Photo of Maya Elasady in Portland, OR
Maya Elasady
MSW , CSWA
Verified Verified
Portland, OR 97202  (Online Only)
I work with adults who have experienced trauma, including childhood abuse/neglect, narcissistic abuse, domestic violence, migration-related trauma, Complex PTSD, and anxiety and depression.
The willingness to seek support is a courageous step in acknowledging the strength of our vulnerability. Humans were meant to heal together. It is in relation with one another that we discover the necessary connection and compassion to heal past wounds and navigate the challenging circumstances of an unjust society. Unfortunately many of us are also hurt in relationships and struggle to feel safe with others or even know what safety looks like. Therefore, in our sessions we will work together to build a safe and compassionate environment where we can feel heard and seen as we move through our pain accompanied by another.
I work with adults who have experienced trauma, including childhood abuse/neglect, narcissistic abuse, domestic violence, migration-related trauma, Complex PTSD, and anxiety and depression.
The willingness to seek support is a courageous step in acknowledging the strength of our vulnerability. Humans were meant to heal together. It is in relation with one another that we discover the necessary connection and compassion to heal past wounds and navigate the challenging circumstances of an unjust society. Unfortunately many of us are also hurt in relationships and struggle to feel safe with others or even know what safety looks like. Therefore, in our sessions we will work together to build a safe and compassionate environment where we can feel heard and seen as we move through our pain accompanied by another.
(971) 231-3149 View (971) 231-3149
Photo of Jenna Washburn, Licensed Professional Counselor in Portland, OR
Jenna Washburn
Licensed Professional Counselor, MA
Verified Verified
1 Endorsed
Portland, OR 97225  (Online Only)
I also offer a unique program called Focused Therapy that seeks to address the following issues: 1) Relationship Struggles and / or Codependency, 2) Caretaker Burnout, 3) Chronic Perfectionism, 4) Building Healthy Boundaries, 5) Surviving Narcissistic Abuse, and / or 6) Counseling Services for Empaths.
It goes without saying these past few years have been an uphill battle. With the stress of a pandemic, the economic hardships facing many, and political divides deepening: it's no wonder anxiety is high. Or depression feels magnified. Or you find yourself falling back into bad habits.  But you don't have to struggle through this time alone. Empathic Counseling can help you cope during this difficult time and empower you to thrive. I work closely with clients across Oregon to help them find freedom from Anxiety, Depression, Addiction, Trauma, or that harsh voice inside you that tells you you're not enough.
I also offer a unique program called Focused Therapy that seeks to address the following issues: 1) Relationship Struggles and / or Codependency, 2) Caretaker Burnout, 3) Chronic Perfectionism, 4) Building Healthy Boundaries, 5) Surviving Narcissistic Abuse, and / or 6) Counseling Services for Empaths.
It goes without saying these past few years have been an uphill battle. With the stress of a pandemic, the economic hardships facing many, and political divides deepening: it's no wonder anxiety is high. Or depression feels magnified. Or you find yourself falling back into bad habits.  But you don't have to struggle through this time alone. Empathic Counseling can help you cope during this difficult time and empower you to thrive. I work closely with clients across Oregon to help them find freedom from Anxiety, Depression, Addiction, Trauma, or that harsh voice inside you that tells you you're not enough.
(503) 739-9189 View (503) 739-9189
Photo of Caroline Gearing, Marriage & Family Therapist in Portland, OR
Caroline Gearing
Marriage & Family Therapist, MA, LMFT
Verified Verified
Portland, OR 97219
As a licensed marriage and family therapist I specialize in sexual addiction work for men and women transitioning from sexual addiction to healthy sexuality, and partners and couples dealing with sexual addiction. Groups provided: sex addiction, partner of sexual addict, couples dealing with sexual addiction, and love addiction. Strong focus on couples counseling, premarital counseling using Prepare/Enrich assessment tools. Expertise with sexual therapy for couples and individuals. Specialty dealing with narcissistic people and assisting clients with great transitional challenges. I am a highly dedicated counselor and therapist partnering with my clients to successfully move forward in their lives.
