Narcissistic Personality (NPD) Therapists in Texas

Sara Mahdavi James
Licensed Professional Counselor, MA, LPC
3 Endorsed
Dallas, TX 75214
Narcissistic abuse is one of my core specialties, and I’m passionate about supporting clients as they untangle themselves from toxic relationship patterns and start rebuilding trust in themselves.
Are you constantly questioning yourself, walking on eggshells around others, or struggling to recover from a toxic or traumatic relationship? Maybe you’ve been strong for so long that you’ve forgotten what it feels like to be supported. Whether you’re dealing with anxiety, depression, people-pleasing, or the lingering effects of emotional abuse, I’m here to help you heal and rediscover your voice.
Narcissistic abuse is one of my core specialties, and I’m passionate about supporting clients as they untangle themselves from toxic relationship patterns and start rebuilding trust in themselves.
Are you constantly questioning yourself, walking on eggshells around others, or struggling to recover from a toxic or traumatic relationship? Maybe you’ve been strong for so long that you’ve forgotten what it feels like to be supported. Whether you’re dealing with anxiety, depression, people-pleasing, or the lingering effects of emotional abuse, I’m here to help you heal and rediscover your voice.
(469) 253-7641 View (469) 253-7641
Rockwall Heath Counseling
Licensed Professional Counselor, LMSW, LPC, BCBC, MA, MEd
2 Endorsed
Rockwall, TX 75032
Our team treats grief & loss, neurodivergence/ADHD, marriage counseling, infidelity, infertility, narcissistic & abusive relationships, play therapy, blended & divorced families, family reunification, with over 35+ specialties & certifications and a 60+ combined years of counseling experience.
Our focus areas: Narcissism & abuse, play facilitated therapy, infertility, child & teen behavior & self-control issues, grief & loss, adult & teen ADD/ADHD, trauma, teen issues, blended families/divorce & post-divorce care, family reunification, couples counseling: in crisis, pre-marital, communication & infidelity, & adoption.
Our team treats grief & loss, neurodivergence/ADHD, marriage counseling, infidelity, infertility, narcissistic & abusive relationships, play therapy, blended & divorced families, family reunification, with over 35+ specialties & certifications and a 60+ combined years of counseling experience.
Our focus areas: Narcissism & abuse, play facilitated therapy, infertility, child & teen behavior & self-control issues, grief & loss, adult & teen ADD/ADHD, trauma, teen issues, blended families/divorce & post-divorce care, family reunification, couples counseling: in crisis, pre-marital, communication & infidelity, & adoption.
(972) 961-9570 View (972) 961-9570
Ruth David
Licensed Professional Counselor, MA, LPC
Conroe, TX 77304
Narcissistic Emotional Abuse-Nothing makes sense anymore
Will they change? Can I help them? Will things ever get better? I have your answer. Choosing a therapist with over 23 years of experience, who has written a book on the stages of being in an emotionally abusive relationship with a narcissist, as well as 47 published articles on the subject provides you one of the best opportunities to find your answers.
Narcissistic Emotional Abuse-Nothing makes sense anymore
Will they change? Can I help them? Will things ever get better? I have your answer. Choosing a therapist with over 23 years of experience, who has written a book on the stages of being in an emotionally abusive relationship with a narcissist, as well as 47 published articles on the subject provides you one of the best opportunities to find your answers.
(936) 202-3461 View (936) 202-3461
Xiangya (Sonya) Gao
Licensed Professional Counselor, LPC, RN
1 Endorsed
Online Only
With a decade of experience in the mental health field, I have had the privilege of working with over a thousand clients, gaining extensive expertise in a wide array of therapeutic interventions. My professional journey has involved supporting diverse populations, including individuals coping with serious mental illness and personality disorders and those navigating anxiety, depression, PTSD, or situational and adjustment challenges. This breadth of experience equips me to support individuals and couples facing various mental health concerns, fostering a compassionate and empowering therapeutic environment.
With a decade of experience in the mental health field, I have had the privilege of working with over a thousand clients, gaining extensive expertise in a wide array of therapeutic interventions. My professional journey has involved supporting diverse populations, including individuals coping with serious mental illness and personality disorders and those navigating anxiety, depression, PTSD, or situational and adjustment challenges. This breadth of experience equips me to support individuals and couples facing various mental health concerns, fostering a compassionate and empowering therapeutic environment.
