and forge happier, healthier relationships?
As a therapist, I consider my role to be a guide and witness to facilitate the development of your true self and your inner resources. I create a genuine and respectful space that allows us to explore where you're at, your goals, and your challenges.
Are you looking to recover from the wounds of narcissistic abuse and codependency and forge happier, healthier relationships?
As a therapist, I consider my role to be a guide and witness to facilitate the development of your true self and your inner resources. I create a genuine and respectful space that allows us to explore where you're at, your goals, and your challenges.

Are you working through trauma or a difficult transition; are you in relationship with a toxic/ narcissistic person; facing painful loss?
I was educated at Cornell University and the University of Denver's School of Professional Psychology. I interned at the Albert Einstein Medical School and earned a post-doctoral fellowship at the world-renowned Menninger School of Psychiatry. I have highly specialized training in trauma, dissociative disorders and DID, spirituality, and toxic relationships.
Are you working through trauma or a difficult transition; are you in relationship with a toxic/ narcissistic person; facing painful loss?
I was educated at Cornell University and the University of Denver's School of Professional Psychology. I interned at the Albert Einstein Medical School and earned a post-doctoral fellowship at the world-renowned Menninger School of Psychiatry. I have highly specialized training in trauma, dissociative disorders and DID, spirituality, and toxic relationships.

Maybe you keep attracting narcissistic or borderline partners, or you’re battling sex or porn addiction in secret.
As an attachment-focused therapist, I work with those struggling with compulsive sexual behaviors, the fallout of abusive or manipulative relationships, and deep-rooted emotional pain that’s been ignored for too long. My approach is direct, unfiltered, and often infused with dark humor, because therapy should be real-not just polite conversation.
Maybe you keep attracting narcissistic or borderline partners, or you’re battling sex or porn addiction in secret.
As an attachment-focused therapist, I work with those struggling with compulsive sexual behaviors, the fallout of abusive or manipulative relationships, and deep-rooted emotional pain that’s been ignored for too long. My approach is direct, unfiltered, and often infused with dark humor, because therapy should be real-not just polite conversation.

I also work closely with these who are victims of narcissistic abuse.
Everyone is unique. Your thoughts, feelings and needs are shaped by your own background, family history, past interpersonal encounters and other significant events, including early child trauma. Psychotherapy is an emotional process. As we discuss your concerns, it will surface unexamined parts of your life of which you may not be aware or want to experience. My central role as your therapist is to help you talk about and understand more fully these unexamined thoughts, feelings, and needs in the context of your past, develop greater tolerance and acceptance of them, and to bring changes to your current situation.
I also work closely with these who are victims of narcissistic abuse.
Everyone is unique. Your thoughts, feelings and needs are shaped by your own background, family history, past interpersonal encounters and other significant events, including early child trauma. Psychotherapy is an emotional process. As we discuss your concerns, it will surface unexamined parts of your life of which you may not be aware or want to experience. My central role as your therapist is to help you talk about and understand more fully these unexamined thoughts, feelings, and needs in the context of your past, develop greater tolerance and acceptance of them, and to bring changes to your current situation.

Navigating complicated relationships or healing from narcissistic relationships.
When we work together, you'll experience a collaborative approach blending trauma-informed evidence-based techniques (CBT, ACT), psychodynamic, client-centered, and mindfulness approaches with creative therapy outlet. I provide a safe, nurturing space where you can speak freely without judgment. Many clients feel truly heard and understood for the first time
Navigating complicated relationships or healing from narcissistic relationships.
When we work together, you'll experience a collaborative approach blending trauma-informed evidence-based techniques (CBT, ACT), psychodynamic, client-centered, and mindfulness approaches with creative therapy outlet. I provide a safe, nurturing space where you can speak freely without judgment. Many clients feel truly heard and understood for the first time