As a licensed marriage and family therapist I specialize in sexual addiction work for men and women transitioning from sexual addiction to healthy sexuality, and partners and couples dealing with sexual addiction. Groups provided: sex addiction, partner of sexual addict, couples dealing with sexual addiction, and love addiction. Strong focus on couples counseling, premarital counseling using Prepare/Enrich assessment tools. Expertise with sexual therapy for couples and individuals. Specialty dealing with narcissistic people and assisting clients with great transitional challenges. I am a highly dedicated counselor and therapist partnering with my clients to successfully move forward in their lives.
(360) 450-4373 View (360) 450-4373
Photo of Rachel Ferguson, Pre-Licensed Professional in Portland, OR
Rachel Ferguson
Pre-Licensed Professional, MA, LPC-A
Verified Verified
3 Endorsed
Portland, OR 97086  (Online Only)
Only offering virtual at this time! (email is the best way to get in touch) - Do you feel like you're doing "everything right" yet you still feel like something is "off"? Somehow you feel both anxious and depressed at the same time yet you can't pinpoint why? Or maybe you can pinpoint why - you just received an unwanted diagnosis, a loved one passed away, you're dealing with past trauma, going through a divorce, or trying to adjust from living at home to living in a dorm. Maybe in an effort to cope, you've turned to alcohol, food or some other escape. But you're tired of just surviving and you're ready to start thriving.
Only offering virtual at this time! (email is the best way to get in touch) - Do you feel like you're doing "everything right" yet you still feel like something is "off"? Somehow you feel both anxious and depressed at the same time yet you can't pinpoint why? Or maybe you can pinpoint why - you just received an unwanted diagnosis, a loved one passed away, you're dealing with past trauma, going through a divorce, or trying to adjust from living at home to living in a dorm. Maybe in an effort to cope, you've turned to alcohol, food or some other escape. But you're tired of just surviving and you're ready to start thriving.
(503) 714-9468 View (503) 714-9468
Photo of Zara Roth, Pre-Licensed Professional in Portland, OR
Zara Roth
Pre-Licensed Professional, MA, QMHP, CADC, BS
Verified Verified
1 Endorsed
Portland, OR 97216
With the state of the world, mental health is at an all-time low and we are all experiencing collective trauma. I take climate, pandemic, economic, political, societal, and cultural problems into account, on top of personal issues. My goal has always been to help those with trauma, personality disorders, and depression/anxiety by diving into the unconscious, cultivating self-awareness, and creating practical solutions. My clients are diverse and range from 13-65+ yrs old.
With the state of the world, mental health is at an all-time low and we are all experiencing collective trauma. I take climate, pandemic, economic, political, societal, and cultural problems into account, on top of personal issues. My goal has always been to help those with trauma, personality disorders, and depression/anxiety by diving into the unconscious, cultivating self-awareness, and creating practical solutions. My clients are diverse and range from 13-65+ yrs old.
(503) 773-6563 View (503) 773-6563
Photo of Douglas Mitchell - Artist Eye Counseling, Professional Counselor Associate in Portland, OR
Douglas Mitchell - Artist Eye Counseling
Professional Counselor Associate, MS, CRC , NCC
Verified Verified
1 Endorsed
Portland, OR 97211
Waitlist for new clients
Embark on a transformative journey with me! Whether you're wrestling with trauma, anxiety, depression, or navigating neurodiversity (ADD/ADHD, autism), I bring a unique blend of empathetic counseling and creative therapy. Picture a personalized experience focused on resilience, coping skills, and self-discovery – your path to a brighter, more fulfilling life awaits.
Embark on a transformative journey with me! Whether you're wrestling with trauma, anxiety, depression, or navigating neurodiversity (ADD/ADHD, autism), I bring a unique blend of empathetic counseling and creative therapy. Picture a personalized experience focused on resilience, coping skills, and self-discovery – your path to a brighter, more fulfilling life awaits.