(512) 890-3452 View (512) 890-3452
Dr. Antonio D Specht Sr
Verified Verified
Round Rock, TX 78665
I have to admit...I’m a robber. I rob people of excuses of why they can’t have something, do something, or be something. Hey! My name is Dr. Antonio D. Specht, Sr. and I’m a Licensed Professional Christian Therapist. I am a passionate professional who listens, and at the end of each session, I provide positive solutions to your problems. I love doing my job, and I love it more when my clients become selfish and focus all their time in THERAPY on themselves, realizing we can't get back our wated time. Allow me to work WITH you to "Change the Channel" on your life. Let ME teach you to love YOU again.
I have to admit...I’m a robber. I rob people of excuses of why they can’t have something, do something, or be something. Hey! My name is Dr. Antonio D. Specht, Sr. and I’m a Licensed Professional Christian Therapist. I am a passionate professional who listens, and at the end of each session, I provide positive solutions to your problems. I love doing my job, and I love it more when my clients become selfish and focus all their time in THERAPY on themselves, realizing we can't get back our wated time. Allow me to work WITH you to "Change the Channel" on your life. Let ME teach you to love YOU again.
(512) 890-2224 View (512) 890-2224
Shearon Penn
Licensed Professional Counselor, MS, MA, LPC
2 Endorsed
Arlington, TX 76016
I help couples find hope, happiness, and peace in their home environment. Communication, romance, and trust are important factors in a marriage. Do these roadblocks hinder you from being romantic and cause resentment in getting past insecurities. Are you a woman who no longer receives affection from your partner? Are you a man that no longer feels respected and admired? Are you a same sex couple who admires someone that provides unconditional support & acceptance. Are you struggling with not being heard or validated? My mission is to build an authentic relationship and learn ways to communicate and heal.
I help couples find hope, happiness, and peace in their home environment. Communication, romance, and trust are important factors in a marriage. Do these roadblocks hinder you from being romantic and cause resentment in getting past insecurities. Are you a woman who no longer receives affection from your partner? Are you a man that no longer feels respected and admired? Are you a same sex couple who admires someone that provides unconditional support & acceptance. Are you struggling with not being heard or validated? My mission is to build an authentic relationship and learn ways to communicate and heal.
(682) 253-6799 View (682) 253-6799
Rachel Nanney
Licensed Professional Counselor, MS, LPC
Dallas, TX 75248
Some specialties include: women's issues, narcissistic abuse recovery, neurodivergence (adhd/autism), nervous system regulation (Safe and Sound Protocol), and religious trauma/deconstruction.
We all have a core need to be seen, heard, and valued. The journey of integration and healing can be complicated and non-linear, and I am here to partner with you on that path to wholeness. Uncovering your authentic self takes courage and requires the healing of childhood wounds, trauma, and societal pressures. I offer professional expertise in learning how to re-parent yourself, set healthy boundaries, and integrate wellness into your life as you reach your goals. I believe you are capable of tapping into resiliency and manifesting the life that you want through the therapeutic process.
Some specialties include: women's issues, narcissistic abuse recovery, neurodivergence (adhd/autism), nervous system regulation (Safe and Sound Protocol), and religious trauma/deconstruction.
We all have a core need to be seen, heard, and valued. The journey of integration and healing can be complicated and non-linear, and I am here to partner with you on that path to wholeness. Uncovering your authentic self takes courage and requires the healing of childhood wounds, trauma, and societal pressures. I offer professional expertise in learning how to re-parent yourself, set healthy boundaries, and integrate wellness into your life as you reach your goals. I believe you are capable of tapping into resiliency and manifesting the life that you want through the therapeutic process.
(972) 433-5626 View (972) 433-5626
Liana Kay Randel
Licensed Professional Counselor, EMDR, DBT
4 Endorsed
Fort Worth, TX 76107
I am currently working on becoming certified in Narcissistic Abuse Recovery.
Sharing your story and being vulnerable is one of the bravest and life giving things you can do. Life can be confusing. You feel out of control, your anxiety can spike and you feel lost. You have so many thoughts spinning in your head and you don't know where to turn or what to do with those thoughts. I am here to help you make sense of all the things going on in the world and have a safe place to discuss what you're facing. You do not have to navigate this alone.
I am currently working on becoming certified in Narcissistic Abuse Recovery.
Sharing your story and being vulnerable is one of the bravest and life giving things you can do. Life can be confusing. You feel out of control, your anxiety can spike and you feel lost. You have so many thoughts spinning in your head and you don't know where to turn or what to do with those thoughts. I am here to help you make sense of all the things going on in the world and have a safe place to discuss what you're facing. You do not have to navigate this alone.
