Narcissistic Personality (NPD) Therapists in San Francisco, CA

Asya Grigorieva
Psychologist, PhD
Online Only
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.
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.
(415) 935-4922 View (415) 935-4922
Scott D. Altamirano (Bay Area)
Marriage & Family Therapist, MA, LMFT
Online Only
You're in the chaos right now - relationship just ended, porn use spiraling, recovering from a narcissistic ex, or stuck in anxious-avoidant dating patterns.
I'm attachment-focused and heavy on psychoeducation and grief work. My approach is direct and unfiltered - I love dark humor, don't shy from awkward topics, and I'm not here to tiptoe around what needs to be said. I'm a gay, liberal, Hispanic, male veteran who is ready to help you figure out your situation.
You're in the chaos right now - relationship just ended, porn use spiraling, recovering from a narcissistic ex, or stuck in anxious-avoidant dating patterns.
I'm attachment-focused and heavy on psychoeducation and grief work. My approach is direct and unfiltered - I love dark humor, don't shy from awkward topics, and I'm not here to tiptoe around what needs to be said. I'm a gay, liberal, Hispanic, male veteran who is ready to help you figure out your situation.
View
Shanon Sitkin
Marriage & Family Therapist, MA, MFT
2 Endorsed
San Francisco, CA 94102
To many of the people in your life, you look like you are excelling. Yet when it comes to yourself, you don't feel good. You feel like an impostor. If someone asks you how you are doing, you say fine, but you are not fine. How do you even start to answer a question like this? You'd welcome help, but you don't have much hope. Despite your outward successes this is a problem you haven't been able to solve on your own. Life does not have to be this hard. There is help, but you have to take a risk and ask for it.
To many of the people in your life, you look like you are excelling. Yet when it comes to yourself, you don't feel good. You feel like an impostor. If someone asks you how you are doing, you say fine, but you are not fine. How do you even start to answer a question like this? You'd welcome help, but you don't have much hope. Despite your outward successes this is a problem you haven't been able to solve on your own. Life does not have to be this hard. There is help, but you have to take a risk and ask for it.
(415) 980-7682 View (415) 980-7682
German Cheung
Psychologist, PsyD
San Francisco, CA 94115
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.
(415) 649-1916 View (415) 649-1916
Maria Holden
Psychologist, PsyD
Online Only
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.
(510) 216-1317 View (510) 216-1317
Claudia Sinay-Mosias, Mft Online Psychotherapy
Marriage & Family Therapist, MA, MHS, LFMT
Online Only
I specialize in treating survivors of NPD and other personality disorders, 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 45 years and meditating for 50. 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 NPD and other personality disorders, 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 45 years and meditating for 50. In my 30's I suffered from anxiety. These facts, along with my education and experience, inform my work to a tremendous degree.
(628) 600-1629 View (628) 600-1629
Marty Mulkey
Marriage & Family Therapist, LMFT
San Francisco, CA 94114
People come to psychotherapy for a variety of reasons. Making our way in this world demands so much self-reliance and yet we are given very little opportunity to get to know ourselves well. We keep our fears and uncertainty about whether we have what it takes to survive our struggles very close to our chests. This is such a fragile place to live. Ignoring our emotions and "soldiering on" creates a life of isolation and confusion. This may manifest as depression, anxiety, or uncertainty about how to wish, desire, and create a life worth living.
People come to psychotherapy for a variety of reasons. Making our way in this world demands so much self-reliance and yet we are given very little opportunity to get to know ourselves well. We keep our fears and uncertainty about whether we have what it takes to survive our struggles very close to our chests. This is such a fragile place to live. Ignoring our emotions and "soldiering on" creates a life of isolation and confusion. This may manifest as depression, anxiety, or uncertainty about how to wish, desire, and create a life worth living.
(415) 801-3365 View (415) 801-3365
Sophia Wang
Verified Verified
Online Only
My individual clients are often Asian American professionals untangling an enmeshed or narcissistic parent, dating or married across cultural lines, or adjusting to a new city or country while family expectations don't adjust with them
I work at the edge of what talk therapy alone reaches — Guided Imagery and Music, trauma-informed and psychodynamic work to access patterns absorbed before you had language for them, plus coaching-informed structure once you know what needs to change: concrete next steps and built-in check-ins so insight turns into an actual different life.
My individual clients are often Asian American professionals untangling an enmeshed or narcissistic parent, dating or married across cultural lines, or adjusting to a new city or country while family expectations don't adjust with them
I work at the edge of what talk therapy alone reaches — Guided Imagery and Music, trauma-informed and psychodynamic work to access patterns absorbed before you had language for them, plus coaching-informed structure once you know what needs to change: concrete next steps and built-in check-ins so insight turns into an actual different life.
