Narcissistic Personality (NPD) Therapists in Ohio
Relationships with someone who has narcissistic traits can leave you feeling tense and unsure of yourself.
In our sessions, we’ll clarify the patterns that keep pain active, practice small, manageable changes, and strengthen routines that restore steadiness and connection. Over time, this process can help you feel safer, more confident, and more at ease in your relationships and within yourself.
Relationships with someone who has narcissistic traits can leave you feeling tense and unsure of yourself.
In our sessions, we’ll clarify the patterns that keep pain active, practice small, manageable changes, and strengthen routines that restore steadiness and connection. Over time, this process can help you feel safer, more confident, and more at ease in your relationships and within yourself.
While I see a wide range of clients, many of my clients have struggled with narcissistic family members or partners, dysfunctional families (now and in childhood), depression, and anxiety.
Have you spent your life overachieving, working hard, taking care of others, doing all the right things, and yet things aren't working out how you expected them to? Are your relationships very often one-sided, where you give a lot but no one takes care of you? I see you. My practice focuses on those who have "done all the right things," and are wondering why things are still so hard. Unfortunately, being hard on ourselves, working hard, achieving all the things, and taking care of everyone around us doesn't often lead to the sort of healing and peace we long for.
While I see a wide range of clients, many of my clients have struggled with narcissistic family members or partners, dysfunctional families (now and in childhood), depression, and anxiety.
Have you spent your life overachieving, working hard, taking care of others, doing all the right things, and yet things aren't working out how you expected them to? Are your relationships very often one-sided, where you give a lot but no one takes care of you? I see you. My practice focuses on those who have "done all the right things," and are wondering why things are still so hard. Unfortunately, being hard on ourselves, working hard, achieving all the things, and taking care of everyone around us doesn't often lead to the sort of healing and peace we long for.
Change is possible. As I have spent thousands of hours working with people with all kinds of struggles, I have seen it with my own eyes. For the past 20 years it has been my pleasure to help my clients rediscover hope and find solutions that work for them. As a Marriage & Family Therapist, I am trained to see the big picture and to help you find ways to get out of your 'stuck system'.
Change is possible. As I have spent thousands of hours working with people with all kinds of struggles, I have seen it with my own eyes. For the past 20 years it has been my pleasure to help my clients rediscover hope and find solutions that work for them. As a Marriage & Family Therapist, I am trained to see the big picture and to help you find ways to get out of your 'stuck system'.
You may have experienced narcissistic abuse—an invisible but deeply painful form of emotional trauma.
I addition to trauma work, I also specialize in sports psychology—helping athletes build mental toughness, manage performance anxiety, and gain confidence. Whether facing mental blocks, pressure, or burnout, I support athletes in strengthening their mindset and unlocking their potential. I also offer tailored assessments to support peak performance.
You may have experienced narcissistic abuse—an invisible but deeply painful form of emotional trauma.
I addition to trauma work, I also specialize in sports psychology—helping athletes build mental toughness, manage performance anxiety, and gain confidence. Whether facing mental blocks, pressure, or burnout, I support athletes in strengthening their mindset and unlocking their potential. I also offer tailored assessments to support peak performance.
Are you in a relationship that's manipulative? Or are you unsure and need some clarity? If you've recently left a challenging relationship, I'm here for you and can be a guiding and healing hand. Relationships are an intricate dance, and we all have moments of imperfection; however, those missteps leave us feeling drained, hurt and afraid. You may feel like you're sacrificing your own needs in order to please your partner. You don’t want them to feel any discomfort even if it' costs of your own well-being. But, amidst all your selfless efforts, you don't feel loved in return. You hope that it will change, but it never does.
Are you in a relationship that's manipulative? Or are you unsure and need some clarity? If you've recently left a challenging relationship, I'm here for you and can be a guiding and healing hand. Relationships are an intricate dance, and we all have moments of imperfection; however, those missteps leave us feeling drained, hurt and afraid. You may feel like you're sacrificing your own needs in order to please your partner. You don’t want them to feel any discomfort even if it' costs of your own well-being. But, amidst all your selfless efforts, you don't feel loved in return. You hope that it will change, but it never does.
I work primarily with adults, couples, and older adults, helping them heal from narcissistic abuse, complex trauma, grief, anger, and unhealthy relationship dynamics.