My particular areas of focus include: attachment therapy, helping children and their parents deal with co-parenting, divorce and/or blended families; healing from narcissistic abuse in parental/romantic relationships; stabilizing in recovery from alcohol and other substances.
The therapeutic process has the ability to transform. I am living proof of this. At my lowest point, I was anxious, depressed, suicidal, and trapped in addictions. With the help of a skilled therapist, I was able to come out of this darkness - inspiring me to leave the business world in order to help others who are suffering. I believe that everyone deserves a fighting chance to overcome trauma and abuse and live a rich, full, and satisfying life. I believe that we can change and grow at any time in our lives. I believe in the beauty, resiliency, and strength of the human spirit. I believe that we are all worthy and capable of love.
My particular areas of focus include: attachment therapy, helping children and their parents deal with co-parenting, divorce and/or blended families; healing from narcissistic abuse in parental/romantic relationships; stabilizing in recovery from alcohol and other substances.
The therapeutic process has the ability to transform. I am living proof of this. At my lowest point, I was anxious, depressed, suicidal, and trapped in addictions. With the help of a skilled therapist, I was able to come out of this darkness - inspiring me to leave the business world in order to help others who are suffering. I believe that everyone deserves a fighting chance to overcome trauma and abuse and live a rich, full, and satisfying life. I believe that we can change and grow at any time in our lives. I believe in the beauty, resiliency, and strength of the human spirit. I believe that we are all worthy and capable of love.

I am certified in Narcissistic Abuse Survivor Treatment, undertaking this training with The Institute of Relational Harm Reduction.
Please note that I work only with clients in California at this time. Often, when we connect with therapists, we present with clear issues we want to address. Other times, we could be struggling to interpret how a life event may be affecting us. When I work with a client, I like to know and understand that person deeply, including where they feel they are now in life, and how is it they got here, to this point. We will delve into moments in your earlier life that you believe may hold some importance, some current relevance, what I term the echo of our pasts. It is this exploration that makes therapy both enlightening and releasing.
I am certified in Narcissistic Abuse Survivor Treatment, undertaking this training with The Institute of Relational Harm Reduction.
Please note that I work only with clients in California at this time. Often, when we connect with therapists, we present with clear issues we want to address. Other times, we could be struggling to interpret how a life event may be affecting us. When I work with a client, I like to know and understand that person deeply, including where they feel they are now in life, and how is it they got here, to this point. We will delve into moments in your earlier life that you believe may hold some importance, some current relevance, what I term the echo of our pasts. It is this exploration that makes therapy both enlightening and releasing.

Whether you are struggling with, anxiety, narcissistic abuse,depression, or self image, there is one common denominator-YOU!
In a recent study it was found that the 2 most common reasons clients leave therapy are lack of connection and applicability to daily living. I have created a digital and interactive workbook that will help you overcome those barriers allowing you to access your personal growth and development any time, any place. Contact me to learn more!
Whether you are struggling with, anxiety, narcissistic abuse,depression, or self image, there is one common denominator-YOU!
In a recent study it was found that the 2 most common reasons clients leave therapy are lack of connection and applicability to daily living. I have created a digital and interactive workbook that will help you overcome those barriers allowing you to access your personal growth and development any time, any place. Contact me to learn more!

: LGBTQIA+, POC/BIPOC, ADHD/neurodivergent, 1st-gen American or adult child of immigrant (or narcissistic) parents?
A trauma psychotherapist for 10 years, I offer compassionate and inclusive therapy services to help you heal from trauma so you can finally move on with your life…on your terms! If you seek a mental health professional well-versed in the nuances of diverse cultural backgrounds, esp. those with intersecting, marginalized identities—I'm your new therapist!
: LGBTQIA+, POC/BIPOC, ADHD/neurodivergent, 1st-gen American or adult child of immigrant (or narcissistic) parents?
A trauma psychotherapist for 10 years, I offer compassionate and inclusive therapy services to help you heal from trauma so you can finally move on with your life…on your terms! If you seek a mental health professional well-versed in the nuances of diverse cultural backgrounds, esp. those with intersecting, marginalized identities—I'm your new therapist!

