Narcissistic Personality (NPD) Therapists in Washington
I am licensed in Washington State and I work with adult children, partners and siblings of individuals with Narcissistic and Borderline Personality Disorder traits. It can be difficult to find a therapist who truly understands the impact and wounds of being raised in a home or being in a relationship with someone who has narcissistic traits or borderline traits. My work includes creating a healthy psychological separation, changing the negative internal messages, learning how to respond to others, creating healthy boundaries, stopping the legacy of distorted love and becoming your true and authentic self.
I am licensed in Washington State and I work with adult children, partners and siblings of individuals with Narcissistic and Borderline Personality Disorder traits. It can be difficult to find a therapist who truly understands the impact and wounds of being raised in a home or being in a relationship with someone who has narcissistic traits or borderline traits. My work includes creating a healthy psychological separation, changing the negative internal messages, learning how to respond to others, creating healthy boundaries, stopping the legacy of distorted love and becoming your true and authentic self.
Dr. Alexandra J. Repke
Psychologist, PhD, CSAT, C-PD, CAIMHP
Verified Verified
3 Endorsed
Online Only
Is it a personality disorder or a personality issue? How can you tell the difference? I’m here to help. As a licensed psychologist, I specialize in the assessment and treatment of personality disorders, including narcissistic, histrionic, borderline, antisocial, and obsessive-compulsive personality disorders. There is hope here. I also understand that personality disorders often present additional barriers to recovery from chemical or sexual addiction—two areas where I bring focused expertise. Whether you’re navigating your own struggles or seeking help for a loved one, I’m here to guide you on a path to wellness.
Is it a personality disorder or a personality issue? How can you tell the difference? I’m here to help. As a licensed psychologist, I specialize in the assessment and treatment of personality disorders, including narcissistic, histrionic, borderline, antisocial, and obsessive-compulsive personality disorders. There is hope here. I also understand that personality disorders often present additional barriers to recovery from chemical or sexual addiction—two areas where I bring focused expertise. Whether you’re navigating your own struggles or seeking help for a loved one, I’m here to guide you on a path to wellness.
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
Life is a journey. Sometimes we need a sounding board to sort out our thoughts and feelings and gain a new perspective on life. My goal is to help you be the happiest person you can be. I specialize in working with clients with complex trauma, which is trauma related to childhood experiences. I have expertise in working with adult children of narcissistic parents. I also have expertise in working with adult clients with depression, anxiety, post-traumatic stress disorder, family of origin issues, relationship issues, self-esteem issues, and career issues.
Life is a journey. Sometimes we need a sounding board to sort out our thoughts and feelings and gain a new perspective on life. My goal is to help you be the happiest person you can be. I specialize in working with clients with complex trauma, which is trauma related to childhood experiences. I have expertise in working with adult children of narcissistic parents. I also have expertise in working with adult clients with depression, anxiety, post-traumatic stress disorder, family of origin issues, relationship issues, self-esteem issues, and career issues.
Michele Cunningham
Mental Health Counselor, MS, LMHC, SUDP, CLC
Verified Verified
2 Endorsed
Sumner, WA 98390
I have experience working with teens, adults and couples counseling. I specialize in helping clients with anxiety, past trauma, grief and loss, depression, healing from emotional abusive, toxic and also narcissistic relationships. My other area I specialize in is working with substance abuse issues and trained in EMDR. I can support you with the tools you need to establish healthy relationships, and create life transitions. I will provide a safe and secure environment where you can grow, develop a sense of self, establish worth, and learn how to love yourself.
I have experience working with teens, adults and couples counseling. I specialize in helping clients with anxiety, past trauma, grief and loss, depression, healing from emotional abusive, toxic and also narcissistic relationships. My other area I specialize in is working with substance abuse issues and trained in EMDR. I can support you with the tools you need to establish healthy relationships, and create life transitions. I will provide a safe and secure environment where you can grow, develop a sense of self, establish worth, and learn how to love yourself.
Christine Kay Cuhaciyan
Counselor, MA, LMHC, MHP
Verified Verified
4 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!
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.
Elizabeth Sheen
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
1 Endorsed
Online Only
If you have been hurt by a narcissistic relationship, I can help! When you have a relationship with a narcissist, the repetitive self centeredness takes its toll. You end up questioning if you are good enough, creating distrust and ultimatley wondering if its even possible for you to have an intimate and healthy relationship. As a therapist who specializes in narcississtic relationships, I've worked to understand brain development, trauma, and healing. My clients share that they are able to establish connection, set boundaries, and finally create relationships that are both fulfilling and supportive.