Clients often describe me as kind and grounded, with a calm presence and a dry, witty sense of humor. I believe therapy should feel safe and collaborative, but also practical. Together, we’ll focus on turning insight into meaningful action so that change extends beyond our sessions and into your daily life.
I work primarily with adults, couples, and older adults, helping them heal from narcissistic abuse, complex trauma, grief, anger, and unhealthy relationship dynamics.
Clients often describe me as kind and grounded, with a calm presence and a dry, witty sense of humor. I believe therapy should feel safe and collaborative, but also practical. Together, we’ll focus on turning insight into meaningful action so that change extends beyond our sessions and into your daily life.
I work with people in high‑pressure careers — attorneys, therapists, medical professionals, & others expected to stay composed while navigating conflict, trauma, & constant demands. You may be ambitious, successful, and deeply committed to your work, yet still feel overwhelmed, anxious, stuck in perfectionism, demoralized, & inadequate. Many of my clients notice that the qualities that help them excel professionally also create strain at home. You might feel disconnected from your partner, short‑tempered with the people you care about, or too drained to be present after work. These are professional hazards that can be addressed.
I work with people in high‑pressure careers — attorneys, therapists, medical professionals, & others expected to stay composed while navigating conflict, trauma, & constant demands. You may be ambitious, successful, and deeply committed to your work, yet still feel overwhelmed, anxious, stuck in perfectionism, demoralized, & inadequate. Many of my clients notice that the qualities that help them excel professionally also create strain at home. You might feel disconnected from your partner, short‑tempered with the people you care about, or too drained to be present after work. These are professional hazards that can be addressed.
Narcissistic emotional abuse, high conflict, & IPV!
Your anger tells them you are taking control, filling space, owning your power & they CANNOT have that! You must be a zero! They must smother you. They will be as violent as needed 2 shut you down & reign. Biggest problem with hot-shot narcissists? Sometimes they're NICE! Then they'll placate you and suck u back! Be heard! I invite you to schedule with me.
Narcissistic emotional abuse, high conflict, & IPV!
Your anger tells them you are taking control, filling space, owning your power & they CANNOT have that! You must be a zero! They must smother you. They will be as violent as needed 2 shut you down & reign. Biggest problem with hot-shot narcissists? Sometimes they're NICE! Then they'll placate you and suck u back! Be heard! I invite you to schedule with me.
I specialize in helping individuals navigate anxiety, boundaries and people-pleasing, narcissistic abuse, and challenges related to self-worth and identity.
My approach is warm, sensitive and non-judgmental, which allows us to safely explore your concerns, identify unhelpful behavioral patterns, and unpack your underlying issues. You are the agent of change, and I’m here to help guide and support you through the process.
I specialize in helping individuals navigate anxiety, boundaries and people-pleasing, narcissistic abuse, and challenges related to self-worth and identity.
My approach is warm, sensitive and non-judgmental, which allows us to safely explore your concerns, identify unhelpful behavioral patterns, and unpack your underlying issues. You are the agent of change, and I’m here to help guide and support you through the process.
Taking the first step toward therapy can feel daunting, but it’s an important part of your personal journey toward healing and growth. As a Licensed Independent Social Worker (LISW) and Licensed Independent Chemical Dependency Counselor (LICDC), I have had the privilege of helping individuals and families navigate challenges like trauma, addiction, co-occurring diagnoses, and personality disorders.
Taking the first step toward therapy can feel daunting, but it’s an important part of your personal journey toward healing and growth. As a Licensed Independent Social Worker (LISW) and Licensed Independent Chemical Dependency Counselor (LICDC), I have had the privilege of helping individuals and families navigate challenges like trauma, addiction, co-occurring diagnoses, and personality disorders.
I care about genuine connection and doing what works! My style is active, flexible, and focused on strengths. I have specialized experience caring for individuals, families, and groups, leading teams, and developing innovative treatments. I build collaborative, authentic partnerships to help people get un-stuck and move toward their values.
I care about genuine connection and doing what works! My style is active, flexible, and focused on strengths. I have specialized experience caring for individuals, families, and groups, leading teams, and developing innovative treatments. I build collaborative, authentic partnerships to help people get un-stuck and move toward their values.
