Narcissistic Personality (NPD) Therapists in San Diego, CA

Photo of Brenda Stephens - Author - Founder - Therapist, Counselor in San Diego, CA
Brenda Stephens - Author - Founder - Therapist
Counselor, MS, LPCC, LMHC, LPC
Verified Verified
2 Endorsed
San Diego, CA 92123
Helping and guiding those who have experienced trauma, including the trauma of being in narcissistic or other toxic and antagonoistic relationships, is my focus as a therpaist. My training, skills, and tools are honed to help people heal from these experiences. With the use of Internal Family Systems (IFS), Eye Movement Desensitization Reprocessing (EMDR), extensive training to treat all levels of dissociation (including DID), and regulating the nervous system to a more calm state, I can help my clients to manage the day to day much more effectively and start to live with more peace in their bodies and their lives.
Helping and guiding those who have experienced trauma, including the trauma of being in narcissistic or other toxic and antagonoistic relationships, is my focus as a therpaist. My training, skills, and tools are honed to help people heal from these experiences. With the use of Internal Family Systems (IFS), Eye Movement Desensitization Reprocessing (EMDR), extensive training to treat all levels of dissociation (including DID), and regulating the nervous system to a more calm state, I can help my clients to manage the day to day much more effectively and start to live with more peace in their bodies and their lives.
(619) 304-4031 View (619) 304-4031
Photo of Narcissistic Abuse Recovery Center, Counselor in San Diego, CA
Narcissistic Abuse Recovery Center
Counselor, MS, LPCC, LMHC, LPC
Verified Verified
San Diego, CA 92123  (Online Only)
Without the help from someone who has lived through narcissistic abuse themselves, your journey toward recovery might feel like a lonely, difficult pursuit. Our goal is to help you heal, recover, and reclaim your life and learn to avoid toxic relationships forever. With a proven coaching program, we can walk you through the process with the support you need from coaches and therapists who have lived experiences in narcissistic relationships, themselves.
Without the help from someone who has lived through narcissistic abuse themselves, your journey toward recovery might feel like a lonely, difficult pursuit. Our goal is to help you heal, recover, and reclaim your life and learn to avoid toxic relationships forever. With a proven coaching program, we can walk you through the process with the support you need from coaches and therapists who have lived experiences in narcissistic relationships, themselves.
(858) 251-9791 View (858) 251-9791
Photo of Jessica ' Chiara ' Viscomi, Marriage & Family Therapist in San Diego, CA
Jessica ' Chiara ' Viscomi
Marriage & Family Therapist, MA, LMFT, SEP
Verified Verified
1 Endorsed
San Diego, CA 92101  (Online Only)
Are you looking to recover from the wounds of narcissistic abuse and codependency and forge happier, healthier relationships? Welcome. Or do you need support for having a loved one with serious mental illness (SMI)? Welcome.
Are you looking to recover from the wounds of narcissistic abuse and codependency and forge happier, healthier relationships? Welcome. Or do you need support for having a loved one with serious mental illness (SMI)? Welcome.
(415) 569-0239 View (415) 569-0239
Photo of Melissa Willard, Marriage & Family Therapist in San Diego, CA
Melissa Willard
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92130  (Online Only)
A therapist that understands the dynamics of a Toxic/Narcissistic relationship is essential in breaking free from the chains you may feel while in this relationship.
Welcome! Seeking out therapy can be a bit overwhelming and intimidating at times, you are making a powerful step in the right direction. Do you find yourself struggling with anxiety, depression or life stressors? Are you ready to break free from negative thoughts or set backs with anxiety that could be holding you back from your full potential? Do you have relationship issues that leave you feeling stuck? Have you found yourself in a toxic relationship one to many times and are ready to stop the cycle.
A therapist that understands the dynamics of a Toxic/Narcissistic relationship is essential in breaking free from the chains you may feel while in this relationship.
