Narcissistic Personality (NPD) Therapists in Washington

Photo of Michele Lee Cunningham - Michele Cunningham, Mental Health Counselor, MS, LMHC, SUDP, CLC
Michele Cunningham
Mental Health Counselor, MS, LMHC, SUDP, CLC
2 Endorsed
Sumner, WA 98390
I specialize in helping clients with anxiety, past and present trauma, grief and loss, depression, healing from emotional abusive, toxic and also narcissistic relationships.
Establishing healthy boundaries and developing healthy coping skills can guide you in a healthier life. Helping you heal mentally, emotionally, physically and spiritually. I would be honored to walk you through this process and help you establish life changing goals and increased self esteem and wellness.
I specialize in helping clients with anxiety, past and present trauma, grief and loss, depression, healing from emotional abusive, toxic and also narcissistic relationships.
Establishing healthy boundaries and developing healthy coping skills can guide you in a healthier life. Helping you heal mentally, emotionally, physically and spiritually. I would be honored to walk you through this process and help you establish life changing goals and increased self esteem and wellness.
(253) 893-6275 View (253) 893-6275
Photo of Jayne Helle, PhD, CHT
Jayne Helle
Verified Verified
Spokane, WA 99204
Hello! Everyone experiences anxiety from time to time, but for some people, it can interfere with everyday life. Do you find it difficult to concentrate or often feel overwhelmed? Do you experience a racing heart or lightheadedness? Are you finding yourself putting things off or avoiding social activities? Whether you know what triggers your anxiety or not, I can help you navigate through the stress without emotional turmoil by helping you let go of the past, have a fresh start, and create more happiness and well-being in your life. Together, we can move past what you have been struggling with and create the best version of you.
Hello! Everyone experiences anxiety from time to time, but for some people, it can interfere with everyday life. Do you find it difficult to concentrate or often feel overwhelmed? Do you experience a racing heart or lightheadedness? Are you finding yourself putting things off or avoiding social activities? Whether you know what triggers your anxiety or not, I can help you navigate through the stress without emotional turmoil by helping you let go of the past, have a fresh start, and create more happiness and well-being in your life. Together, we can move past what you have been struggling with and create the best version of you.
(509) 517-6191 View (509) 517-6191
Photo of Sherry Brown, Counselor, LMHC, LMFT, SUDP, LPC, LCPC
Sherry Brown
Counselor, LMHC, LMFT, SUDP, LPC, LCPC
4 Endorsed
Online Only
Are you wanting to recover from emotional abuse and gaslighting from a narcissistic partner?
You may not control all the events that happen to you, but you can decide not to be reduced by them. I want you to be successful in therapy. I have been a therapist for 33 years and am licensed in mental health counseling, couples & family therapy, and hold state certification in substance use disorders. I offer an interactive and compassionate presence.
Are you wanting to recover from emotional abuse and gaslighting from a narcissistic partner?
You may not control all the events that happen to you, but you can decide not to be reduced by them. I want you to be successful in therapy. I have been a therapist for 33 years and am licensed in mental health counseling, couples & family therapy, and hold state certification in substance use disorders. I offer an interactive and compassionate presence.
(425) 600-2536 View (425) 600-2536
Photo of Melody Goddard (Rhode), Psychologist, PhD, MA, MFT
Melody Goddard (Rhode)
Psychologist, PhD, MA, MFT
1 Endorsed
Bellingham, WA 98225
To value, strengthen, and repair relationships, subspecialties include forgiveness, relational ethics, multi-family, friendships, business, parent/child, siblings, and recovery for people in unanticipated changes, shifts in power, narcissistic relationships, and wounding by the church.
Dr. Melody Rhode is a Licensed Clinical Psychologist, Licensed Marriage and Family Therapist, Professional Consultant, and Life Coach. She works with individuals, couples, family systems, and leaders in business and public life. She employs interpersonal outcome-oriented strategic therapy to facilitate relational change and personal growth. Her practice is private, and oriented to a clientele typically reluctant to seek psychological help. Concentrating on relatively capable individuals, couples, and family members, Dr. Rhode works with transitions, midlife choices, entitlement vocational re-direction, unexpected trauma, and unprocessed grief. She has unique expertise in treating personality disorders (narcissism), and integrating psychology and spiritual wisdom towards changes that heal.
