Narcissistic Personality (NPD) Therapists in Seattle, WA

Photo of David S Shen-Miller, Psychologist, PhD
David S Shen-Miller
Psychologist, PhD
2 Endorsed
Seattle, WA 98103
I am passionate about helping you reach your potential. We accomplish this together through a psychoanalytic, interpersonal, mind-body-spirit integration that draws on your strengths and resources. I believe psychoanalysis and psychotherapy are not about fixing what is wrong, but about using what is working well for you and deepening your skills to increase your health, well-being, and overall freedom and flexibility. I care deeply about providing excellent care, and trying out new ways of relating and understanding yourself that will lead you to optimize your health and connections with others.
I am passionate about helping you reach your potential. We accomplish this together through a psychoanalytic, interpersonal, mind-body-spirit integration that draws on your strengths and resources. I believe psychoanalysis and psychotherapy are not about fixing what is wrong, but about using what is working well for you and deepening your skills to increase your health, well-being, and overall freedom and flexibility. I care deeply about providing excellent care, and trying out new ways of relating and understanding yourself that will lead you to optimize your health and connections with others.
(206) 966-4256 View (206) 966-4256
Photo of Ali Clark - Midbar Therapy, PLLC, Licensed Mental Health Counselor, LMHC, ACHt
Midbar Therapy, PLLC
Licensed Mental Health Counselor, LMHC, ACHt
Seattle, WA 98136
Most of my clients are women carrying trauma woven into relationship — a partner's betrayal, a narcissistic parent, a mother who couldn't show up.
Therapy Intensives for High Achieving, Reflective Women Ready to Live with True Autonomy. You're an ambitious woman realizing the patterns that got you here can't take you forward. From the outside, things look impressive. From the inside, you're tired in a way that rest doesn't touch. The "not good enough" whisper never quite leaves. Maybe you're navigating betrayal, the erosion of a relationship, or the long shadow of a mother who couldn't show up. You've done a lot of personal work and still feel stuck between what you understand and feel and how you live.
Most of my clients are women carrying trauma woven into relationship — a partner's betrayal, a narcissistic parent, a mother who couldn't show up.
Therapy Intensives for High Achieving, Reflective Women Ready to Live with True Autonomy. You're an ambitious woman realizing the patterns that got you here can't take you forward. From the outside, things look impressive. From the inside, you're tired in a way that rest doesn't touch. The "not good enough" whisper never quite leaves. Maybe you're navigating betrayal, the erosion of a relationship, or the long shadow of a mother who couldn't show up. You've done a lot of personal work and still feel stuck between what you understand and feel and how you live.
(206) 739-0013 View (206) 739-0013
Photo of Joy Holt Hilliker - Joy Holt Hilliker Psychotherapy & Consultation, Counselor, BA, MA, MACP, LMHC
Joy Holt Hilliker Psychotherapy & Consultation
Counselor, BA, MA, MACP, LMHC
Online Only
Seeking therapy can be a daunting process, while also being one step toward greater wholeness/healing. Relationship is where we are both wounded and healed. I work with individuals seeking relief from distressing symptoms such as; demanding too much of yourself, finding it hard to trust self, trust your own experience, self-soothing through addictive behaviors, pleasing others at your own expense, anxiety, depression, CPTSD. Our patterns of relating develop early within our first attachments, so our journey might include visiting some of those relationships to wonder how they impact you in the here and now.
Seeking therapy can be a daunting process, while also being one step toward greater wholeness/healing. Relationship is where we are both wounded and healed. I work with individuals seeking relief from distressing symptoms such as; demanding too much of yourself, finding it hard to trust self, trust your own experience, self-soothing through addictive behaviors, pleasing others at your own expense, anxiety, depression, CPTSD. Our patterns of relating develop early within our first attachments, so our journey might include visiting some of those relationships to wonder how they impact you in the here and now.
(206) 866-6213 View (206) 866-6213
Photo of Dr. Jeffery Goff, Counselor, PhD, MA, LMHC
Dr. Jeffery Goff
Counselor, PhD, MA, LMHC
4 Endorsed
Online Only
Hello I'm Jeffery! I'm the Founder and CEO of Pacific Mental Health. I split my time between supervising, teaching, and providing therapy to a small caseload of clients. I work with men from a Jungian depth perspective, who struggle with anger management and domestic violence. I also utilize CBT for issues involving unhealthy thought patterns.
Hello I'm Jeffery! I'm the Founder and CEO of Pacific Mental Health. I split my time between supervising, teaching, and providing therapy to a small caseload of clients. I work with men from a Jungian depth perspective, who struggle with anger management and domestic violence. I also utilize CBT for issues involving unhealthy thought patterns.
