Narcissistic Personality (NPD) Therapists in Portland, OR

Photo of Kristalene Pitts-Palmerton, Clinical Social Work/Therapist, MSW, LCSW, LICSW
Kristalene Pitts-Palmerton
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Online Only
Certified EMDR ; Certified Narcissistic Abuse Treatment Clinician; Certified Trauma Expert; Certified Dissociative Identity Disorder Clinician; Certified Substance Use and Addiction Informed Clinician; Certified Hypnotherapist; Certified Couples Therapist; Certified Binge Eating &Chronic Dieting; Certified Insomnia Clinician
Everyone deserves to live a fulfilling and happy life. Asking for help is a strong recognition of your own power and desire to heal. I have been there myself, struggling and wanting to make a change. Recovery and mending takes time and effort. I am here to help you through the process; we will work together to heal and grow towards your brighter future. I have been on the forefront, improving service delivery, program development, government response, leadership, and governance throughout my career. Providing therapy and supervision in CO, OR, WA. I am also available to add my expertise to your program. Lets make a difference.
Certified EMDR ; Certified Narcissistic Abuse Treatment Clinician; Certified Trauma Expert; Certified Dissociative Identity Disorder Clinician; Certified Substance Use and Addiction Informed Clinician; Certified Hypnotherapist; Certified Couples Therapist; Certified Binge Eating &Chronic Dieting; Certified Insomnia Clinician
Everyone deserves to live a fulfilling and happy life. Asking for help is a strong recognition of your own power and desire to heal. I have been there myself, struggling and wanting to make a change. Recovery and mending takes time and effort. I am here to help you through the process; we will work together to heal and grow towards your brighter future. I have been on the forefront, improving service delivery, program development, government response, leadership, and governance throughout my career. Providing therapy and supervision in CO, OR, WA. I am also available to add my expertise to your program. Lets make a difference.
(971) 405-8752 View (971) 405-8752
Photo of Christa L Alexander - Heart Thyself, LLC, Licensed Professional Counselor, LPC
Heart Thyself, LLC
Licensed Professional Counselor, LPC
Portland, OR 97210
People who have experienced Narcissistic Abuse have been exploited, rejected and devalued.
Narcissistic Abuse Recovery is deeply intense personal work that will transform your life. It involves breaking the cycle of generations of abuse and dysfunction. Recovery work is a pro-active process of establishing a treatment plan focused on your identity and relationship goals.
People who have experienced Narcissistic Abuse have been exploited, rejected and devalued.
Narcissistic Abuse Recovery is deeply intense personal work that will transform your life. It involves breaking the cycle of generations of abuse and dysfunction. Recovery work is a pro-active process of establishing a treatment plan focused on your identity and relationship goals.
(503) 807-2971 View (503) 807-2971
Photo of Ashley Vande Slunt - Hidden Trails Therapy, Marriage & Family Therapist, LMFT, CIMHP, RYT-200
Hidden Trails Therapy
Marriage & Family Therapist, LMFT, CIMHP, RYT-200
1 Endorsed
Online Only
I specialize in supporting women conquer Anxiety, empower Adult children of Narcissistic or Emotionally Immature Parents, and offer an Integrative approach towards overall wellness.
Do you find yourself feeling overwhelmed, scattered, anxious, or burnt out? Feeling stuck in a cycle of stress and worry? Perhaps you are a woman who's life looks good on the outside and yet on the inside you feel exhausted or unable to feel like yourself anymore. You might continue to strive for endless perfection, find yourself feeling frustrated or never feeling 'good enough'; whether it's with your job, in relationship(s), or with yourself. You are in the right place for: EMDR, Somatic approaches including Safe &Sound Protocol (SSP), Rest and Restore Protocol (RRP), Internal Family Systems (IFS), and Intensive(s).
I specialize in supporting women conquer Anxiety, empower Adult children of Narcissistic or Emotionally Immature Parents, and offer an Integrative approach towards overall wellness.
Do you find yourself feeling overwhelmed, scattered, anxious, or burnt out? Feeling stuck in a cycle of stress and worry? Perhaps you are a woman who's life looks good on the outside and yet on the inside you feel exhausted or unable to feel like yourself anymore. You might continue to strive for endless perfection, find yourself feeling frustrated or never feeling 'good enough'; whether it's with your job, in relationship(s), or with yourself. You are in the right place for: EMDR, Somatic approaches including Safe &Sound Protocol (SSP), Rest and Restore Protocol (RRP), Internal Family Systems (IFS), and Intensive(s).