If you have been hurt by a narcissistic relationship, I can help! When you have a relationship with a narcissist, the repetitive self centeredness takes its toll. You end up questioning if you are good enough, creating distrust and ultimatley wondering if its even possible for you to have an intimate and healthy relationship. As a therapist who specializes in narcississtic relationships, I've worked to understand brain development, trauma, and healing. My clients share that they are able to establish connection, set boundaries, and finally create relationships that are both fulfilling and supportive.
Kristalene Pitts-Palmerton
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
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.
My work with clients include: Depression, EMDR, Anxiety, Phobia, ADHD in adults, OCD, coping with disabilities, coping with chronic illness, cultural adjustment, bereavement, discrimination, oppression issues, immigrant and refugee issues, aging issues, Narcissistic Abuse,.
You don’t have to be alone. Today, your journey to healing begins. I hope you will allow me to understand how to support you. I invite to you to give us a chance to work together. Growing up with disability provided an opportunity for me to rise above discrimination, narcissistic/emotional abuse, bullying, racism, oppression, marginalization, anxiety, depression, and face life’s unending challenges. I am trained in Eastern and Western approaches. I use evidenced based treatment interventions including but not limited to EMDR, CBT,DBT. I am fluent and can provide therapy in three languages fluently, English, Ilokano, Tagalog.
My work with clients include: Depression, EMDR, Anxiety, Phobia, ADHD in adults, OCD, coping with disabilities, coping with chronic illness, cultural adjustment, bereavement, discrimination, oppression issues, immigrant and refugee issues, aging issues, Narcissistic Abuse,.
You don’t have to be alone. Today, your journey to healing begins. I hope you will allow me to understand how to support you. I invite to you to give us a chance to work together. Growing up with disability provided an opportunity for me to rise above discrimination, narcissistic/emotional abuse, bullying, racism, oppression, marginalization, anxiety, depression, and face life’s unending challenges. I am trained in Eastern and Western approaches. I use evidenced based treatment interventions including but not limited to EMDR, CBT,DBT. I am fluent and can provide therapy in three languages fluently, English, Ilokano, Tagalog.
Depression personality disorders, Narcissistic, Paranoid personality disorder.
My calling is to have my own practice where my clients and I have the opportunity to dig deep and explore their mental health and substance use with no time constrictions. So here I am ready to help to explore the core causes of traumas and walk through vulnerabilities alongside you, you are not alone. I will leave you with my favorite quote before you schedule your initial appointment. Let’s start our journey today.
Depression personality disorders, Narcissistic, Paranoid personality disorder.
My calling is to have my own practice where my clients and I have the opportunity to dig deep and explore their mental health and substance use with no time constrictions. So here I am ready to help to explore the core causes of traumas and walk through vulnerabilities alongside you, you are not alone. I will leave you with my favorite quote before you schedule your initial appointment. Let’s start our journey today.
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You’re making the right moves and hitting your marks in life, but a shadow looms over you. No matter how much you achieve or succeed, despair and hopelessness weigh you down like an anchor on your ankle. The narcissistic-abuse, neglect, mistreatment, or misfortune of the past keeps coming back to haunt you. Out of nowhere, a phrase, a scent, or a sound takes you back with an intrusive jolt, leaving you insecure and afraid. You’re doing your best, but the past is running roughshod over your work, home life, and relationships, and it’s starting to show. It’s time to address your past once and for all so you can finally move forward.
You’re making the right moves and hitting your marks in life, but a shadow looms over you. No matter how much you achieve or succeed, despair and hopelessness weigh you down like an anchor on your ankle. The narcissistic-abuse, neglect, mistreatment, or misfortune of the past keeps coming back to haunt you. Out of nowhere, a phrase, a scent, or a sound takes you back with an intrusive jolt, leaving you insecure and afraid. You’re doing your best, but the past is running roughshod over your work, home life, and relationships, and it’s starting to show. It’s time to address your past once and for all so you can finally move forward.
I also have ample experience working with depression, anxiety, recovering from narcissistic abuse, codependency, boundaries and coping skill building, self-esteem, managing difficult life transitions, grief and loss and issues of faith and spirituality.
Currently Accepting new patients! I provide individual counseling to men and women ages 18 and over. I provide a straightforward and engaging counseling atmosphere where patients are given direction, feedback, education and resources while also being provided an empathetic and listening ear as we process and resolve issues as a team. I am a great fit for patients who are looking for a counselor who is active in the session challenges them to grow, make healthy changes and develop new skills. I provide a faith-based approach for patients who desire to integrate their faith into counseling sessions and goals.