(206) 666-4299 View (206) 666-4299
Photo of Dr. Brandie Lamberton Anders, Psychologist, PsyD, EdS
Dr. Brandie Lamberton Anders
Psychologist, PsyD, EdS
2 Endorsed
Online Only
Do you feel drained or destabilized by a high-conflict relationship ( narcissistic, borderline, or histrionic traits)?
Whether you are navigating the complexities of ADHD/Autism or untangling the trauma of narcissistic abuse, I aim to understand how the complexity of your unique brain, personality, and life experiences informs your daily challenges. I bring 20+ years of experience in assessment, diagnosis, and evidence-based interventions to help you meet your goals.
Do you feel drained or destabilized by a high-conflict relationship ( narcissistic, borderline, or histrionic traits)?
Whether you are navigating the complexities of ADHD/Autism or untangling the trauma of narcissistic abuse, I aim to understand how the complexity of your unique brain, personality, and life experiences informs your daily challenges. I bring 20+ years of experience in assessment, diagnosis, and evidence-based interventions to help you meet your goals.
(206) 488-0797 View (206) 488-0797
Photo of Dr. Alexandra A. Repke, Psychologist, PhD, CSAT, C-PD, CAIMHP
Dr. Alexandra A. Repke
Psychologist, PhD, CSAT, C-PD, CAIMHP
2 Endorsed
Online Only
As a licensed psychologist, I specialize in the assessment and treatment of personality disorders, including narcissistic, histrionic, borderline, antisocial, and obsessive-compulsive personality disorders.
The initial sessions focus on achieving diagnostic clarity. It's essential to carefully distinguish personality disorders from personality issues, just as it is to differentiate between substance abuse and dependence, or between sexual addiction and other sexual concerns. Let's figure out what is going on to get you the treatment you need.
As a licensed psychologist, I specialize in the assessment and treatment of personality disorders, including narcissistic, histrionic, borderline, antisocial, and obsessive-compulsive personality disorders.
The initial sessions focus on achieving diagnostic clarity. It's essential to carefully distinguish personality disorders from personality issues, just as it is to differentiate between substance abuse and dependence, or between sexual addiction and other sexual concerns. Let's figure out what is going on to get you the treatment you need.
(401) 267-9834 View (401) 267-9834
Photo of Kellen Von Houser, Licensed Professional Counselor, LPC-S
Kellen Von Houser
Licensed Professional Counselor, LPC-S
2 Endorsed
Online Only
I specialize in working with adult survivors of narcissistic, borderline, or antisocial (psychopathic) parents.
With 19 years of experience my main goal for therapy is to provide a safe, accepting, comfortable space where you can be yourself and feel safe enough to work on whatever issues you wish to work on. My practice is respectful of people of every; race, gender, culture, sexual orientation, gender expression, religious belief, and other ways of being.
I specialize in working with adult survivors of narcissistic, borderline, or antisocial (psychopathic) parents.
With 19 years of experience my main goal for therapy is to provide a safe, accepting, comfortable space where you can be yourself and feel safe enough to work on whatever issues you wish to work on. My practice is respectful of people of every; race, gender, culture, sexual orientation, gender expression, religious belief, and other ways of being.
(737) 204-8856 View (737) 204-8856
Photo of Marshall Mclean, Marriage & Family Therapist Associate, LMFTA, MA
Marshall Mclean
Marriage & Family Therapist Associate, LMFTA, MA
3 Endorsed
Serves Area
I specialize in working with individuals and couples who have hit a wall with surface-level fixes and are ready to address the root. My ideal clients often feel "stuck" in repetitive patterns of self-sabotage, burnout, or unfulfilling relationships that they can’t logically explain. Using a psychodynamic and relational lens, we dive deep into the unconscious beliefs and childhood blueprints that drive your current behaviors. By exploring the shadow self and integrating repressed parts of your history, we don't simply manage symptoms; we get to the heart of who you are and seek to integrate it into your life.
I specialize in working with individuals and couples who have hit a wall with surface-level fixes and are ready to address the root. My ideal clients often feel "stuck" in repetitive patterns of self-sabotage, burnout, or unfulfilling relationships that they can’t logically explain. Using a psychodynamic and relational lens, we dive deep into the unconscious beliefs and childhood blueprints that drive your current behaviors. By exploring the shadow self and integrating repressed parts of your history, we don't simply manage symptoms; we get to the heart of who you are and seek to integrate it into your life.