Thinking and feeling in ways that allow you to engage your daily life, others, and your personal goals with energy, creativity, and effectiveness is the thrust of my approach and practice. Identifying patterns that restrict cognitive and behavioral functioning, preventing understanding and integration of personal and interpersonal dynamics is a key focus. Increasing self awareness and understanding through enhancing mindfulness, expanding thinking about self and others, and developing behavior patterns that mobilize personal strengths, assets, and motivation is the goal of the work.
Thinking and feeling in ways that allow you to engage your daily life, others, and your personal goals with energy, creativity, and effectiveness is the thrust of my approach and practice. Identifying patterns that restrict cognitive and behavioral functioning, preventing understanding and integration of personal and interpersonal dynamics is a key focus. Increasing self awareness and understanding through enhancing mindfulness, expanding thinking about self and others, and developing behavior patterns that mobilize personal strengths, assets, and motivation is the goal of the work.
Are you struggling with anxiety, depression, grief, relationship difficulties, or other difficult situations? We can help you find hope, reach your goals, and enjoy the abundance of life for which you were created. Contact us today to schdeule your first apointment, where we help you find the right therapist for you.
Are you struggling with anxiety, depression, grief, relationship difficulties, or other difficult situations? We can help you find hope, reach your goals, and enjoy the abundance of life for which you were created. Contact us today to schdeule your first apointment, where we help you find the right therapist for you.
I am a licensed professional clinical counselor available for individual as well as marital and family counseling. My background covers a diverse career scope which includes extensive experience in healing the wounded soul. I have been married for 31 years and have 2 children. My counseling orientation ranges from assisting you in exploring issues through Narrative Therapy or educational training through Cognitive Behavioral Techniques. Or for those who desire to explore deep emotional issues, I have been thoroughly trained in "Inner healing" techniques to aid in processing events to as deep a level as you desire to journey.
I am a licensed professional clinical counselor available for individual as well as marital and family counseling. My background covers a diverse career scope which includes extensive experience in healing the wounded soul. I have been married for 31 years and have 2 children. My counseling orientation ranges from assisting you in exploring issues through Narrative Therapy or educational training through Cognitive Behavioral Techniques. Or for those who desire to explore deep emotional issues, I have been thoroughly trained in "Inner healing" techniques to aid in processing events to as deep a level as you desire to journey.
Author: Understanding and Loving A Person With Narcissistic Personality Disorder- 2018
Not feeling good about yourself or feel shame or guilt over past or present experiences that still impact your life today? If your stress is increasing, do you resort to unhealthy practices just trying not to feel? Do you struggle to effectively communicate with your spouse, family members or in other relationships? Depression, anxiety, anger and grief may be draining your energy while making it difficult to seek help. If you're feeling stuck and don't know how to take the next right step--call (937) 748-8799 now to begin to learn how to manage your life more effectively while experiencing renewed life energy!
Author: Understanding and Loving A Person With Narcissistic Personality Disorder- 2018
Not feeling good about yourself or feel shame or guilt over past or present experiences that still impact your life today? If your stress is increasing, do you resort to unhealthy practices just trying not to feel? Do you struggle to effectively communicate with your spouse, family members or in other relationships? Depression, anxiety, anger and grief may be draining your energy while making it difficult to seek help. If you're feeling stuck and don't know how to take the next right step--call (937) 748-8799 now to begin to learn how to manage your life more effectively while experiencing renewed life energy!
I love my work. I have really enjoyed getting to know my clients over the past 35 years. I consult with adults, adolescents & children, and I also see many couples and families. My clients are never the problem, they have problems and need solutions and strategies to get "unstuck" or make changes in their lives. I have also found personal, business and career coaching helpful to many clients. I am the owner of a large practice with psychologists & counselors. If my hours or approach does not fit your needs I will find someone who can assist you. Call or email us today to find out more!
I love my work. I have really enjoyed getting to know my clients over the past 35 years. I consult with adults, adolescents & children, and I also see many couples and families. My clients are never the problem, they have problems and need solutions and strategies to get "unstuck" or make changes in their lives. I have also found personal, business and career coaching helpful to many clients. I am the owner of a large practice with psychologists & counselors. If my hours or approach does not fit your needs I will find someone who can assist you. Call or email us today to find out more!