I also have ample experience working with depression, anxiety, recovering from narcissistic abuse, codependency, boundaries and coping skill building, self-esteem, managing difficult life transitions, grief and loss and issues of faith and spirituality.
Currently Accepting new patients! I provide individual counseling to men and women ages 18 and over. I provide a straightforward and engaging counseling atmosphere where patients are given direction, feedback, education and resources while also being provided an empathetic and listening ear as we process and resolve issues as a team. I am a great fit for patients who are looking for a counselor who is active in the session challenges them to grow, make healthy changes and develop new skills. I provide a faith-based approach for patients who desire to integrate their faith into counseling sessions and goals.
Specializing in coaching and recovery from - Narcissistic Abuse, Partners and Family - Childhood and Adulthood Sexual, Emotional and Physical Abuse - Complex Trauma - Drug and Alcohol Use as a coping tool for trauma.
Hi there, My name is Jolene and I am a co-occurring disorders and trauma specialist, level 200 and 300 yoga instructor, sound healer, and domestic violence advocate. I am 40 years old and have been in the counseling/healing profession for almost 20 years. I would love to help you explore your identity and relationship with substances, trauma and other issues. I use a variety of techniques and modalities to explore and restore energy and your focus in life. Please reach out if you are feeling lost, empty or are in need of support. "You are enough". My work here on Psychology Today is private pay - under the title of life coaching.
Specializing in coaching and recovery from - Narcissistic Abuse, Partners and Family - Childhood and Adulthood Sexual, Emotional and Physical Abuse - Complex Trauma - Drug and Alcohol Use as a coping tool for trauma.
Hi there, My name is Jolene and I am a co-occurring disorders and trauma specialist, level 200 and 300 yoga instructor, sound healer, and domestic violence advocate. I am 40 years old and have been in the counseling/healing profession for almost 20 years. I would love to help you explore your identity and relationship with substances, trauma and other issues. I use a variety of techniques and modalities to explore and restore energy and your focus in life. Please reach out if you are feeling lost, empty or are in need of support. "You are enough". My work here on Psychology Today is private pay - under the title of life coaching.
Léonie Edwards
LPC Intern, BS
Verified Verified
1 Endorsed
Tacoma, WA 98402
Waitlist for new clients
I specialize in treating adult suffering from CPTSD & narcissistic abuse, as well as children experiencing trauma.
Making the decision to begin therapy is hard. Living with unresolved fear, doubt, anxiety, depression, or trauma is harder! You’re here because you know your life can be better & you’re brave enough to seek help. I’m here because I’ve been where you are, & I know the amazing, transformative power of therapy! My approach to therapy is warm, person-centered, inclusive, & non-judgmental. I believe YOU are the expert on your life. I believe you already have everything you need to live the happy, authentic life you dream of. Sometimes, we need help seeing things a new way. I would be honored to join you in your journey toward healing.
I specialize in treating adult suffering from CPTSD & narcissistic abuse, as well as children experiencing trauma.
Making the decision to begin therapy is hard. Living with unresolved fear, doubt, anxiety, depression, or trauma is harder! You’re here because you know your life can be better & you’re brave enough to seek help. I’m here because I’ve been where you are, & I know the amazing, transformative power of therapy! My approach to therapy is warm, person-centered, inclusive, & non-judgmental. I believe YOU are the expert on your life. I believe you already have everything you need to live the happy, authentic life you dream of. Sometimes, we need help seeing things a new way. I would be honored to join you in your journey toward healing.
I am particularly passionate about working with survivors of narcissistic abuse.
I believe we are all created for connection in relationship, and that all relationships have the potential to bring great joy and great struggle. Through our therapeutic relationship, by addressing the concerns that bring you to therapy, a process occurs that produces healing, transformation, and growth. My approach to counseling varies, but is rooted in trauma-informed, relational psychotherapy, focusing on key attachment relationships, and exploring the moments, social and cultural constructs, and ideologies that have shaped you.
I am particularly passionate about working with survivors of narcissistic abuse.
I believe we are all created for connection in relationship, and that all relationships have the potential to bring great joy and great struggle. Through our therapeutic relationship, by addressing the concerns that bring you to therapy, a process occurs that produces healing, transformation, and growth. My approach to counseling varies, but is rooted in trauma-informed, relational psychotherapy, focusing on key attachment relationships, and exploring the moments, social and cultural constructs, and ideologies that have shaped you.
My primary clinical interest is in narcissism as an aspect of personality and narcissistic family systems.