(509) 774-5638 View (509) 774-5638
Photo of Christine Kay Cuhaciyan, Counselor, MA, LMHC, MHP
Christine Kay Cuhaciyan
Counselor, MA, LMHC, MHP
5 Endorsed
Serves Area
Waitlist for new clients
I specialize in working with women's issues including codependency, recovery from narcissistic abuse, self-esteem, transition to parenthood, and postpartum mood and anxiety disorders.
Are you currently in a relationship where you're not happy but can't seem to get yourself to leave? Maybe you feel emotionally stuck or confused and have tried leaving only to return to the same unhappy relationship where nothing seems to change. On the other hand, you might feel that you keep entering into relationships in which you are treated poorly but can't figure out why. Perhaps you're dating and finding "the one" seems impossible. You feel sad and disappointed, no one seems to understand, and you don't know what else to do to make things better. I'm here to tell you that things can change and I am here to help!
I specialize in working with women's issues including codependency, recovery from narcissistic abuse, self-esteem, transition to parenthood, and postpartum mood and anxiety disorders.
Are you currently in a relationship where you're not happy but can't seem to get yourself to leave? Maybe you feel emotionally stuck or confused and have tried leaving only to return to the same unhappy relationship where nothing seems to change. On the other hand, you might feel that you keep entering into relationships in which you are treated poorly but can't figure out why. Perhaps you're dating and finding "the one" seems impossible. You feel sad and disappointed, no one seems to understand, and you don't know what else to do to make things better. I'm here to tell you that things can change and I am here to help!
(206) 312-2649 View (206) 312-2649
Photo of Dr. Laura K. Schenck, Counselor, PhD, LMHC
Dr. Laura K. Schenck
Counselor, PhD, LMHC
Serves Area
I deeply believe in the human capacity for growth in the face of incredible adversity. Pain is oftentimes inevitable, but suffering is optional. For those brave enough to reach out for support in trying times, I offer a new way to draw upon inner strengths and reframe how you relate to your thoughts, emotions, and behaviors. My aim is to compassionately work with you to understand your concerns and their impact.
I deeply believe in the human capacity for growth in the face of incredible adversity. Pain is oftentimes inevitable, but suffering is optional. For those brave enough to reach out for support in trying times, I offer a new way to draw upon inner strengths and reframe how you relate to your thoughts, emotions, and behaviors. My aim is to compassionately work with you to understand your concerns and their impact.
(512) 881-0119 View (512) 881-0119
Photo of Shanice N Watson, MEd, LMHCA, NCC
Shanice N Watson
Verified Verified
6 Endorsed
Online Only
You learned early on how to hold everything together. Maybe you were the oldest, or the one who stepped into that “second parent” role. You became responsible, dependable, and strong… even when you shouldn’t have had to be. Now, as an adult, it can feel like you’re carrying too much. You might notice overwhelm or this constant pressure to get it right while also feeling unsure how to just be yourself. You may find yourself people pleasing, navigating inner child wounds, or starting things with the best intentions but struggling to follow through and feeling that weight of shame. I see you, and more importantly, I understand.
You learned early on how to hold everything together. Maybe you were the oldest, or the one who stepped into that “second parent” role. You became responsible, dependable, and strong… even when you shouldn’t have had to be. Now, as an adult, it can feel like you’re carrying too much. You might notice overwhelm or this constant pressure to get it right while also feeling unsure how to just be yourself. You may find yourself people pleasing, navigating inner child wounds, or starting things with the best intentions but struggling to follow through and feeling that weight of shame. I see you, and more importantly, I understand.
(509) 550-2399 View (509) 550-2399
Photo of Sean M Jackson, Counselor, MA, LMHC
Sean M Jackson
Counselor, MA, LMHC
2 Endorsed
Seattle, WA 98109
In the past 20 plus years as a licensed psychotherapist, I have walked with many patients through difficulty and challenge. Many of us have difficult experiences that can be overwhelming to sort through on our own. Without understanding what’s at the core of these experiences, we will be limited in making the positive changes we desire in our life. This deep work is approached with great care and gentleness, going as slow as needed, to be able to process and engage with many of our early life experiences, so you can experience profound healing, exciting growth, and lasting positive change.
In the past 20 plus years as a licensed psychotherapist, I have walked with many patients through difficulty and challenge. Many of us have difficult experiences that can be overwhelming to sort through on our own. Without understanding what’s at the core of these experiences, we will be limited in making the positive changes we desire in our life. This deep work is approached with great care and gentleness, going as slow as needed, to be able to process and engage with many of our early life experiences, so you can experience profound healing, exciting growth, and lasting positive change.