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Photo of Julia Perretta, Marriage & Family Therapist in Portland, OR
Julia Perretta
Marriage & Family Therapist, MS, LMFT
Verified Verified
Portland, OR 97206  (Online Only)
I specialize in providing emotion focused therapy for couples who are interested in working on issues related to communication, trust, infidelity, connection, and intimacy. I also work with individuals who are looking to heal their relationship with food, body image, stress, anxiety, substance use, depression, and manage responses to complex trauma. I welcome folx of all types, including LGBTQI and poly/ENM identifying individuals and couples. People who work with me enjoy integrating mindfulness and humor into the therapeutic tableau.
I specialize in providing emotion focused therapy for couples who are interested in working on issues related to communication, trust, infidelity, connection, and intimacy. I also work with individuals who are looking to heal their relationship with food, body image, stress, anxiety, substance use, depression, and manage responses to complex trauma. I welcome folx of all types, including LGBTQI and poly/ENM identifying individuals and couples. People who work with me enjoy integrating mindfulness and humor into the therapeutic tableau.
(503) 213-6255 View (503) 213-6255
Photo of Ben Bjorgaard, Licensed Professional Counselor in Portland, OR
Ben Bjorgaard
Licensed Professional Counselor, PhDc, MA, LPC
Verified Verified
1 Endorsed
Portland, OR 97215
By addressing troubling thoughts and feelings, self-sabotaging behaviors, and traumas, life can be made more manageable, productive, and fulfilling. Feelings such as grief, shame, anxiety, sadness, and anger often signal that something needs to change. Listening to and working with these feelings—some that consume us and others that gently nudge us—can move us forward. Through this, we sometimes discover that our everyday dilemmas are part of larger patterns waiting to be resolved as a whole.
By addressing troubling thoughts and feelings, self-sabotaging behaviors, and traumas, life can be made more manageable, productive, and fulfilling. Feelings such as grief, shame, anxiety, sadness, and anger often signal that something needs to change. Listening to and working with these feelings—some that consume us and others that gently nudge us—can move us forward. Through this, we sometimes discover that our everyday dilemmas are part of larger patterns waiting to be resolved as a whole.
(503) 987-3714 View (503) 987-3714
Photo of Kelly Ann Reams, Clinical Social Work/Therapist in Portland, OR
Kelly Ann Reams
Clinical Social Work/Therapist, MSW, LCSW, BCD
Verified Verified
1 Endorsed
Portland, OR 97212
As a psychotherapist and contemporary psychoanalyst, I will help you deal with your concerns and distress through greater understanding of what goes on inside of you. We will listen to and work with your feelings, dreams, fantasies, sadness, fears, hopes and desires with compassion and insight. During the past thirty years, I have helped adults, teenagers and children create a safe space in therapy based on trust and respect to develop a sturdier sense of self, have more satisfying relationships, reduce symptoms of depression and anxiety, and access what was previously out of awareness or unthought that can now inform daily life.
As a psychotherapist and contemporary psychoanalyst, I will help you deal with your concerns and distress through greater understanding of what goes on inside of you. We will listen to and work with your feelings, dreams, fantasies, sadness, fears, hopes and desires with compassion and insight. During the past thirty years, I have helped adults, teenagers and children create a safe space in therapy based on trust and respect to develop a sturdier sense of self, have more satisfying relationships, reduce symptoms of depression and anxiety, and access what was previously out of awareness or unthought that can now inform daily life.
(503) 980-4564 View (503) 980-4564
Photo of Zach Wendell, Clinical Social Work/Therapist in Portland, OR
Zach Wendell
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Portland, OR 97201  (Online Only)
I utilize a modern relational and collaborative approach along with psychodynamic theory, CBT-based skills, and a host of trauma-informed/trauma-specific practices. My theory is that a combination of a deeper understanding of self, coupled with practical skills, can lead to sustained self-discovery and curiosity, desired personality changes, and relief. I specialize in working with individuals who struggle to regulate emotions and mood, are working through the impacts of childhood trauma in adulthood/young adulthood, are experiencing interpersonal issues, existential dread, anxiety, depression, and/or chronic suicidality.