or worse, toxic ones with selfish or narcissistic people.
Sensitivity, kindness, & generosity are wonderful traits! But without the right balance and boundaries in place, empaths/caretakers like you are at risk. I can help you find more balance and make yourself a priority - and feel good about it. When you learn to be as loving, generous, and attentive to yourself as you are with others, your life will transform!
or worse, toxic ones with selfish or narcissistic people.
Sensitivity, kindness, & generosity are wonderful traits! But without the right balance and boundaries in place, empaths/caretakers like you are at risk. I can help you find more balance and make yourself a priority - and feel good about it. When you learn to be as loving, generous, and attentive to yourself as you are with others, your life will transform!

My main areas of focus are on women's issues, those recovering from emotional abuse and narcissistic relationships, ADHD, and problems with addiction and alcoholism.
My name is Dr. Susie King and I am a Licensed Clinical Psychologist in California. I provide online psychotherapy (telehealth) to adults living anywhere within the state. To schedule an appointment with me, please visit my website (see link on this page). You will book your first session yourself and then you'll receive a confirmation email from me with next steps.
My main areas of focus are on women's issues, those recovering from emotional abuse and narcissistic relationships, ADHD, and problems with addiction and alcoholism.
My name is Dr. Susie King and I am a Licensed Clinical Psychologist in California. I provide online psychotherapy (telehealth) to adults living anywhere within the state. To schedule an appointment with me, please visit my website (see link on this page). You will book your first session yourself and then you'll receive a confirmation email from me with next steps.

I specialize in Narcissistic Abuse, Racial Trauma, Anxiety, and Depression.
Do you constantly feel like you’re hard on yourself? Do you only negatively notice yourself? Are you constantly wondering if your feelings are valid? Do you find yourself in unhealthy relationship dynamics?
I specialize in Narcissistic Abuse, Racial Trauma, Anxiety, and Depression.
Do you constantly feel like you’re hard on yourself? Do you only negatively notice yourself? Are you constantly wondering if your feelings are valid? Do you find yourself in unhealthy relationship dynamics?

For Therapists Facing Infidelity or Gaslighting
Clinical Social Work/Therapist, MSW, LCSW, C-PD
2 Endorsed
Online Only
When infidelity, narcissistic dynamics, or hi-conflict patterns leave you doubting the future & yourself, it can feel disorienting—esp when you're used to helping others.
In our work, we’ll collaborate at your pace—integrating psychodynamic, parts-based, and depth-informed approaches that support both healing and clarity. Whether individually or as a couple, you’ll have space to step out of your therapist/counselor role and into honest, meaningful work that fits your pace, preferences, and goals.
When infidelity, narcissistic dynamics, or hi-conflict patterns leave you doubting the future & yourself, it can feel disorienting—esp when you're used to helping others.
In our work, we’ll collaborate at your pace—integrating psychodynamic, parts-based, and depth-informed approaches that support both healing and clarity. Whether individually or as a couple, you’ll have space to step out of your therapist/counselor role and into honest, meaningful work that fits your pace, preferences, and goals.

My areas of focus include PTSD, communication challenges, sex and intimacy-related concerns, high sensitivity, narcissistic and spiritual wounding, and existential malaise.
Therapy can help. For those navigating the complexities of being human—carrying old pain, questioning inherited beliefs, or longing for deeper connection—therapy can offer a path forward. I work with people who are ready to live with greater awareness, purpose and meaning.
I offer a grounded, attuned presence where curiosity, insight, and meaningful change unfolds.
My areas of focus include PTSD, communication challenges, sex and intimacy-related concerns, high sensitivity, narcissistic and spiritual wounding, and existential malaise.
Therapy can help. For those navigating the complexities of being human—carrying old pain, questioning inherited beliefs, or longing for deeper connection—therapy can offer a path forward. I work with people who are ready to live with greater awareness, purpose and meaning.
I offer a grounded, attuned presence where curiosity, insight, and meaningful change unfolds.