(503) 662-9655 View (503) 662-9655
Photo of Melissa Croy, Clinical Social Work/Therapist, LCSW, NATC, SIFI
Melissa Croy
Clinical Social Work/Therapist, LCSW, NATC, SIFI
Online Only
I am a native Oregonian and Certified Narcissistic Abuse Treatment Clinician - I do not treat NPD.
I serve adults living with anxiety, depression, posttraumatic stress (PTSD), trauma, attention deficit hyperactivity disorder (ADHD), interpersonal conflict, intimacy, grief, and loss. I staunchly believe clients are the experts on their own experiences. I look forward to joining you on your healing path at a pace that is comfortable to you towards recovery.
I am a native Oregonian and Certified Narcissistic Abuse Treatment Clinician - I do not treat NPD.
I serve adults living with anxiety, depression, posttraumatic stress (PTSD), trauma, attention deficit hyperactivity disorder (ADHD), interpersonal conflict, intimacy, grief, and loss. I staunchly believe clients are the experts on their own experiences. I look forward to joining you on your healing path at a pace that is comfortable to you towards recovery.
(971) 287-3665 View (971) 287-3665
Photo of Melanie McCain - Stop Digging for Rainbows Life Coaching, LLC, MACP
Stop Digging for Rainbows Life Coaching, LLC
Verified Verified
2 Endorsed
Online Only
I have personal and professional experience in narcissistic abuse recovery.
Do you wonder if your relationship is/was healthy? Are you still reeling from what you've experienced? Questioning what serves you and your highest self? Ruminating and stuck in analysis paralysis? Struggling to move forward? Struggling to trust others and trust yourself? Do you experience flashbacks and anger? Even rage? Trying to make sense of it all? Do you find yourself stuck in pain and shame? Do you want to know how to protect yourself from manipulation tactics and illogical arguments meant to gain control over you? Recovering from MAGA? Co-parenting or FOO difficulties? Do you need a transformative, healing experience?
I have personal and professional experience in narcissistic abuse recovery.
Do you wonder if your relationship is/was healthy? Are you still reeling from what you've experienced? Questioning what serves you and your highest self? Ruminating and stuck in analysis paralysis? Struggling to move forward? Struggling to trust others and trust yourself? Do you experience flashbacks and anger? Even rage? Trying to make sense of it all? Do you find yourself stuck in pain and shame? Do you want to know how to protect yourself from manipulation tactics and illogical arguments meant to gain control over you? Recovering from MAGA? Co-parenting or FOO difficulties? Do you need a transformative, healing experience?
(425) 264-8649 View (425) 264-8649
Photo of Pam Snyder, Clinical Social Work/Therapist, LCSW, NATC, CCTP-II
Pam Snyder
Clinical Social Work/Therapist, LCSW, NATC, CCTP-II
1 Endorsed
Online Only
I specialize in narcissistic abuse and trauma.
This includes creating a healthy psychological separation, changing negative internal messages, overcoming self-doubt, creating boundaries, learning how to respond and becoming your authentic self. I primarily work with individuals. However, I work with couples whose focus is navigating difficult family systems together and some parent/child relationships.
I specialize in narcissistic abuse and trauma.
This includes creating a healthy psychological separation, changing negative internal messages, overcoming self-doubt, creating boundaries, learning how to respond and becoming your authentic self. I primarily work with individuals. However, I work with couples whose focus is navigating difficult family systems together and some parent/child relationships.
(720) 838-4531 View (720) 838-4531
Photo of James Harrison Powers, MD
James Harrison Powers
Verified Verified
1 Endorsed
Portland, OR 97219
Services - I am currently only seeing new patients to evaluate for suitability for Transference Focused Psychotherapy, a form of psychotherapy that has been found effective for the treatment of borderline and narcissistic personality disorders.
I am a psychiatrist and psychotherapist with an established private practice since 2002. I specialize in psychoanalytic psychotherapy, a form of psychotherapy that focuses on helping people develop self-understanding about internal and relational dynamics which are repeated for reasons outside of consciousness. I assist clients with a variety of issues including, but not limited to anxiety, depression, grief, childhood trauma, relationship difficulties, anger, parenting, and recurring self defeating behaviors.
Services - I am currently only seeing new patients to evaluate for suitability for Transference Focused Psychotherapy, a form of psychotherapy that has been found effective for the treatment of borderline and narcissistic personality disorders.
I am a psychiatrist and psychotherapist with an established private practice since 2002. I specialize in psychoanalytic psychotherapy, a form of psychotherapy that focuses on helping people develop self-understanding about internal and relational dynamics which are repeated for reasons outside of consciousness. I assist clients with a variety of issues including, but not limited to anxiety, depression, grief, childhood trauma, relationship difficulties, anger, parenting, and recurring self defeating behaviors.