I help adults (18+) find deeper satisfaction in their lives and relationships through awareness-based and attachment-based interventions. All of us need support as we move through our lives because living inevitably brings suffering as part of the process. If you're experiencing distress and dissatisfaction, I want you to know you're doing nothing wrong. Let's explore how you can experiment with shifting your fixed habits so you can have new experiences that restore your hope, vitality, and ease. I bring an anti-oppressive lens to my work that considers social identities and systems of power as integral to your psychic life.
My primary clinical interest is in narcissism as an aspect of personality and narcissistic family systems.
I help adults (18+) find deeper satisfaction in their lives and relationships through awareness-based and attachment-based interventions. All of us need support as we move through our lives because living inevitably brings suffering as part of the process. If you're experiencing distress and dissatisfaction, I want you to know you're doing nothing wrong. Let's explore how you can experiment with shifting your fixed habits so you can have new experiences that restore your hope, vitality, and ease. I bring an anti-oppressive lens to my work that considers social identities and systems of power as integral to your psychic life.
I am a Certified Narcissistic Abuse Treatment Clinician and can help you heal and thrive from the fallout of antagonistic/manipulative behavior.
Are you experiencing relational stress, narcissistic relationships, infidelity, or codependency? If so, you might feel confused, betrayed, and alone. Do you ask yourself, "How do I keep ending up in these relationships?" Do you strive for validation, acceptance, and approval? Core beliefs are the foundation of our being but when they cause us pain, embarrassment, and shame we can become depressed, anxious, fake, and withdrawn. If you are telling yourself "I'm unlovable", "Something is wrong with me", “I am stupid”, “I am worthless”, or “I am not good enough”, your core beliefs may be contributing to your pain today.
I am a Certified Narcissistic Abuse Treatment Clinician and can help you heal and thrive from the fallout of antagonistic/manipulative behavior.
Are you experiencing relational stress, narcissistic relationships, infidelity, or codependency? If so, you might feel confused, betrayed, and alone. Do you ask yourself, "How do I keep ending up in these relationships?" Do you strive for validation, acceptance, and approval? Core beliefs are the foundation of our being but when they cause us pain, embarrassment, and shame we can become depressed, anxious, fake, and withdrawn. If you are telling yourself "I'm unlovable", "Something is wrong with me", “I am stupid”, “I am worthless”, or “I am not good enough”, your core beliefs may be contributing to your pain today.
My specialties include ADHD, neurodiversity, OCD, minor depression, immigration/diaspora, cultural conflict and identity, burnout, and narcissistic abuse recovery.
As a clinical social worker and mental health advocate, I seek to empower disenfranchised communities and my fellow human. Before implementing a specific modality or strategy, I seek to understand your needs, thoughts and desires through a comprehensive assessment and evaluation. Although I practice evidence-based therapy, each individual has unique factors and idiosyncrasies that determines the therapeutic approach for proper care.
My specialties include ADHD, neurodiversity, OCD, minor depression, immigration/diaspora, cultural conflict and identity, burnout, and narcissistic abuse recovery.
As a clinical social worker and mental health advocate, I seek to empower disenfranchised communities and my fellow human. Before implementing a specific modality or strategy, I seek to understand your needs, thoughts and desires through a comprehensive assessment and evaluation. Although I practice evidence-based therapy, each individual has unique factors and idiosyncrasies that determines the therapeutic approach for proper care.
Andre O'Donnell
Counselor, MA, LMHC
Verified Verified
Mountlake Terrace, WA 98043
Waitlist for new clients
I offer additional specialization in navigating and healing from narcissistic abuse, including psychologically disorienting relationships, communities, & systems of control.
There are many reasons you might seek psychotherapy: to renew your self-confidence, relieve stress and anxiety, heal from trauma, conquer obstacles, and improve your capacity to manage feelings and fears; to heal old wounds, make sense of current and past relationships, or resolve repeated disappointments. No matter the issue, I believe that insight-based psychotherapy can help you to better understand yourself, break old patterns, and give you more options to create the more fulfilling life you deserve.
I offer additional specialization in navigating and healing from narcissistic abuse, including psychologically disorienting relationships, communities, & systems of control.
There are many reasons you might seek psychotherapy: to renew your self-confidence, relieve stress and anxiety, heal from trauma, conquer obstacles, and improve your capacity to manage feelings and fears; to heal old wounds, make sense of current and past relationships, or resolve repeated disappointments. No matter the issue, I believe that insight-based psychotherapy can help you to better understand yourself, break old patterns, and give you more options to create the more fulfilling life you deserve.
See more therapy options for Washington
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.