This often means unpacking the lasting effects of family and romantic relationships, including experiences of shame or narcissistic abuse, so you can reconnect with yourself and move forward with more kindness and ease.
You’re tired of just reacting, of falling into the same patterns in your relationships or with yourself. Or perhaps, you carry a heaviness you can't quite name. And you don't want a therapist who just nods and listens? You've come to the right place. Together, we’ll explore what’s happening beneath the surface: the unconscious patterns, protective parts, and emotional dynamics that may have helped you survive in the past, but that are now getting in the way. We’ll work with your thoughts, feelings, sensations, and urges because real change happens when your mind and your body are both part of the conversation.
This often means unpacking the lasting effects of family and romantic relationships, including experiences of shame or narcissistic abuse, so you can reconnect with yourself and move forward with more kindness and ease.
You’re tired of just reacting, of falling into the same patterns in your relationships or with yourself. Or perhaps, you carry a heaviness you can't quite name. And you don't want a therapist who just nods and listens? You've come to the right place. Together, we’ll explore what’s happening beneath the surface: the unconscious patterns, protective parts, and emotional dynamics that may have helped you survive in the past, but that are now getting in the way. We’ll work with your thoughts, feelings, sensations, and urges because real change happens when your mind and your body are both part of the conversation.

Specialties include the links between trauma & achievement, narcissistic relationships, and family estrangement.
Even the most successful people could benefit from support sometimes. Are you getting sick of what's bothering you? Feeling unlike yourself, beating yourself up, disappointed in your relationships, or frustrated with your family? Learn how to redirect unproductive thoughts. What if therapy could help you unwind and have fun — even when you're stressed? It's okay to set boundaries, prioritize your values, and make space to clarify what you want and need to be happy. Together, we can problem-solve what doesn't seem right in your job, life, or business, and develop personalized tools and strategies to help you reach your goals.
Specialties include the links between trauma & achievement, narcissistic relationships, and family estrangement.
Even the most successful people could benefit from support sometimes. Are you getting sick of what's bothering you? Feeling unlike yourself, beating yourself up, disappointed in your relationships, or frustrated with your family? Learn how to redirect unproductive thoughts. What if therapy could help you unwind and have fun — even when you're stressed? It's okay to set boundaries, prioritize your values, and make space to clarify what you want and need to be happy. Together, we can problem-solve what doesn't seem right in your job, life, or business, and develop personalized tools and strategies to help you reach your goals.

Collective Liberation, Couples, Queer, Neurodivergence, Sexuality, Gender Exploration, Adult Parent/Child, Complex Trauma, Narcissistic Abuse, Postpartum, Poly, Anxiety, Existential Grief.
I believe in embodiment, the power of compassion, creativity and mindfulness via listening to and learning about our nervous system (aka our bodies' responses). Creating space from the spinning thoughts and bringing attention to what our whole beings are experiencing in the moment can create awareness, then choice, then transformation on a fundamental level.
Collective Liberation, Couples, Queer, Neurodivergence, Sexuality, Gender Exploration, Adult Parent/Child, Complex Trauma, Narcissistic Abuse, Postpartum, Poly, Anxiety, Existential Grief.
I believe in embodiment, the power of compassion, creativity and mindfulness via listening to and learning about our nervous system (aka our bodies' responses). Creating space from the spinning thoughts and bringing attention to what our whole beings are experiencing in the moment can create awareness, then choice, then transformation on a fundamental level.
See more therapy options for San Francisco
Nearby Narcissistic Personality Therapists Searches for San Francisco
- Alameda
- Albany
- Berkeley
- Corte Madera
- Daly City
- El Cerrito
- Emeryville
- Mill Valley
- Oakland
- Piedmont
- Sausalito
- Tiburon
Narcissistic Personality (NPD) Therapists
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.