(341) 766-0668 View (341) 766-0668
Jessica McGowen
Marriage & Family Therapist, MS, MFT
Online Only
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.
(415) 236-5788 View (415) 236-5788
Taylor Wikel
Marriage & Family Therapist, LMFT
1 Endorsed
San Francisco, CA 94121
Feeling Lost? Wondering, “Where do I go from here?” My clients are individuals navigating life after toxic relationships, major transitions, or motherhood who feel overwhelmed, disconnected, and stuck in patterns like people-pleasing, overthinking, and self-doubt. They often say, “I don’t feel like myself” or “I keep ending up in the same situations.” We use a trauma-informed, DBT-based approach to help you regulate emotions, set boundaries, rebuild self-trust, and break unhealthy cycles—so you can feel grounded, confident, and like yourself again.
Feeling Lost? Wondering, “Where do I go from here?” My clients are individuals navigating life after toxic relationships, major transitions, or motherhood who feel overwhelmed, disconnected, and stuck in patterns like people-pleasing, overthinking, and self-doubt. They often say, “I don’t feel like myself” or “I keep ending up in the same situations.” We use a trauma-informed, DBT-based approach to help you regulate emotions, set boundaries, rebuild self-trust, and break unhealthy cycles—so you can feel grounded, confident, and like yourself again.
(951) 386-2317 View (951) 386-2317
Nicole Bermensolo
Marriage & Family Therapist, MA, LMFT, APCC
7 Endorsed
Online Only
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.
(323) 963-6977 View (323) 963-6977
Meridian Counseling: Individual and Family Therapy
Marriage & Family Therapist, LMFT
1 Endorsed
San Francisco, CA 94114
Life can get complicated and there is no handbook on how to handle things like depression, anxiety, addiction and relationship problems. It is important to know two things: 1. you are not alone, 2. challenges are always opportunities to grow and change your life. You are probably here because it's time to "do something different." Let us help guide you through this journey!
Life can get complicated and there is no handbook on how to handle things like depression, anxiety, addiction and relationship problems. It is important to know two things: 1. you are not alone, 2. challenges are always opportunities to grow and change your life. You are probably here because it's time to "do something different." Let us help guide you through this journey!
(424) 327-9198 View (424) 327-9198
Eamonn Mckay
Marriage & Family Therapist, MS, LMFT
Online Only
I am certified in Narcissistic Abuse Survivor Treatment, undertaking this training with The Institute of Relational Harm Reduction.
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.
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.
(570) 605-4783 View (570) 605-4783
Dr. Susie King
Psychologist, PsyD
1 Endorsed
Online Only
I work with individuals experiencing and recovering from narcissistic abuse.
I understand the complex trauma of narcissistic relationships. I will help you learn to recognize the manipulative patterns, assert your boundaries, process the grief, and find a way forward regardless of whether you stay or go. I will help you rebuild confidence and find yourself again, stronger and wiser than you were before.
I work with individuals experiencing and recovering from narcissistic abuse.
I understand the complex trauma of narcissistic relationships. I will help you learn to recognize the manipulative patterns, assert your boundaries, process the grief, and find a way forward regardless of whether you stay or go. I will help you rebuild confidence and find yourself again, stronger and wiser than you were before.
(805) 608-2326 View (805) 608-2326
Dr. Ruth Gatt
Psychologist, PhD
2 Endorsed
Online Only
I specialize in early trauma, complex trauma, and narcissistic abuse recovery.
Together, we will gently work through the hurt, learning to listen to your body as we find our rhythm, so that you can heal without being retraumatized. We will build safety all along the way as we work toward healing using effective and non-rigid tools to honor and support all of your parts.
I specialize in early trauma, complex trauma, and narcissistic abuse recovery.
Together, we will gently work through the hurt, learning to listen to your body as we find our rhythm, so that you can heal without being retraumatized. We will build safety all along the way as we work toward healing using effective and non-rigid tools to honor and support all of your parts.
(424) 459-8202 View (424) 459-8202
Samuel Khanukayev
Marriage & Family Therapist, MFT
1 Endorsed
San Francisco, CA 94102
If you find yourself experiencing recurrent symptoms and challenges, or relationship patterns that are causing you suffering, it can be liberating to address the underlying causes. Throughout my work with diverse clients, I observed that the unconscious repetitions of aversion, clinging, and reenactments of familiar/familial ways of being bind us in suffering. Utilizing a psychoanalytic approach to therapy, I can help you develop a deeper emotional self-knowledge, work through underlying psychological pain, and embrace growth and transformation.