(817) 409-7422 View (817) 409-7422
Scott D. Altamirano (Fort Worth)
Marriage & Family Therapist, LMFT
Online Only
You're in the chaos right now - relationship just ended, porn use spiraling, recovering from a narcissistic ex, or stuck in anxious-avoidant dating patterns.
I'm attachment-focused and heavy on psychoeducation and grief work. My approach is direct and unfiltered - I love dark humor, don't shy from awkward topics, and I'm not here to tiptoe around what needs to be said. I'm a gay, liberal, Hispanic, male veteran who is ready to help you figure out your situation.
You're in the chaos right now - relationship just ended, porn use spiraling, recovering from a narcissistic ex, or stuck in anxious-avoidant dating patterns.
I'm attachment-focused and heavy on psychoeducation and grief work. My approach is direct and unfiltered - I love dark humor, don't shy from awkward topics, and I'm not here to tiptoe around what needs to be said. I'm a gay, liberal, Hispanic, male veteran who is ready to help you figure out your situation.
View
Sara Letizia
Licensed Professional Counselor, MSEd, LPC
8 Endorsed
Katy, TX 77494
I have worked with a wide array of issues including, but not limited to childhood trauma, narcissistic abuse and complex PTSD, Intimate Partner Violence (IPV), spirituality, LGBTQIA+ concerns, substance use disorders, and bipolar disorder.
Do you feel disconnected from your true self? Do you yearn to feel like YOU again but have no idea where to start? The good news is, it is possible to reconnect to your truest self. You deserve to feel the joy you once felt. I can help you do this. I have worked in various settings within the helping field since 2012. I have worked in a psychological research lab, clinical neuropsychology practice, dual diagnosis treatment centers, a behavioral health hospital and private practice. Additionally, I studied women’s spirituality and healing through ancient traditions and rituals for 4 years.
I have worked with a wide array of issues including, but not limited to childhood trauma, narcissistic abuse and complex PTSD, Intimate Partner Violence (IPV), spirituality, LGBTQIA+ concerns, substance use disorders, and bipolar disorder.
Do you feel disconnected from your true self? Do you yearn to feel like YOU again but have no idea where to start? The good news is, it is possible to reconnect to your truest self. You deserve to feel the joy you once felt. I can help you do this. I have worked in various settings within the helping field since 2012. I have worked in a psychological research lab, clinical neuropsychology practice, dual diagnosis treatment centers, a behavioral health hospital and private practice. Additionally, I studied women’s spirituality and healing through ancient traditions and rituals for 4 years.
(713) 322-4918 View (713) 322-4918
Tiffany Tate
Clinical Social Work/Therapist, LCSW-S
Online Only
Have you spent so much time caring for others that you have lost sight of your own needs? Perhaps you’re experiencing anxiety, stress, burnout, relationship challenges, grief, trauma, or a major life transition. I have extensive experience supporting survivors of domestic violence, veterans, and individuals navigating difficult life circumstances. Together, we will explore patterns that may be keeping you stuck, build on your existing strengths, and develop practical strategies for creating meaningful, lasting change. My goal is to provide a compassionate, supportive environment where you feel heard, understood, and empowered.
Have you spent so much time caring for others that you have lost sight of your own needs? Perhaps you’re experiencing anxiety, stress, burnout, relationship challenges, grief, trauma, or a major life transition. I have extensive experience supporting survivors of domestic violence, veterans, and individuals navigating difficult life circumstances. Together, we will explore patterns that may be keeping you stuck, build on your existing strengths, and develop practical strategies for creating meaningful, lasting change. My goal is to provide a compassionate, supportive environment where you feel heard, understood, and empowered.
(469) 564-4822 View (469) 564-4822
Tanya Castro
Licensed Professional Counselor, MA, LPC
Kerrville, TX 78028
My ideal clients are youth and adults seeking support with trauma, depression, anxiety, domestic violence, or major life transitions. Many come to therapy wanting a safe, non‑judgmental space to understand their emotions and build healthier coping strategies. I use TF‑CBT, CPT, and ART to help clients process difficult experiences, strengthen resilience, and create meaningful change. Whether someone is healing from trauma, navigating relationship stress, or rebuilding after crisis, I meet them where they are and help them move forward with clarity and confidence.