Dr. Nate Koser is a Lacanian Psychoanalyst. Dr. Koser is also licensed as a Licensed Professional Clinical Counselor (LPCC) in Ohio, as well as a Licensed Professional Counselor (LPC) in Virginia. Dr. Koser is a Psychoanalyst Member of the School of Psychoanalysis of the Forums of the Lacanian Field (IF-SPFLF), a member and the International Delegate of the Colorado Analytic Forum of the Lacanian Field, and a member of the Foro Analítico del Río de la Plata (FARP), in Buenos Aires, Argentina. Dr. Koser is a faculty member of the Clinical College of Colorado in Denver, CO, and co-owner of Aporia Counseling & Psychotherapy, PLLC.
Dr. Nate Koser is a Lacanian Psychoanalyst. Dr. Koser is also licensed as a Licensed Professional Clinical Counselor (LPCC) in Ohio, as well as a Licensed Professional Counselor (LPC) in Virginia. Dr. Koser is a Psychoanalyst Member of the School of Psychoanalysis of the Forums of the Lacanian Field (IF-SPFLF), a member and the International Delegate of the Colorado Analytic Forum of the Lacanian Field, and a member of the Foro Analítico del Río de la Plata (FARP), in Buenos Aires, Argentina. Dr. Koser is a faculty member of the Clinical College of Colorado in Denver, CO, and co-owner of Aporia Counseling & Psychotherapy, PLLC.
I work with adults and adolescents navigating anxiety, depression, trauma, ADHD, autism, and sensory processing differences. Many of my clients feel overwhelmed, burned out, or misunderstood and are seeking support that truly fits how their brain works. My approach is trauma-informed, neurodiversity-affirming, and collaborative, with a focus on emotional regulation, practical coping skills, and self-understanding. I strive to create a supportive, non-judgmental space where clients can feel safe, validated, and empowered to make meaningful change.
I work with adults and adolescents navigating anxiety, depression, trauma, ADHD, autism, and sensory processing differences. Many of my clients feel overwhelmed, burned out, or misunderstood and are seeking support that truly fits how their brain works. My approach is trauma-informed, neurodiversity-affirming, and collaborative, with a focus on emotional regulation, practical coping skills, and self-understanding. I strive to create a supportive, non-judgmental space where clients can feel safe, validated, and empowered to make meaningful change.
Reposition & Recovery Services, LLC
Clinical Social Work/Therapist, LSW
1 Endorsed
Cincinnati, OH 45246
Are you looking for a CHANGE? Are you tired of not making progress with your mental health? Are you looking for a counselor that is supportive and an easy listener? Well, if you’re looking for any of the above, you stop at the right place. Reposition & Recovery Services is a community behavioral health center that has a private practice feel. Our RR's Counselors will literally meet you where you are. We can travel to your home and do home sessions, or you can come to our office. RR's Counselors have over 50 years of collective experience.
Are you looking for a CHANGE? Are you tired of not making progress with your mental health? Are you looking for a counselor that is supportive and an easy listener? Well, if you’re looking for any of the above, you stop at the right place. Reposition & Recovery Services is a community behavioral health center that has a private practice feel. Our RR's Counselors will literally meet you where you are. We can travel to your home and do home sessions, or you can come to our office. RR's Counselors have over 50 years of collective experience.
Are you tired of the patterns in your life that keep you from feeling happy and secure? Are you looking for a place to heal old wounds and remedy current problems in a safe and non-judgmental environment? Everyone needs a place that feels safe and supportive where one can unravel a problem or work through a difficult phase of life. Whether you are dealing with depression or anxiety, separation/divorce, or wounds from your past we can work together to find a more fulfilling and satisfying life both within yourself and in your relationships, experiencing integration emotionally, bodily and spiritually.
Are you tired of the patterns in your life that keep you from feeling happy and secure? Are you looking for a place to heal old wounds and remedy current problems in a safe and non-judgmental environment? Everyone needs a place that feels safe and supportive where one can unravel a problem or work through a difficult phase of life. Whether you are dealing with depression or anxiety, separation/divorce, or wounds from your past we can work together to find a more fulfilling and satisfying life both within yourself and in your relationships, experiencing integration emotionally, bodily and spiritually.
See more therapy options for Ohio
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.