I utilize a modern relational and collaborative approach along with psychodynamic theory, CBT-based skills, and a host of trauma-informed/trauma-specific practices. My theory is that a combination of a deeper understanding of self, coupled with practical skills, can lead to sustained self-discovery and curiosity, desired personality changes, and relief. I specialize in working with individuals who struggle to regulate emotions and mood, are working through the impacts of childhood trauma in adulthood/young adulthood, are experiencing interpersonal issues, existential dread, anxiety, depression, and/or chronic suicidality.
(503) 809-4772 View (503) 809-4772
Photo of Zachary Lawrence Ash, Clinical Social Work Associate in Portland, OR
Zachary Lawrence Ash
Clinical Social Work Associate, MSW, CSWA
Verified Verified
Portland, OR 97230  (Online Only)
Waitlist for new clients
Do you struggle with anxiety, depression, and/or a general uncertainty on where to go in life? Have the changes of the last year made you feel isolated and struggling to cope with life pressures? Are past traumas interfering your daily life to the point to where you're ready to take steps to gain relief? Do you feel like you would benefit from having someone in your corner to listen, strategize, and guide you through these difficult times? (Access Notes: Currently on medical leave, will respond to all inquiries in order they are received after I return)
Do you struggle with anxiety, depression, and/or a general uncertainty on where to go in life? Have the changes of the last year made you feel isolated and struggling to cope with life pressures? Are past traumas interfering your daily life to the point to where you're ready to take steps to gain relief? Do you feel like you would benefit from having someone in your corner to listen, strategize, and guide you through these difficult times? (Access Notes: Currently on medical leave, will respond to all inquiries in order they are received after I return)
(971) 206-6694 View (971) 206-6694
Photo of Martin Fisher, Psychologist in Portland, OR
Martin Fisher
Psychologist, PsyD
Verified Verified
2 Endorsed
Portland, OR 97205  (Online Only)
My areas of expertise include depression, relationship problems, difficulties managing emotions, anxiety, trauma and PTSD, adolescent issues, ADHD, loss, and family of origin issues. I also enjoy helping individuals with identity development issues, including those related to culture, gender, sexuality, and important life transitions.
My areas of expertise include depression, relationship problems, difficulties managing emotions, anxiety, trauma and PTSD, adolescent issues, ADHD, loss, and family of origin issues. I also enjoy helping individuals with identity development issues, including those related to culture, gender, sexuality, and important life transitions.
(503) 410-7711 View (503) 410-7711
Photo of Catherine M Saunders, Counselor in Portland, OR
Catherine M Saunders
Counselor, LPC
Verified Verified
Portland, OR 97221
Waitlist for new clients
I am partnering with Mindful Therapy Group for scheduling and billing. Please call 971-352-6971 or email highlands@mindfulsupport services.com. I believe every person has natural healing abilities and wisdom. My role is to help clients determine their way to growth, healing, positive action and improvement of life quality through relationship with self and others. I base my work on theories from Cognitive-Behavioral, Psychodynamic and Family Systems Therapies to carve the therapy that works personally for each client.
I am partnering with Mindful Therapy Group for scheduling and billing. Please call 971-352-6971 or email highlands@mindfulsupport services.com. I believe every person has natural healing abilities and wisdom. My role is to help clients determine their way to growth, healing, positive action and improvement of life quality through relationship with self and others. I base my work on theories from Cognitive-Behavioral, Psychodynamic and Family Systems Therapies to carve the therapy that works personally for each client.