(503) 564-1324 View (503) 564-1324
Photo of Jenna Washburn, Licensed Professional Counselor, MA
Jenna Washburn
Licensed Professional Counselor, MA
1 Endorsed
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 Maya Elasady, MSW , CSWA
Maya Elasady
Verified Verified
Online Only
I specialize in working with adults who have a history of childhood abuse and neglect, narcissistic abuse, domestic violence, immigration trauma, Complex PTSD, and anxiety and depression.
Healing is not a path we’re meant to walk alone. Seeking support is an act of courage—a recognition that there is strength in vulnerability. We are wired for connection, and through relationships, we begin to heal, find meaning, and transform pain. Many of us have also experienced hurt in relationships and may struggle to recognize what true safety and support feel like. In our work together, we’ll create a space where you can feel seen, heard, and held. Healing begins when we feel safe enough to be ourselves, and I’m here to support you through that process.
I specialize in working with adults who have a history of childhood abuse and neglect, narcissistic abuse, domestic violence, immigration trauma, Complex PTSD, and anxiety and depression.
Healing is not a path we’re meant to walk alone. Seeking support is an act of courage—a recognition that there is strength in vulnerability. We are wired for connection, and through relationships, we begin to heal, find meaning, and transform pain. Many of us have also experienced hurt in relationships and may struggle to recognize what true safety and support feel like. In our work together, we’ll create a space where you can feel seen, heard, and held. Healing begins when we feel safe enough to be ourselves, and I’m here to support you through that process.
(971) 231-3149 View (971) 231-3149
Photo of Torie Wiksell, Marriage & Family Therapist, MA, LMFT
Torie Wiksell
Marriage & Family Therapist, MA, LMFT
5 Endorsed
Online Only
I specialize in working with the adult children of parents with borderline and narcissistic personality disorders in my practice.
My guess is that you're coming to therapy to not only get support, but also guidance. While you're definitely encouraged to talk through your feelings in our sessions, you can also expect me to provide feedback, offer suggestions, and help you problem solve issues you're currently facing.
I specialize in working with the adult children of parents with borderline and narcissistic personality disorders in my practice.
My guess is that you're coming to therapy to not only get support, but also guidance. While you're definitely encouraged to talk through your feelings in our sessions, you can also expect me to provide feedback, offer suggestions, and help you problem solve issues you're currently facing.
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Photo of Elizabeth Sheen, Licensed Professional Clinical Counselor, MA, LPC, LMHC, LPCC
Elizabeth Sheen
Licensed Professional Clinical Counselor, MA, LPC, LMHC, LPCC
1 Endorsed
Online Only
If you have been hurt by a narcissistic relationship, I can help!
I specialize in supporting those who struggle with anxiety or people who have been harmed in toxic relationships; family, romantic, friends, and work. I can help you heal from your past, learn to set boundaries, break unhealthy patterns, learn to enjoy life again, and learn to trust yourself and others in order to have the relationship you desire!
If you have been hurt by a narcissistic relationship, I can help!
I specialize in supporting those who struggle with anxiety or people who have been harmed in toxic relationships; family, romantic, friends, and work. I can help you heal from your past, learn to set boundaries, break unhealthy patterns, learn to enjoy life again, and learn to trust yourself and others in order to have the relationship you desire!
(503) 622-8583 View (503) 622-8583
Photo of Caroline Gearing, Marriage & Family Therapist, MA, LMFT
Caroline Gearing
Marriage & Family Therapist, MA, LMFT
Serves Area
Specialty dealing with narcissistic people and assisting clients with great transitional challenges.
Are you dealing with difficult, narcissitic people and situations and feel overwhelmed and run over? I have a long-term specialty empowering and assisting clients in dealing with difficult people and situations with healthy assertion. Learn how to have effective boundaries and communication skills. Stop getting intimidated and manipulated today!
Specialty dealing with narcissistic people and assisting clients with great transitional challenges.
Are you dealing with difficult, narcissitic people and situations and feel overwhelmed and run over? I have a long-term specialty empowering and assisting clients in dealing with difficult people and situations with healthy assertion. Learn how to have effective boundaries and communication skills. Stop getting intimidated and manipulated today!
(360) 450-4373 View (360) 450-4373
Photo of Kimberly Alford, Marriage & Family Therapist Associate
Kimberly Alford
Marriage & Family Therapist Associate
4 Endorsed
Online Only
After my divorce, I endured eight years of financial and emotional abuse from endless court dates which lead me to assist mothers in coping with narcissistic and pathological partners.