My ideal clients are youth and adults seeking support with trauma, depression, anxiety, domestic violence, or major life transitions. Many come to therapy wanting a safe, non‑judgmental space to understand their emotions and build healthier coping strategies. I use TF‑CBT, CPT, and ART to help clients process difficult experiences, strengthen resilience, and create meaningful change. Whether someone is healing from trauma, navigating relationship stress, or rebuilding after crisis, I meet them where they are and help them move forward with clarity and confidence.
(830) 476-7547 View (830) 476-7547
Courtney Loyola Onyx Counseling & Wellness Ctr
Licensed Professional Counselor, MA, LPC
Austin, TX 78704
Are you struggling with the lasting effects of complex trauma, grief, or narcissistic abuse?
You’re not too much. You’re not broken. You are surviving. Whether you're recovering from a toxic relationship, life long trauma, or a life- changing loss, you deserve compassionate support from someone who understands the emotional fallout of chronic trauma. Together, we can work to rebuild your sense of self and restore your nervous system.
Are you struggling with the lasting effects of complex trauma, grief, or narcissistic abuse?
You’re not too much. You’re not broken. You are surviving. Whether you're recovering from a toxic relationship, life long trauma, or a life- changing loss, you deserve compassionate support from someone who understands the emotional fallout of chronic trauma. Together, we can work to rebuild your sense of self and restore your nervous system.
(737) 204-3769 View (737) 204-3769
Kacy Latham
Licensed Professional Counselor Associate, MA, LPC-A, NCC
1 Endorsed
Austin, TX 78731
My focus is on un-learning the survival code installed by trauma and narcissistic abuse.
Are you a neurodivergent, twice-exceptional (2e), or "autistically-adjacent" person who was raised by—or partnered with—dominating, emotionally immature personalities? Do you suspect your "ADHD" might actually be the chronic hyper-vigilance of CPTSD? If so, you are likely the most analytically capable person in the room. You have analyzed your history to death and can describe the why of your trauma with clinical precision. Yet, despite years of therapy "managing symptoms," the internal patterns remain unchanged. Your mind has solved the puzzle, but your body is still living in survival mode.
My focus is on un-learning the survival code installed by trauma and narcissistic abuse.
Are you a neurodivergent, twice-exceptional (2e), or "autistically-adjacent" person who was raised by—or partnered with—dominating, emotionally immature personalities? Do you suspect your "ADHD" might actually be the chronic hyper-vigilance of CPTSD? If so, you are likely the most analytically capable person in the room. You have analyzed your history to death and can describe the why of your trauma with clinical precision. Yet, despite years of therapy "managing symptoms," the internal patterns remain unchanged. Your mind has solved the puzzle, but your body is still living in survival mode.
(940) 290-7052 View (940) 290-7052
Cassie Barrera
Licensed Professional Counselor, MS, LPC-S
3 Endorsed
Colleyville, TX 76034
Now offering supervision for Associates in Texas. In the midst of difficult times and challenges, we find opportunity. I believe that the moments we are pushed out of our comfort zone allow for personal growth and healing. I pull from several different approaches including Cognitive-Behavioral Therapy (CBT) and Solution-Focused Brief Therapy (SFBT). I find that this creates a unique counseling experience for each client and provides a collaborative environment to explore.
Now offering supervision for Associates in Texas. In the midst of difficult times and challenges, we find opportunity. I believe that the moments we are pushed out of our comfort zone allow for personal growth and healing. I pull from several different approaches including Cognitive-Behavioral Therapy (CBT) and Solution-Focused Brief Therapy (SFBT). I find that this creates a unique counseling experience for each client and provides a collaborative environment to explore.
(972) 994-1669 View (972) 994-1669
Katey Villalon
Marriage & Family Therapist, LMFT, IRT
2 Endorsed
Plano, TX 75093
Are you worn out by the arguments or stalemate you have with your partner or with your adult children? Are you feeling stuck or defeated? Are you just a little worried about the quiet contempt that you feel? Therapy can help. I work with couples, grown-up families and individuals to improve communication, reduce negativity and resolve conflict. Navigating difficulties like the end of a marriage, betrayal, aging, career change, retirement, regrets and loss is hard. In therapy, you can explore these issues without judgement and engage in constructive conversations that can help you define and implement a new path for your future.
Are you worn out by the arguments or stalemate you have with your partner or with your adult children? Are you feeling stuck or defeated? Are you just a little worried about the quiet contempt that you feel? Therapy can help. I work with couples, grown-up families and individuals to improve communication, reduce negativity and resolve conflict. Navigating difficulties like the end of a marriage, betrayal, aging, career change, retirement, regrets and loss is hard. In therapy, you can explore these issues without judgement and engage in constructive conversations that can help you define and implement a new path for your future.