Welcome! Seeking out therapy can be a bit overwhelming and intimidating at times, you are making a powerful step in the right direction. Do you find yourself struggling with anxiety, depression or life stressors? Are you ready to break free from negative thoughts or set backs with anxiety that could be holding you back from your full potential? Do you have relationship issues that leave you feeling stuck? Have you found yourself in a toxic relationship one to many times and are ready to stop the cycle.
(559) 245-3239 View (559) 245-3239
Photo of Jaina Sarkisyan, Marriage & Family Therapist in San Diego, CA
Jaina Sarkisyan
Marriage & Family Therapist, LMFT, MA
Verified Verified
1 Endorsed
San Diego, CA 92126
Jaina is experienced in: Narcissistic personality disorder, BPD,anxiety, addiction, OCD, trauma, infidelity, mood disorders, depression, PTSD, relationship & vocational & Bipolar & more.
Let me be part of your journey in this brutiful life. As Glennon Doyle Melton says "Life is brutal. But it is also beautiful. Life's brutal and beautiful woven together so tightly they cannot be separated. Reject the brutal, reject the beauty. Life is Bruitiful." Jaina is an experienced licensed clinician with 18 years of experience providing exceptional clinical care to adults, couples and families. Jaina has many years of experience working w/law enforcement, military and their families. Additionally, working with individuals with life transition issues, Polyamory, anxiety, depression, sexual assault, trauma, SUD and other issues
Jaina is experienced in: Narcissistic personality disorder, BPD,anxiety, addiction, OCD, trauma, infidelity, mood disorders, depression, PTSD, relationship & vocational & Bipolar & more.
Let me be part of your journey in this brutiful life. As Glennon Doyle Melton says "Life is brutal. But it is also beautiful. Life's brutal and beautiful woven together so tightly they cannot be separated. Reject the brutal, reject the beauty. Life is Bruitiful." Jaina is an experienced licensed clinician with 18 years of experience providing exceptional clinical care to adults, couples and families. Jaina has many years of experience working w/law enforcement, military and their families. Additionally, working with individuals with life transition issues, Polyamory, anxiety, depression, sexual assault, trauma, SUD and other issues
(858) 227-6212 View (858) 227-6212
Photo of Natalie Wilson, Marriage & Family Therapist in San Diego, CA
Natalie Wilson
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92130  (Online Only)
Your potential to reclaim your happiness starts here. Our therapy services offer personalized support for adults facing depression, anxiety, PTSD, relationship challenges, narcissistic abuse recovery, and life transitions. With unwavering support and personalized strategies tailored to your unique needs, we'll guide you towards lasting healing and a renewed sense of self. Step into your full potential today!
Your potential to reclaim your happiness starts here. Our therapy services offer personalized support for adults facing depression, anxiety, PTSD, relationship challenges, narcissistic abuse recovery, and life transitions. With unwavering support and personalized strategies tailored to your unique needs, we'll guide you towards lasting healing and a renewed sense of self. Step into your full potential today!
(858) 251-7870 View (858) 251-7870
Photo of Roxanne Cueva, Marriage & Family Therapist in San Diego, CA
Roxanne Cueva
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Diego, CA 92126  (Online Only)
I specialize in Self Esteem, healing from Narcissistic Abuse, and Anxiety.
Struggling with low self esteem and low confidence can be very tricky, especially when fed by the opinions of others. In a world where we rely heavily on the acceptance of our peers, we sometimes forget that the most important opinion of ourselves lies within. This space is for embracing and accepting who you truly are - no shame attached.
I specialize in Self Esteem, healing from Narcissistic Abuse, and Anxiety.
Struggling with low self esteem and low confidence can be very tricky, especially when fed by the opinions of others. In a world where we rely heavily on the acceptance of our peers, we sometimes forget that the most important opinion of ourselves lies within. This space is for embracing and accepting who you truly are - no shame attached.