“The challenging birth of my twins, marked by 23 hours of labor and subsequent colic issues that required expensive specialized formula, inspired my career as a DONA-certified postpartum doula and perinatal therapist. Through supporting mothers with breastfeeding, baby schedules, and sleep training, I encountered numerous cases of postpartum depression, prompting me to specialize in helping mothers through various perinatal challenges, including depression, anxiety, high-risk pregnancies, and traumatic births. Helping mothers extended out into all stages of children fostering positive emotional attachments from birth into adulthood
After my divorce, I endured eight years of financial and emotional abuse from endless court dates which lead me to assist mothers in coping with narcissistic and pathological partners.
“The challenging birth of my twins, marked by 23 hours of labor and subsequent colic issues that required expensive specialized formula, inspired my career as a DONA-certified postpartum doula and perinatal therapist. Through supporting mothers with breastfeeding, baby schedules, and sleep training, I encountered numerous cases of postpartum depression, prompting me to specialize in helping mothers through various perinatal challenges, including depression, anxiety, high-risk pregnancies, and traumatic births. Helping mothers extended out into all stages of children fostering positive emotional attachments from birth into adulthood
(949) 996-0632 View (949) 996-0632
Photo of Janis E McKinstry, MA
Janis E McKinstry
Verified Verified
2 Endorsed
Online Only
I specialize in Transpersonal (the spiritual) and Somatic (the body) psychology that guides our work together, while my loving kindness practice, years of spiritual study, trauma, grief, & surviving narcissistic abuse healing enhance my empathy and compassion for what you may be feeling & needing.
Are you a highly sensitive person feeling small and restricted by unspoken rules? You’re not alone. Many sensitives are told they’re “too much,” leaving you overwhelmed, drained, and exhausted from people-pleasing. You may feel unmet, misunderstood, or hurt in relationships, holding you back from the strides you dream of. It’s time to break free from the constraints that keep you small. Embrace your deep feelings and unique perspective. Together, we can navigate this complex world, empowering you to thrive and live authentically. You deserve to shine!
I specialize in Transpersonal (the spiritual) and Somatic (the body) psychology that guides our work together, while my loving kindness practice, years of spiritual study, trauma, grief, & surviving narcissistic abuse healing enhance my empathy and compassion for what you may be feeling & needing.
Are you a highly sensitive person feeling small and restricted by unspoken rules? You’re not alone. Many sensitives are told they’re “too much,” leaving you overwhelmed, drained, and exhausted from people-pleasing. You may feel unmet, misunderstood, or hurt in relationships, holding you back from the strides you dream of. It’s time to break free from the constraints that keep you small. Embrace your deep feelings and unique perspective. Together, we can navigate this complex world, empowering you to thrive and live authentically. You deserve to shine!
(360) 686-2961 View (360) 686-2961
Photo of Scott Vignola, Clinical Social Work/Therapist, MSW, LCSW, YT200
Scott Vignola
Clinical Social Work/Therapist, MSW, LCSW, YT200
2 Endorsed
Portland, OR 97205
My work focuses on addressing cycles of inner and relational conflict by bringing difficult, challenging material into focus in a way that enables you to stay grounded and focused. For many of us, childhood experiences wherein we were never fully seen or were actively abused, may have left us confused, hurt, and alone. Those early experiences can often lead to repeating destructive patterns of behavior that originated when we were young.
My work focuses on addressing cycles of inner and relational conflict by bringing difficult, challenging material into focus in a way that enables you to stay grounded and focused. For many of us, childhood experiences wherein we were never fully seen or were actively abused, may have left us confused, hurt, and alone. Those early experiences can often lead to repeating destructive patterns of behavior that originated when we were young.
(503) 455-7826 View (503) 455-7826
Photo of Grace Horowitz - Psyche PDX, Professional Counselor Associate, PCA
Psyche PDX
Professional Counselor Associate, PCA
1 Endorsed
Portland, OR 97202
Waitlist for new clients
We all have our own story, the things that make us unique in the tapestry of human experiences. What motivates me in counseling people is how we cope with trauma, overcome adversity, and our resilience in the face of difficult circumstances. Finding a way to create meaning, and live a full authentic life is central to my goals in supporting clients. I focus on existential and feminist frameworks to support clients in developing their sense of worth and purpose in life. Working with me we will address attachment and relational dynamics, boundaries and the patterns present in your life that may be keeping you “stuck.”