(971) 306-4938 View (971) 306-4938
Photo of Jerry Woodards, Clinical Social Work/Therapist in Portland, OR
Jerry Woodards
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Portland, OR 97232  (Online Only)
Are you ready to live a better you? You are taking the first step in attaining peace-of-mind, I respect and applaud you for doing so. I have a Masters degree in Social Work from Portland State University and over 40 years of experience working as a Licensed Clinical Social Worker. I began my private practice, Pathways to Peace Therapy, over 20 years ago, while also working in community mental health and E.R. crisis intervention for over 15 years. In 2014, I also began working with OCD patients. Working in various mental health settings has been invaluable in providing tools to bring to my clients individual needs and goals.
Are you ready to live a better you? You are taking the first step in attaining peace-of-mind, I respect and applaud you for doing so. I have a Masters degree in Social Work from Portland State University and over 40 years of experience working as a Licensed Clinical Social Worker. I began my private practice, Pathways to Peace Therapy, over 20 years ago, while also working in community mental health and E.R. crisis intervention for over 15 years. In 2014, I also began working with OCD patients. Working in various mental health settings has been invaluable in providing tools to bring to my clients individual needs and goals.
(503) 436-6541 View (503) 436-6541
Photo of Angie Tanyi, Licensed Professional Counselor in Portland, OR
Angie Tanyi
Licensed Professional Counselor, LPC, MPH
Verified Verified
1 Endorsed
Portland, OR 97219
Are you struggling to live the life you want? Do you keep finding yourself in the same place without knowing how to change? Current situations and events can trigger old pain & trauma which can be confusing & negatively impact relationships. They can also lead to creating misguided stories that you tell yourself and that keep you anxious or in fight/flight states. I believe we sometimes need help untangling and making sense of our experiences and/or trauma in life in order to thrive. Through non-judgmental warmth, compassion and self-reflection, we re-wire old thoughts and behaviors and help you live a more authentic life.
Are you struggling to live the life you want? Do you keep finding yourself in the same place without knowing how to change? Current situations and events can trigger old pain & trauma which can be confusing & negatively impact relationships. They can also lead to creating misguided stories that you tell yourself and that keep you anxious or in fight/flight states. I believe we sometimes need help untangling and making sense of our experiences and/or trauma in life in order to thrive. Through non-judgmental warmth, compassion and self-reflection, we re-wire old thoughts and behaviors and help you live a more authentic life.
(503) 676-6669 View (503) 676-6669
Photo of Cameron MacKinney, Marriage & Family Therapist Associate in Portland, OR
Cameron MacKinney
Marriage & Family Therapist Associate, MS
Verified Verified
Portland, OR 97239
Currently Accepting New Clients! We all face challenges and stressors in our lives; it’s part of being human! However, you don’t need to go through them alone. I’d be honored to help you along your personal journey of discovery and self-betterment. Let’s work together to achieve the life you deserve. I believe therapy is a collaborative process. You’re the expert on your life! I’m here to follow your lead and help build upon the inherent strengths and capabilities you already possess while providing guidance and insight along the way.
Currently Accepting New Clients! We all face challenges and stressors in our lives; it’s part of being human! However, you don’t need to go through them alone. I’d be honored to help you along your personal journey of discovery and self-betterment. Let’s work together to achieve the life you deserve. I believe therapy is a collaborative process. You’re the expert on your life! I’m here to follow your lead and help build upon the inherent strengths and capabilities you already possess while providing guidance and insight along the way.
(971) 252-7505 View (971) 252-7505
Photo of David A Sangster, Clinical Social Work/Therapist in Portland, OR
David A Sangster
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97203
From struggling to THRIVING. Become more fully "yourself." Enjoy relationship satisfaction. Strengthen connection to something bigger that is meaningful. Get relief from depression and anxiety (really!). Improve effectiveness at work. Feel more at home in your body, content. Mindful and present. LAUGH. Choosing a therapist that is both really good AND a great fit is important. There is a difference here you will experience from the get go. The office is in a 1930's Cape Cod style house...inviting & comfortable. With warmth and character. David is unusually relational and "real." Sessions are 60, 75 or 90 minutes rather than 50.