(858) 358-7920 View (858) 358-7920
Photo of Chris Cade, Licensed Professional Clinical Counselor in San Diego, CA
Chris Cade
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
2 Endorsed
San Diego, CA 92116
I specialize in processing trauma, building self-esteem, relationship issues, men's issues, anxiety, disordered eating, and narcissistic abuse.
Seeking help can be a vulnerable and overwhelming experience for many people, and it is courageous to take those steps forward. I tailor our sessions to your unique needs, working collaboratively to foster insight and promote positive change and self growth. Whether you're struggling with anxiety, depression, relationship issues, or simply seeking personal growth, we will work together to develop strategies to effectively reach your goals. Our therapeutic relationship is built on trust, empathy, and non-judgment, providing you with a nurturing environment to explore your thoughts and emotions openly.
I specialize in processing trauma, building self-esteem, relationship issues, men's issues, anxiety, disordered eating, and narcissistic abuse.
Seeking help can be a vulnerable and overwhelming experience for many people, and it is courageous to take those steps forward. I tailor our sessions to your unique needs, working collaboratively to foster insight and promote positive change and self growth. Whether you're struggling with anxiety, depression, relationship issues, or simply seeking personal growth, we will work together to develop strategies to effectively reach your goals. Our therapeutic relationship is built on trust, empathy, and non-judgment, providing you with a nurturing environment to explore your thoughts and emotions openly.
(858) 682-1554 View (858) 682-1554
Photo of Emily Walton, Counselor in San Diego, CA
Emily Walton
Counselor, MA, LPCC
Verified Verified
San Diego, CA 92101
I specialize in Narcissistic abuse recovery.
Welcome to Whole Integration Therapy! I'm Emily Walton, and I am a Licensed Clinicial Professional Counselor (LPCC). I work from a Relational approach to understand how your past is impacting your present. Working together, we can try new ways of relating in a safe and confidential space. While it is beneficial to work beyond the past, we must first know what we are working with. Once known, we move into targeted skills that focus on boundary development, interpersonal skills, communication, challenging unhelpful thoughts, self esteem/self concept/self identity, secure attachment within the therapeutic relationship.
I specialize in Narcissistic abuse recovery.
Welcome to Whole Integration Therapy! I'm Emily Walton, and I am a Licensed Clinicial Professional Counselor (LPCC). I work from a Relational approach to understand how your past is impacting your present. Working together, we can try new ways of relating in a safe and confidential space. While it is beneficial to work beyond the past, we must first know what we are working with. Once known, we move into targeted skills that focus on boundary development, interpersonal skills, communication, challenging unhelpful thoughts, self esteem/self concept/self identity, secure attachment within the therapeutic relationship.
(619) 314-8621 View (619) 314-8621
Photo of Shari L Turner, Clinical Social Work/Therapist in San Diego, CA
Shari L Turner
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Diego, CA 92123  (Online Only)
Whatever suffering has brought you here, welcome. You may be exhausted from feeling “Never Good Enough”, overwhelmed with shame, worry or sadness, hopeless about things getting better…or just need a safe, supportive place to heal? I would be honored to help. My clients tell me they feel “heard", listened to without being judged and feel better able to cope. I'm passionate about helping people struggling due to Narcissistic Abuse, Trauma & complex PTSD, Depression, Anxiety, ADHD & Autism Neurodivergence, Relationship concerns, Suicidal thoughts, Borderline Personality traits, Alcohol & Drug problems, and LGBTQ / Diversity issues.
Whatever suffering has brought you here, welcome. You may be exhausted from feeling “Never Good Enough”, overwhelmed with shame, worry or sadness, hopeless about things getting better…or just need a safe, supportive place to heal? I would be honored to help. My clients tell me they feel “heard", listened to without being judged and feel better able to cope. I'm passionate about helping people struggling due to Narcissistic Abuse, Trauma & complex PTSD, Depression, Anxiety, ADHD & Autism Neurodivergence, Relationship concerns, Suicidal thoughts, Borderline Personality traits, Alcohol & Drug problems, and LGBTQ / Diversity issues.