We all have our own story, the things that make us unique in the tapestry of human experiences. What motivates me in counseling people is how we cope with trauma, overcome adversity, and our resilience in the face of difficult circumstances. Finding a way to create meaning, and live a full authentic life is central to my goals in supporting clients. I focus on existential and feminist frameworks to support clients in developing their sense of worth and purpose in life. Working with me we will address attachment and relational dynamics, boundaries and the patterns present in your life that may be keeping you “stuck.”
(503) 594-4857 View (503) 594-4857
Photo of Rachel Ferguson, Licensed Professional Counselor, MA, LPC
Rachel Ferguson
Licensed Professional Counselor, MA, LPC
2 Endorsed
Online Only
Waitlist only - Do you feel like you're doing "everything right" yet you still feel like something is "off"? You are high functioning but feel anxious or on edge more than you'd like but don't know why. Are you hyperaware of how you navigate life and intellectualize your experiences yet you struggle to actually experience your feelings? Maybe you even scoff at the idea of attuning to your feelings and body. But maybe you're also exhausted from the endless internal strife and ready for change. Are you motivated and willing to look inward, dig deep, be curious, reflective, and open to learn?
Waitlist only - Do you feel like you're doing "everything right" yet you still feel like something is "off"? You are high functioning but feel anxious or on edge more than you'd like but don't know why. Are you hyperaware of how you navigate life and intellectualize your experiences yet you struggle to actually experience your feelings? Maybe you even scoff at the idea of attuning to your feelings and body. But maybe you're also exhausted from the endless internal strife and ready for change. Are you motivated and willing to look inward, dig deep, be curious, reflective, and open to learn?
(503) 714-9468 View (503) 714-9468
Photo of JoLee Scott, Licensed Professional Counselor, MA, LPC
JoLee Scott
Licensed Professional Counselor, MA, LPC
4 Endorsed
Online Only
Waitlist for new clients
Are you confused? Exhausted? Scared? I can help. I have a unique understanding of unhealthy relationships and how they operate and impact the lives of those in it. Most relationships start out hopeful and happy. Many turn at some point and this is where confusion lives. I work with individuals who have had difficult relationships. Healing takes a lot of work, and a lot of commitment, I won't sugar-coat...but it can be done. Or, perhaps you have issues with non-intimate relationships, maybe a parent, sibling, or child. Or maybe your child has conflicts with your ex. This too can be made healthier.
Are you confused? Exhausted? Scared? I can help. I have a unique understanding of unhealthy relationships and how they operate and impact the lives of those in it. Most relationships start out hopeful and happy. Many turn at some point and this is where confusion lives. I work with individuals who have had difficult relationships. Healing takes a lot of work, and a lot of commitment, I won't sugar-coat...but it can be done. Or, perhaps you have issues with non-intimate relationships, maybe a parent, sibling, or child. Or maybe your child has conflicts with your ex. This too can be made healthier.
(503) 694-3350 View (503) 694-3350
Photo of Florence Trentacosti, Psychologist, PsyD
Florence Trentacosti
Psychologist, PsyD
Portland, OR 97225
The therapeutic relationship is crucial to the healing process, whether the problem is with external relationships, traumatic experience, or one's relationship with the self. I use psychoanalytic principles and relational dynamics to explore the internal conflicts and patterns that are at the root of emotional, psychological and relational problems. I am also sensitive to spirituality and the existential problems inherent in being human, and how these affect us all. I have a special interest in the psychology of twins and intersubjective relating in general.
The therapeutic relationship is crucial to the healing process, whether the problem is with external relationships, traumatic experience, or one's relationship with the self. I use psychoanalytic principles and relational dynamics to explore the internal conflicts and patterns that are at the root of emotional, psychological and relational problems. I am also sensitive to spirituality and the existential problems inherent in being human, and how these affect us all. I have a special interest in the psychology of twins and intersubjective relating in general.
(503) 641-6674 View (503) 641-6674
Photo of Douglas Mitchell - Douglas Mitchell - Artist Eye Counseling, Licensed Professional Counselor, MS, LPC, NCC, CRC
Douglas Mitchell - Artist Eye Counseling
Licensed Professional Counselor, MS, LPC, NCC, CRC
1 Endorsed
Portland, OR 97211
You’re tired of carrying it all - the anxiety, the old wounds, the constant sense you’re “too much” or “not enough.” You crave space to breathe, reflect, and rediscover yourself. Together, we’ll explore your story with creativity and compassion, helping you reconnect with the life you want, not the one you feel stuck in.
You’re tired of carrying it all - the anxiety, the old wounds, the constant sense you’re “too much” or “not enough.” You crave space to breathe, reflect, and rediscover yourself. Together, we’ll explore your story with creativity and compassion, helping you reconnect with the life you want, not the one you feel stuck in.
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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.