From struggling to THRIVING. Become more fully "yourself." Enjoy relationship satisfaction. Strengthen connection to something bigger that is meaningful. Get relief from depression and anxiety (really!). Improve effectiveness at work. Feel more at home in your body, content. Mindful and present. LAUGH. Choosing a therapist that is both really good AND a great fit is important. There is a difference here you will experience from the get go. The office is in a 1930's Cape Cod style house...inviting & comfortable. With warmth and character. David is unusually relational and "real." Sessions are 60, 75 or 90 minutes rather than 50.
(503) 444-8649 View (503) 444-8649
Photo of Willamette Wellness Center, Licensed Professional Counselor in Portland, OR
Willamette Wellness Center
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Portland, OR 97229  (Online Only)
WWC now has psychiatric medication services available for OR and WA! WWC is a group of mental health clinicians living in, and serving the states of Oregon and Washington. We have a wide range of specialties including medication management, eating disorders, substance abuse, LGBTQ+ and trans support, post partum work, bariatric surgery letters, psychedelic psychotherapy, PTSD/C-PTSD therapy, veteran/BIPOC/marginalized community support, pornography/sex addiction, sex therapy and many others. View our therapists and book today at www.wwcpdx.com
WWC now has psychiatric medication services available for OR and WA! WWC is a group of mental health clinicians living in, and serving the states of Oregon and Washington. We have a wide range of specialties including medication management, eating disorders, substance abuse, LGBTQ+ and trans support, post partum work, bariatric surgery letters, psychedelic psychotherapy, PTSD/C-PTSD therapy, veteran/BIPOC/marginalized community support, pornography/sex addiction, sex therapy and many others. View our therapists and book today at www.wwcpdx.com
(971) 803-4515 View (971) 803-4515
Photo of Sarah Marmon, LPC Intern in Portland, OR
Sarah Marmon
LPC Intern, CPC, PCA, MS
Verified Verified
Portland, OR 97232  (Online Only)
To me, as a therapist, I whole-heartedly believe in the compelling healing power of the therapeutic relationship. Combining the effect of a mutually trusting, vulnerable, and authentic connection with the knowledge base of effective modalities, tools, and research leads to a truly empowering and life changing experience. Parts & Memory Therapy- I am highly trained and certified in this highly effective and efficient modality that successfully treats a myriad of issues: trauma, dissociative symptoms, anxiety, depression, addiction, impulsivity, etc. This modality accesses and heals parts of the self that seem impossible, resistant.
To me, as a therapist, I whole-heartedly believe in the compelling healing power of the therapeutic relationship. Combining the effect of a mutually trusting, vulnerable, and authentic connection with the knowledge base of effective modalities, tools, and research leads to a truly empowering and life changing experience. Parts & Memory Therapy- I am highly trained and certified in this highly effective and efficient modality that successfully treats a myriad of issues: trauma, dissociative symptoms, anxiety, depression, addiction, impulsivity, etc. This modality accesses and heals parts of the self that seem impossible, resistant.
(503) 743-7976 View (503) 743-7976
Photo of Jane Leng, Clinical Social Work/Therapist in Portland, OR
Jane Leng
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97206
As a certified trauma therapist, I specialize in working with adults who suffer from the symptoms of traumatic stress or post traumatic stress disorder. The symptoms of trauma often include, panic attacks, anxiety, depression, sleep disturbances, nightmares and flashbacks, lack of concentration, ADD, binge eating and negative body image. All of these symptoms may be a result of unprocessed trauma that has become stuck in the mind and the body. There is a tremendous amount of promise in mental health healing available through trauma treatment.
As a certified trauma therapist, I specialize in working with adults who suffer from the symptoms of traumatic stress or post traumatic stress disorder. The symptoms of trauma often include, panic attacks, anxiety, depression, sleep disturbances, nightmares and flashbacks, lack of concentration, ADD, binge eating and negative body image. All of these symptoms may be a result of unprocessed trauma that has become stuck in the mind and the body. There is a tremendous amount of promise in mental health healing available through trauma treatment.
(503) 782-9069 View (503) 782-9069
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.