(206) 801-0662 View (206) 801-0662
Photo of Andrew Munoz, Clinical Social Work/Therapist, LICSW
Andrew Munoz
Clinical Social Work/Therapist, LICSW
Online Only
I find people are far more capable and resilient than they realize. My approach to therapy is collaborative, eclectic and person-centered. Whether the challenge stems from anxiety, depression, trauma or conflict within your relationship, skills can be learned to navigate your life circumstance. Relationships make up the core of who we are as human beings and effort is needed to learn skills to communicate, have healthier conflict resolution or restructure a relationship to fit our needs (with others and self).
I find people are far more capable and resilient than they realize. My approach to therapy is collaborative, eclectic and person-centered. Whether the challenge stems from anxiety, depression, trauma or conflict within your relationship, skills can be learned to navigate your life circumstance. Relationships make up the core of who we are as human beings and effort is needed to learn skills to communicate, have healthier conflict resolution or restructure a relationship to fit our needs (with others and self).
(206) 429-4199 View (206) 429-4199
Dr. John X Allemand
Clinical Social Work/Therapist, PhD, LICSW, BCD, MPH
Seattle, WA 98103
My work is influenced by the thought of existentialist philosophers and psychologists who speak compassionately to a profound and uniquely human dilemma—the quest for meaning in the face of suffering. Psychotherapy provides a safe and intimate space in which we might expand our capacity to bear suffering and to find meaning within and through it. Depth psychology proposes that the psyche consists of both conscious and unconscious thoughts, impulses, fantasies, and ideas. Symptoms (of depression, anxiety, addictions, etc.) are more than painful indicators of psychopathology.
My work is influenced by the thought of existentialist philosophers and psychologists who speak compassionately to a profound and uniquely human dilemma—the quest for meaning in the face of suffering. Psychotherapy provides a safe and intimate space in which we might expand our capacity to bear suffering and to find meaning within and through it. Depth psychology proposes that the psyche consists of both conscious and unconscious thoughts, impulses, fantasies, and ideas. Symptoms (of depression, anxiety, addictions, etc.) are more than painful indicators of psychopathology.
(206) 558-0266 View (206) 558-0266
Photo of Liz Silvestrini, Counselor, LMHC, MA, JD
Liz Silvestrini
Counselor, LMHC, MA, JD
3 Endorsed
Online Only
It happened... In front of everyone. It was humiliating. And scary. This is not okay. The floating sense of anxiety has always been there, but this was a full blown panic attack. It comes on slowly, but you know where it's headed. Things start to feel tense and it's hard to breathe. Can't talk, everything gets blurry, and suddenly you are shaking uncontrollably or blacking out. It sucks to feel out of control like this. It messes up your plans, makes it impossible to feel confident in yourself. In fact, you haven't felt like yourself at all since it happened. When will it go back to normal? Will it ever feel okay again?
It happened... In front of everyone. It was humiliating. And scary. This is not okay. The floating sense of anxiety has always been there, but this was a full blown panic attack. It comes on slowly, but you know where it's headed. Things start to feel tense and it's hard to breathe. Can't talk, everything gets blurry, and suddenly you are shaking uncontrollably or blacking out. It sucks to feel out of control like this. It messes up your plans, makes it impossible to feel confident in yourself. In fact, you haven't felt like yourself at all since it happened. When will it go back to normal? Will it ever feel okay again?
(425) 842-1125 View (425) 842-1125
Photo of Xuan Ho, Marriage & Family Therapist, LMFT, CST
Xuan Ho
Marriage & Family Therapist, LMFT, CST
1 Endorsed
Seattle, WA 98118
Changes in relationships and life circumstances can bring about challenging feelings. I see folx for individual, couples, and sex therapy to help people navigate: high conflict, communication issues, trauma, anxiety, avoidance, trust issues, shame, infidelity/betrayal, desire discrepancy, erectile dysfunction, sexual avoidance and more. My clients usually seek therapy because they feel stuck and fed up with where they are and are looking to learn, change, and transition to a place where they are at peace within themselves, satisfied in their relationships and have greater clarity in their direction and confidence in themselves.
Changes in relationships and life circumstances can bring about challenging feelings. I see folx for individual, couples, and sex therapy to help people navigate: high conflict, communication issues, trauma, anxiety, avoidance, trust issues, shame, infidelity/betrayal, desire discrepancy, erectile dysfunction, sexual avoidance and more. My clients usually seek therapy because they feel stuck and fed up with where they are and are looking to learn, change, and transition to a place where they are at peace within themselves, satisfied in their relationships and have greater clarity in their direction and confidence in themselves.