(858) 251-6552 View (858) 251-6552
Photo of Linda S. Rose, Clinical Social Work/Therapist in San Diego, CA
Linda S. Rose
Clinical Social Work/Therapist, PsyD, LPCC, LCSW
Verified Verified
San Diego, CA 92103  (Online Only)
Are you struggling with depression, anxiety, addiction and/or low self-esteem? Do you long to be in a healthy, committed relationship but don't know how? With 30 years' experience, I offer inspired, compassionate counseling for women, men, and teens that will assist you with identifying and overcoming barriers to your well-being. I use an integrative approach tailored to your specific goals. For individuals, I offer expertise in healing the issues of adult children of alcoholics, adult children of narcissistic parents, abuse, depression, anxiety, addiction, codependency, and coping with mental illness in a family member.
Are you struggling with depression, anxiety, addiction and/or low self-esteem? Do you long to be in a healthy, committed relationship but don't know how? With 30 years' experience, I offer inspired, compassionate counseling for women, men, and teens that will assist you with identifying and overcoming barriers to your well-being. I use an integrative approach tailored to your specific goals. For individuals, I offer expertise in healing the issues of adult children of alcoholics, adult children of narcissistic parents, abuse, depression, anxiety, addiction, codependency, and coping with mental illness in a family member.
(858) 524-3187 View (858) 524-3187
Photo of Lindsey Stewart, Marriage & Family Therapist in San Diego, CA
Lindsey Stewart
Marriage & Family Therapist, MS, LMFT, LPCC
Verified Verified
3 Endorsed
San Diego, CA 92101  (Online Only)
I work with: depression, trauma, CPTSD, anxiety, narcissistic abuse, chronic pain/illness, birth trauma, crime survivors, high conflict divorce, domestic violence, betrayal trauma, life transitions, sexual abuse, child loss & grief, therapists/medical providers, first responders.
You have been through a trauma, loss. Something so painful it defies words. You are looking for more than coping tools (although some of that is good!), you are looking to feel better and create meaning from these hard experiences. You want to leave painful experiences behind but you find yourself reacting intensely to things in a way that makes you realize that your pain gets activated more than you want it to. You’re ready to both develop insight and coping tools and release your pain from your nervous system. I am a certified EMDR provider and completed coursework as a Certified Mental Health Integrative Medical Provider.
I work with: depression, trauma, CPTSD, anxiety, narcissistic abuse, chronic pain/illness, birth trauma, crime survivors, high conflict divorce, domestic violence, betrayal trauma, life transitions, sexual abuse, child loss & grief, therapists/medical providers, first responders.
You have been through a trauma, loss. Something so painful it defies words. You are looking for more than coping tools (although some of that is good!), you are looking to feel better and create meaning from these hard experiences. You want to leave painful experiences behind but you find yourself reacting intensely to things in a way that makes you realize that your pain gets activated more than you want it to. You’re ready to both develop insight and coping tools and release your pain from your nervous system. I am a certified EMDR provider and completed coursework as a Certified Mental Health Integrative Medical Provider.
(916) 414-9764 View (916) 414-9764
Photo of Linda Epstein-Graval, M.A., LMFT in San Diego, CA
Linda Epstein-Graval, M.A., LMFT
MA, LMFT
Verified Verified
San Diego, CA 92104  (Online Only)
Anxiety and depression are easy words to use, experiencing either can halt your ability to move on with simple to more complex life challenges. Trying harder is not the answer, when you find yourself in transition, due to a major loss, acting out family members or serious medical and financial challenges. What you need is an advocate. Additionally with a deep understanding of what it means to be in or have been in a Narcissistic relationship the recovery from possibly years of abuse, requires the help of a professional who can help you see the patterns of narcissism, and unravel the damage it has done to you,
Anxiety and depression are easy words to use, experiencing either can halt your ability to move on with simple to more complex life challenges. Trying harder is not the answer, when you find yourself in transition, due to a major loss, acting out family members or serious medical and financial challenges. What you need is an advocate. Additionally with a deep understanding of what it means to be in or have been in a Narcissistic relationship the recovery from possibly years of abuse, requires the help of a professional who can help you see the patterns of narcissism, and unravel the damage it has done to you,
(951) 977-4844 View (951) 977-4844
Photo of Mahtaab Khanjari, Marriage & Family Therapist in San Diego, CA
Mahtaab Khanjari
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92108
I have experience working with trauma, anxiety, depression, mood disorders, narcissistic abuse, grief, adjustments, and other relationship issues.