To value, strengthen, and repair relationships, subspecialties include forgiveness, relational ethics, multi-family, friendships, business, parent/child, siblings, and recovery for people in unanticipated changes, shifts in power, narcissistic relationships, and wounding by the church.
Dr. Melody Rhode is a Licensed Clinical Psychologist, Licensed Marriage and Family Therapist, Professional Consultant, and Life Coach. She works with individuals, couples, family systems, and leaders in business and public life. She employs interpersonal outcome-oriented strategic therapy to facilitate relational change and personal growth. Her practice is private, and oriented to a clientele typically reluctant to seek psychological help. Concentrating on relatively capable individuals, couples, and family members, Dr. Rhode works with transitions, midlife choices, entitlement vocational re-direction, unexpected trauma, and unprocessed grief. She has unique expertise in treating personality disorders (narcissism), and integrating psychology and spiritual wisdom towards changes that heal.
(360) 524-6013 View (360) 524-6013
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 Frances J Archer, Counselor, LMHC, MHP, CMHS
Frances J Archer
Counselor, LMHC, MHP, CMHS
Spokane, WA 99204
I specialize in human relations, healthy dynamics, trauma (including narcissistic abuse), and emotional self regulation.
The decision to seek help is a personal one, often made after trying everything to remedy our circumstances. Childhood issues, symptoms of anxiety and depression, relational issues, and personal loss can take a toll. With over 20 years of counseling individuals and families with a wide swath of difficult circumstances, I have learned to provide a supportive, non-judgmental, truthful, and safe environment that promotes self confidence and hope in overcoming and breaking through the obstacles we all face from time to time
I specialize in human relations, healthy dynamics, trauma (including narcissistic abuse), and emotional self regulation.
The decision to seek help is a personal one, often made after trying everything to remedy our circumstances. Childhood issues, symptoms of anxiety and depression, relational issues, and personal loss can take a toll. With over 20 years of counseling individuals and families with a wide swath of difficult circumstances, I have learned to provide a supportive, non-judgmental, truthful, and safe environment that promotes self confidence and hope in overcoming and breaking through the obstacles we all face from time to time
(509) 797-7756 View (509) 797-7756
Photo of Christine Kay Cuhaciyan, Counselor, MA, LMHC, MHP
Christine Kay Cuhaciyan
Counselor, MA, LMHC, MHP
5 Endorsed
Everett, WA 98208
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 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 Elizabeth Mary Nichol, Counselor, MA, LMHC
Elizabeth Mary Nichol
Counselor, MA, LMHC
Tukwila, WA 98188
I have expertise in working with adult children of narcissistic parents.
I also do couples counseling with all types of couples. I have expertise in couples counseling where one partner has been diagnosed with Autism Spectrum Disorder. I use a variety of approaches, including the Gottman Method and Schema Therapy.
I have expertise in working with adult children of narcissistic parents.
I also do couples counseling with all types of couples. I have expertise in couples counseling where one partner has been diagnosed with Autism Spectrum Disorder. I use a variety of approaches, including the Gottman Method and Schema Therapy.
(425) 629-0788 x1 View (425) 629-0788 x1
Photo of Angela M. Klein, Licensed Mental Health Counselor , MS, LMHC
Angela M. Klein
Licensed Mental Health Counselor , MS, LMHC
3 Endorsed
Spokane, WA 99202
Waitlist for new clients
My specialties include: ADHD, C-PTSD and PTSD including from military combat trauma, emotional, physical and sexual abuse, narcissistic abuse and sibling sexual abuse; panic disorders, anxiety, religious stress and trauma and cult recovery.
No matter what you're struggling with, we are all naturally wired to heal and find restoration. My goal is to help clients find peace in their bodies and minds by working to heal their overstressed nervous system. This includes providing a supportive relationship and a personalized approach for every client. I use a variety of evidence based techniques including EMDR, Polyvagal Theory, Somatic Experiencing, Internal Family Systems Therapy (IFS) principles and Mindfulness Based Cognitive therapies (DBT & ACT). This flexible approach helps me tailor the sessions to each client in order to provide the most helpful resources.