(206) 681-2164 View (206) 681-2164
Photo of Lauren Robinson, Mental Health Counselor, MA, LMHC
Lauren Robinson
Mental Health Counselor, MA, LMHC
15 Endorsed
Online Only
You may be someone others rely on — capable, responsible, and outwardly steady — yet privately carrying anxiety, emotional fatigue, or a persistent sense of pressure. Many high-capacity professionals find themselves stuck in patterns of over-responsibility, difficulty relaxing, or feeling disconnected in close relationships. You want more than symptom relief. You want to understand why these patterns exist and how to feel more grounded, connected, and internally at ease.
You may be someone others rely on — capable, responsible, and outwardly steady — yet privately carrying anxiety, emotional fatigue, or a persistent sense of pressure. Many high-capacity professionals find themselves stuck in patterns of over-responsibility, difficulty relaxing, or feeling disconnected in close relationships. You want more than symptom relief. You want to understand why these patterns exist and how to feel more grounded, connected, and internally at ease.
(425) 272-6106 View (425) 272-6106
Photo of Ola Elwakeel, Marriage & Family Therapist Associate, LMFT-A
Ola Elwakeel
Marriage & Family Therapist Associate, LMFT-A
1 Endorsed
Seattle, WA 98103
Navigating certain relationships in our lives can feel challenging and overwhelming. If you’re stuck in distressing patterns, tired of repeated arguments, and are hoping to break these cycles, then I can support you through that. Whether you’re facing communication challenges with your partner, experiencing family conflict, or overwhelmed navigating parenthood, therapy can be the space where you lift some weight off your shoulders. My training as a couple and family therapist equips me to help you work towards more fulfilling dynamics. I have interest and experience working with neurodiversity, personality disorders and trauma.
Navigating certain relationships in our lives can feel challenging and overwhelming. If you’re stuck in distressing patterns, tired of repeated arguments, and are hoping to break these cycles, then I can support you through that. Whether you’re facing communication challenges with your partner, experiencing family conflict, or overwhelmed navigating parenthood, therapy can be the space where you lift some weight off your shoulders. My training as a couple and family therapist equips me to help you work towards more fulfilling dynamics. I have interest and experience working with neurodiversity, personality disorders and trauma.
(206) 202-9416 View (206) 202-9416
Photo of Anne Clemente, Clinical Social Work/Therapist, MSW, LICSW
Anne Clemente
Clinical Social Work/Therapist, MSW, LICSW
2 Endorsed
Seattle, WA 98115
Additional trainings include Narcissistic Abuse & Gaslighting Treatment Course.
Welcome. I offer Therapy for Healing from Complicated Pasts, Presents and Relationships. I help people with the difficult events and relationships in their lives: issues from childhood that are holding you back, a current difficulty with a partner or spouse, a divorce, or a trauma you don't want to carry alone anymore. You don't have to recount the worst things that have happened to you for therapy to work. We will start with where you want to be, how you want to feel and make a plan from there.
Additional trainings include Narcissistic Abuse & Gaslighting Treatment Course.
Welcome. I offer Therapy for Healing from Complicated Pasts, Presents and Relationships. I help people with the difficult events and relationships in their lives: issues from childhood that are holding you back, a current difficulty with a partner or spouse, a divorce, or a trauma you don't want to carry alone anymore. You don't have to recount the worst things that have happened to you for therapy to work. We will start with where you want to be, how you want to feel and make a plan from there.
(206) 454-8382 View (206) 454-8382
Photo of Seth Aichele, Counselor, MA, LMHC
Seth Aichele
Counselor, MA, LMHC
1 Endorsed
Seattle, WA 98103
Pain is the best teacher, but often it can be difficult to understand what emotional pain is trying to speak. It may be trying to get your attention through an unwanted behavior, an unbearable feeling, or an unbreakable thought pattern. It may show itself in repeated relational dysfunction, addiction, or disturbances in mood or sleep. I find I work well with people who are exhausted from trying to manage or control emotional pain, and are ready to face it holistically and head-on. I also help people suffering from complicated and acute psychological problems which have not responded well to other therapy treatments.
Pain is the best teacher, but often it can be difficult to understand what emotional pain is trying to speak. It may be trying to get your attention through an unwanted behavior, an unbearable feeling, or an unbreakable thought pattern. It may show itself in repeated relational dysfunction, addiction, or disturbances in mood or sleep. I find I work well with people who are exhausted from trying to manage or control emotional pain, and are ready to face it holistically and head-on. I also help people suffering from complicated and acute psychological problems which have not responded well to other therapy treatments.
(206) 203-4134 View (206) 203-4134

See more therapy options for Seattle

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.