If you find yourself experiencing recurrent symptoms and challenges, or relationship patterns that are causing you suffering, it can be liberating to address the underlying causes. Throughout my work with diverse clients, I observed that the unconscious repetitions of aversion, clinging, and reenactments of familiar/familial ways of being bind us in suffering. Utilizing a psychoanalytic approach to therapy, I can help you develop a deeper emotional self-knowledge, work through underlying psychological pain, and embrace growth and transformation.
(510) 982-6497 View (510) 982-6497
Tracy Artson
Psychologist, PhD
San Francisco, CA 94115
I am an experienced psychologist providing brief and long-term psychotherapy and crisis intervention to individual adults. I specialize in trauma, depression, anxiety, separation and divorce, loss and grief, life transitions, relational issues, among others. I am a Certified EMDR practitioner and an Approved Consultant. EMDR is a specialized therapy for symptom relief and the processing of stress reactions/trauma, whether experienced from the distant past or more recently. I am a facilitator for Laurel Parnell's Attachment Focused-EMDR trainings. In addition, I am a Certified Somatic Experiencing Practitioner (SEP) and a facilitator of SE trainings. I provide Consultation to Licensed Professionals.
I am an experienced psychologist providing brief and long-term psychotherapy and crisis intervention to individual adults. I specialize in trauma, depression, anxiety, separation and divorce, loss and grief, life transitions, relational issues, among others. I am a Certified EMDR practitioner and an Approved Consultant. EMDR is a specialized therapy for symptom relief and the processing of stress reactions/trauma, whether experienced from the distant past or more recently. I am a facilitator for Laurel Parnell's Attachment Focused-EMDR trainings. In addition, I am a Certified Somatic Experiencing Practitioner (SEP) and a facilitator of SE trainings. I provide Consultation to Licensed Professionals.
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Aviva Euripides
Marriage & Family Therapist, LMFT, Luteciu, m
Online Only
I am an experienced clinician and gage our work by the progress you are making towards your treatment goals. I have extensive experience as a clinical consultant and provide consultation for clinicians. I have supervised clinicians in treatment settings ranging from the counselor's office to acute mental health facilities. I have a professional background in the arts and work with self defined meaning, identity and creative processes. My work specifically is in Lacanalysis and I am in ongoing formation as such with Dr. Jacques Siboni at Topologos Lutecium.
I am an experienced clinician and gage our work by the progress you are making towards your treatment goals. I have extensive experience as a clinical consultant and provide consultation for clinicians. I have supervised clinicians in treatment settings ranging from the counselor's office to acute mental health facilities. I have a professional background in the arts and work with self defined meaning, identity and creative processes. My work specifically is in Lacanalysis and I am in ongoing formation as such with Dr. Jacques Siboni at Topologos Lutecium.
(415) 301-5219 View (415) 301-5219
Breanne Jenay Benson
Associate Professional Clinical Counselor, APCC, AMFT
1 Endorsed
Online Only
I offer somatic and relational therapy for adults and couples seeking a more authentic, grounded, and meaningful way of being. Many of the people I work with are thoughtful and self-aware, yet continue to find themselves caught in relational patterns, chronic stress, grief, trauma, or a sense that something in life no longer feels aligned. My approach integrates somatic awareness, attachment-focused work, mindfulness, and depth-oriented psychotherapy to support a deeper understanding of both mind and body.
I offer somatic and relational therapy for adults and couples seeking a more authentic, grounded, and meaningful way of being. Many of the people I work with are thoughtful and self-aware, yet continue to find themselves caught in relational patterns, chronic stress, grief, trauma, or a sense that something in life no longer feels aligned. My approach integrates somatic awareness, attachment-focused work, mindfulness, and depth-oriented psychotherapy to support a deeper understanding of both mind and body.
(415) 915-6459 View (415) 915-6459
Sylvia Khromina
Psychologist, PsyD
7 Endorsed
Online Only
I love helping growth-oriented adults address trauma, dissociation, relationship difficulties, body image concerns, chronic stress, anxiety, and depression by building tangible tools and mindfulness-based skills. I integrate IFS, EMDR, and sensorimotor psychotherapy to support healing and self-discovery, tailoring care to each client's needs. As an immigrant, I appreciate the unique experiences of first- and second-generation immigrants and work with clients from diverse backgrounds with a culturally sensitive, respectful approach grounded in attachment research, neuroscience, and empirically supported modalities.
I love helping growth-oriented adults address trauma, dissociation, relationship difficulties, body image concerns, chronic stress, anxiety, and depression by building tangible tools and mindfulness-based skills. I integrate IFS, EMDR, and sensorimotor psychotherapy to support healing and self-discovery, tailoring care to each client's needs. As an immigrant, I appreciate the unique experiences of first- and second-generation immigrants and work with clients from diverse backgrounds with a culturally sensitive, respectful approach grounded in attachment research, neuroscience, and empirically supported modalities.
(415) 463-1536 View (415) 463-1536

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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.