My specialties include: ADHD, C-PTSD and PTSD including from military combat trauma, emotional, physical and sexual abuse, narcissistic abuse and sibling sexual abuse; panic disorders, anxiety, religious stress and trauma and cult recovery.
No matter what you're struggling with, we are all naturally wired to heal and find restoration. My goal is to help clients find peace in their bodies and minds by working to heal their overstressed nervous system. This includes providing a supportive relationship and a personalized approach for every client. I use a variety of evidence based techniques including EMDR, Polyvagal Theory, Somatic Experiencing, Internal Family Systems Therapy (IFS) principles and Mindfulness Based Cognitive therapies (DBT & ACT). This flexible approach helps me tailor the sessions to each client in order to provide the most helpful resources.
(509) 408-3578 View (509) 408-3578
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
1 Endorsed
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. Laura K. Schenck, Counselor, PhD, LMHC
Dr. Laura K. Schenck
Counselor, PhD, LMHC
Spokane, WA 99201
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 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 Jennifer E Harris, Marriage & Family Therapist, LMFT
Jennifer E Harris
Marriage & Family Therapist, LMFT
Online Only
I am a Licensed Marriage and Family Therapist. My main focus is helping people heal and understand themselves. I think we can all make a huge impact in the world when we are centered, grounded, and balanced. I hope to help you understand how you are moving in the world and give you tools that will help you achieve your goals.
I am a Licensed Marriage and Family Therapist. My main focus is helping people heal and understand themselves. I think we can all make a huge impact in the world when we are centered, grounded, and balanced. I hope to help you understand how you are moving in the world and give you tools that will help you achieve your goals.
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Photo of Dr. Brandie Lamberton Anders, Psychologist, PsyD, EdS
Dr. Brandie Lamberton Anders
Psychologist, PsyD, EdS
2 Endorsed
Online Only
Are you working to rebuild yourself after narcissistic abuse or a high-conflict relationship?
Do you feel like your brain is wired differently than the world expects? Whether you're navigating ADHD, autism, or a mood disorder, in treatment we will focus on your unique challenges and strengths to develop and implement strategies that actually work for your brain.
Are you working to rebuild yourself after narcissistic abuse or a high-conflict relationship?
Do you feel like your brain is wired differently than the world expects? Whether you're navigating ADHD, autism, or a mood disorder, in treatment we will focus on your unique challenges and strengths to develop and implement strategies that actually work for your brain.
(206) 488-0797 View (206) 488-0797
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.
In an unhealthy relationship? Just coming out of one? Are you still reeling from what you experienced? Questioning what serves you and your highest self? Ruminating? Stuck in analysis paralysis? Struggling to move forward? Struggling to trust others? 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 and maintain control over you? Recovering from MAGA? Co-parenting or family difficulties? Need a healing, transformative experience?
I have personal and professional experience in narcissistic abuse recovery.
In an unhealthy relationship? Just coming out of one? Are you still reeling from what you experienced? Questioning what serves you and your highest self? Ruminating? Stuck in analysis paralysis? Struggling to move forward? Struggling to trust others? 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 and maintain control over you? Recovering from MAGA? Co-parenting or family difficulties? Need a healing, transformative experience?
(425) 264-8649 View (425) 264-8649
Photo of Jean Ann Gabby, Licensed Clinical Professional Counselor, MS, LCPC
Jean Ann Gabby
Licensed Clinical Professional Counselor, MS, LCPC
1 Endorsed
Serves Area
Waitlist for new clients
My 200-page master's thesis, "The Relationship of Ego Development and Narcissistic Vulnerability to Divorce-Transition Impasse," reveals why people become stuck at impasse.
Once in a while everyone can use another set of eyes and a seasoned perspective on an issue. An experienced counselor/coach/mentor in practice for 34 years, I provide personal counseling, premarital and relationship counseling, communication and manners training, conflict resolution, and business coaching for individuals, couples, large and small groups. I help adult clients grow up. My goal is to address the national epidemic of elongated adolescence, the tragedy of phone-based childhoods and anxiety-ridden lives, medically & socially-sedated citizens, skyrocketing narcissism, and children raising children, one client at a time.