Accepting new clients! Being human is not a simple experience, and reaching out for help along the way can be challenging. If you are reading this and think it’s time to ask for support, I see your courage and confidence and it would be an honor to join your journey. Whether you want to work through harrowing events and memories or learn new coping skills and prioritize your mental health, you deserve a time and place to do that. I intend to hold a warm, non-judgmental space to create an emotionally safe environment for growth, empowerment, and reconnecting with your inner self. I will be there to listen, support, and guide you.
I have experience working with trauma, anxiety, depression, mood disorders, narcissistic abuse, grief, adjustments, and other relationship issues.
Accepting new clients! Being human is not a simple experience, and reaching out for help along the way can be challenging. If you are reading this and think it’s time to ask for support, I see your courage and confidence and it would be an honor to join your journey. Whether you want to work through harrowing events and memories or learn new coping skills and prioritize your mental health, you deserve a time and place to do that. I intend to hold a warm, non-judgmental space to create an emotionally safe environment for growth, empowerment, and reconnecting with your inner self. I will be there to listen, support, and guide you.
(760) 374-3188 View (760) 374-3188
Photo of Michelle Carr, Psychologist in San Diego, CA
Michelle Carr
Psychologist, PsyD
Verified Verified
1 Endorsed
San Diego, CA 92109  (Online Only)
I work with adolescents and adults suffering from Anxiety, Trauma, Eating Disorders, and the affects of Narcissistic Abuse.
Congratulations on taking the first step toward a deeper self awareness! I work with my clients to help them understand how personal challenges like anxiety, depression, addiction or trauma may be influencing their relationships, work, or daily life. My style is interactive, engaged, and non-judgmental while integrating the psychological, emotional, physical and spiritual well being of the whole person. I also feel that it is important to incorporate laughter into the healing process! Once we can find the humor in our human-ness it becomes easier to forgive ourselves and others as we move toward more authentic happiness.
I work with adolescents and adults suffering from Anxiety, Trauma, Eating Disorders, and the affects of Narcissistic Abuse.
Congratulations on taking the first step toward a deeper self awareness! I work with my clients to help them understand how personal challenges like anxiety, depression, addiction or trauma may be influencing their relationships, work, or daily life. My style is interactive, engaged, and non-judgmental while integrating the psychological, emotional, physical and spiritual well being of the whole person. I also feel that it is important to incorporate laughter into the healing process! Once we can find the humor in our human-ness it becomes easier to forgive ourselves and others as we move toward more authentic happiness.
(831) 288-2302 View (831) 288-2302
Photo of Ted Trubenbach, Marriage & Family Therapist in San Diego, CA
Ted Trubenbach
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92126
Hello and welcome! You’ve taken a courageous step in looking for help. If you are frustrated in your relationships therapy may help you understand the story behind your challenges. Psychotherapy is a place where you can unpack the relational roots of why you are struggling. Whether it be depression, anxiety or deep regret there is hope. Intimate relationship can bring out our assets as well as our liabilities. From codependency to heightened impatience we will figure “it” out together.
Hello and welcome! You’ve taken a courageous step in looking for help. If you are frustrated in your relationships therapy may help you understand the story behind your challenges. Psychotherapy is a place where you can unpack the relational roots of why you are struggling. Whether it be depression, anxiety or deep regret there is hope. Intimate relationship can bring out our assets as well as our liabilities. From codependency to heightened impatience we will figure “it” out together.