(737) 204-1265 View (737) 204-1265
Bryant Hyland Packard
Marriage & Family Therapist, LMFT
2 Endorsed
Houston, TX 77007
To accomplish the changes you want will require bravery and vulnerability. Asking for help takes courage, and you are worth it! You can do your work now, or in the next relationship, or the work can “do you”. Supporting adults, adolescents, individuals, couples and families, specializing in Trauma, PTSD, Sexual & Romantic Health, Depression, Anxiety, Marital Conflict, Bi-Polar, ADHD, Sex & Love Addiction, Codependency and Relationship Issues. My passion is helping you actualize your authentic self, focused on your values, disempowering stories we tell ourselves to truly accomplish your ultimate goals and a life worth living.
To accomplish the changes you want will require bravery and vulnerability. Asking for help takes courage, and you are worth it! You can do your work now, or in the next relationship, or the work can “do you”. Supporting adults, adolescents, individuals, couples and families, specializing in Trauma, PTSD, Sexual & Romantic Health, Depression, Anxiety, Marital Conflict, Bi-Polar, ADHD, Sex & Love Addiction, Codependency and Relationship Issues. My passion is helping you actualize your authentic self, focused on your values, disempowering stories we tell ourselves to truly accomplish your ultimate goals and a life worth living.
(832) 409-2023 View (832) 409-2023
Juliana Long
Licensed Professional Counselor, MS, LPC
1 Endorsed
Online Only
You may be living with the painful aftermath of complex trauma shaped by long-term relational harm, emotional or physical neglect, or narcissistic abuse.
I offer Brainspotting and other humanistic modalities for deep trauma processing. Our work is collaborative, honoring you as the expert on your own life and experiences. My humanistic approach is attuned to the unique needs of complex trauma, integrating introspection, somatic awareness, safety, and nervous system regulation.
You may be living with the painful aftermath of complex trauma shaped by long-term relational harm, emotional or physical neglect, or narcissistic abuse.
I offer Brainspotting and other humanistic modalities for deep trauma processing. Our work is collaborative, honoring you as the expert on your own life and experiences. My humanistic approach is attuned to the unique needs of complex trauma, integrating introspection, somatic awareness, safety, and nervous system regulation.
(512) 222-9975 View (512) 222-9975
Kayleen Thorson
Clinical Social Work/Therapist, LCSW
Kingwood, TX 77339
Are you experiencing psychological, financial, or physical abuse from a toxic/ narcissistic partner, parent, sibling, or in your workplace environment?
As a trauma-informed therapist, I am trained in EMDR therapy and I utilize a strength-based, person centered approach in a warm and welcoming environment to promote a safe space for healing. Hearing your experience, I will help equip you with boundaries and strategies to protect yourself. We will explore relationship patterns to avoid repeating the cycle.
Are you experiencing psychological, financial, or physical abuse from a toxic/ narcissistic partner, parent, sibling, or in your workplace environment?
As a trauma-informed therapist, I am trained in EMDR therapy and I utilize a strength-based, person centered approach in a warm and welcoming environment to promote a safe space for healing. Hearing your experience, I will help equip you with boundaries and strategies to protect yourself. We will explore relationship patterns to avoid repeating the cycle.
(936) 296-3101 View (936) 296-3101
Positive Pathways Counseling, PLLC
Licensed Professional Counselor, MA, LPC, CCPT-II, NATC, DBT-I
4 Endorsed
Frisco, TX 75034
As an EMDR & trauma therapist, specialized in narcissistic abuse, & with 17 years of experience, I have been given the privilege to work with thousands of clients in various settings.
I believe that therapy is a calling, not just a profession. As an EMDR and trauma, trained professional, my goal is to help clients find their way out from the endless circle of anxiety, depression and shame that they feel stuck in, & assist their n helping clients find their Positive Pathway towards the life they envision for themselves.
As an EMDR & trauma therapist, specialized in narcissistic abuse, & with 17 years of experience, I have been given the privilege to work with thousands of clients in various settings.
I believe that therapy is a calling, not just a profession. As an EMDR and trauma, trained professional, my goal is to help clients find their way out from the endless circle of anxiety, depression and shame that they feel stuck in, & assist their n helping clients find their Positive Pathway towards the life they envision for themselves.
(469) 331-5627 View (469) 331-5627

See more therapy options for Texas

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.