My 200-page master's thesis, "The Relationship of Ego Development and Narcissistic Vulnerability to Divorce-Transition Impasse," reveals why people become stuck at impasse.
Once in a while everyone can use another set of eyes and a seasoned perspective on an issue. An experienced counselor/coach/mentor in practice for 34 years, I provide personal counseling, premarital and relationship counseling, communication and manners training, conflict resolution, and business coaching for individuals, couples, large and small groups. I help adult clients grow up. My goal is to address the national epidemic of elongated adolescence, the tragedy of phone-based childhoods and anxiety-ridden lives, medically & socially-sedated citizens, skyrocketing narcissism, and children raising children, one client at a time.
(208) 423-3474 View (208) 423-3474
Photo of Marilyn Jhung - Infidelity Counseling After Affair Discovery, Clinical Social Work/Therapist, MSW, LCSW, CPD
Infidelity Counseling After Affair Discovery
Clinical Social Work/Therapist, MSW, LCSW, CPD
Online Only
When infidelity is uncovered, everything destabilizes. You may be searching for infidelity counseling, marriage counseling after an affair, or couples therapy after cheating because the shock feels unbearable. If you are the betrayed partner, you may need the full truth to feel sane again — especially if there has been gaslighting or denial. If you were involved in the infidelity, you may be flooded with guilt, fear, and panic about losing your marriage. Without professional guidance, this stage often causes more damage than the affair itself.
When infidelity is uncovered, everything destabilizes. You may be searching for infidelity counseling, marriage counseling after an affair, or couples therapy after cheating because the shock feels unbearable. If you are the betrayed partner, you may need the full truth to feel sane again — especially if there has been gaslighting or denial. If you were involved in the infidelity, you may be flooded with guilt, fear, and panic about losing your marriage. Without professional guidance, this stage often causes more damage than the affair itself.
(424) 344-5967 View (424) 344-5967
Photo of Kristalene Pitts-Palmerton, Clinical Social Work/Therapist, MSW, LCSW, LICSW
Kristalene Pitts-Palmerton
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Online Only
Specializing in trauma, narcissistic abuse, antagonistic relationships, and relationship issues, I am here to help you heal, break the cycle of trauma, and move forward into a brighter, healthier future.
Specializing in Narcissistic Abuse, Trauma, Antagonistic Relationships, and Relationship Issues. 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;
Specializing in trauma, narcissistic abuse, antagonistic relationships, and relationship issues, I am here to help you heal, break the cycle of trauma, and move forward into a brighter, healthier future.
Specializing in Narcissistic Abuse, Trauma, Antagonistic Relationships, and Relationship Issues. 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;
(971) 405-8752 View (971) 405-8752
Photo of Shannon Vega, Clinical Social Work/Therapist, MSW, LICSW, CMHS, MHP
Shannon Vega
Clinical Social Work/Therapist, MSW, LICSW, CMHS, MHP
1 Endorsed
Centralia, WA 98531
Not sure what to do? Feeling desperate and hopeless? Struggling with letting go of the past? Don't know what to do about your child's out of control behaviors? We all come to a point in our lives when things seem unbearable. Sometimes we need a little help for a short amount of time, and sometimes we need a huge assist for an indefinite amount of time. My hope is that you begin to gain the confidence and stability to live life, not simply survive this world. I have an eclectic approach and pull from many therapeutic modalities to meet people where they are in their therapeutic journey.
Not sure what to do? Feeling desperate and hopeless? Struggling with letting go of the past? Don't know what to do about your child's out of control behaviors? We all come to a point in our lives when things seem unbearable. Sometimes we need a little help for a short amount of time, and sometimes we need a huge assist for an indefinite amount of time. My hope is that you begin to gain the confidence and stability to live life, not simply survive this world. I have an eclectic approach and pull from many therapeutic modalities to meet people where they are in their therapeutic journey.
(360) 230-5852 View (360) 230-5852

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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.