(714) 415-2769 View (714) 415-2769
Photo of Brianna Pepiton, Psychologist in San Diego, CA
Brianna Pepiton
Psychologist, PsyD
Verified Verified
1 Endorsed
San Diego, CA 92109
I believe everyone can benefit from a safe place to process the past and present and realize goals for the future. In my work people can expect me to provide a safe, open and engaged relationship to address life hopes and challenges. Meeting people where they're at is the most important starting point. Then together we help someone envision the future and realize their potential.
I believe everyone can benefit from a safe place to process the past and present and realize goals for the future. In my work people can expect me to provide a safe, open and engaged relationship to address life hopes and challenges. Meeting people where they're at is the most important starting point. Then together we help someone envision the future and realize their potential.
(619) 313-5145 View (619) 313-5145
Photo of Claudia Floros, Counselor in San Diego, CA
Claudia Floros
Counselor, MA, LPCC
Verified Verified
1 Endorsed
San Diego, CA 92101
Hi there, my name is Claudia Floros (she/ ella), and I am a licensed professional clinical counselor. I help individuals struggling with a number of issues including depression, anxiety, family of origin conflict, intimacy issues, life transitions, and self-exploration to name a few. I proudly weave in both Spanish and English into my sessions to allow for a deeper sense of understanding and connection. It would be an honor to get to connect with you to learn of helpful tools and practices for you to reach your truest, deepest self.
Hi there, my name is Claudia Floros (she/ ella), and I am a licensed professional clinical counselor. I help individuals struggling with a number of issues including depression, anxiety, family of origin conflict, intimacy issues, life transitions, and self-exploration to name a few. I proudly weave in both Spanish and English into my sessions to allow for a deeper sense of understanding and connection. It would be an honor to get to connect with you to learn of helpful tools and practices for you to reach your truest, deepest self.
(619) 648-3474 View (619) 648-3474
Photo of Joyce DeVera, Marriage & Family Therapist in San Diego, CA
Joyce DeVera
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
San Diego, CA 92127
Is your internal voice relentless and never stops the negative loop that plays over and over in your mind? Have you been subjected to trauma? Are you unsure how to navigate through each day with the pain you are experiencing and the unknowns of your future? Maybe you have always gravitated towards people or have family members that are not healthy for you but you see the best in them and lack the resources to put yourself first. You are exhausted because of the pain you hide and the inability to say "no". You try to run and hide from the BIG emotions that you are not ready or know how to face.
Is your internal voice relentless and never stops the negative loop that plays over and over in your mind? Have you been subjected to trauma? Are you unsure how to navigate through each day with the pain you are experiencing and the unknowns of your future? Maybe you have always gravitated towards people or have family members that are not healthy for you but you see the best in them and lack the resources to put yourself first. You are exhausted because of the pain you hide and the inability to say "no". You try to run and hide from the BIG emotions that you are not ready or know how to face.
(858) 771-2920 View (858) 771-2920
Photo of #1 Psychological Evaluations & Testing Service, Psychologist in San Diego, CA
#1 Psychological Evaluations & Testing Service
Psychologist, PsyD, PhD
Verified Verified
San Diego, CA 92103
Founded in 1993, Help Therapy has a team of over 50 licensed neuropsychologists and psychologists who offer a wide range of psychological evaluations. For patients who need extra support, therapy is also offered. Patients are matched to a provider of their choice based on their specific needs and preferences. Clinicians work with seniors, adults and youth (age 7+) all throughout California.
Founded in 1993, Help Therapy has a team of over 50 licensed neuropsychologists and psychologists who offer a wide range of psychological evaluations. For patients who need extra support, therapy is also offered. Patients are matched to a provider of their choice based on their specific needs and preferences. Clinicians work with seniors, adults and youth (age 7+) all throughout California.
(619) 492-4586 View (619) 492-4586
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.