Find a therapist for narcissism and explore effective therapies to foster self-awareness and improve relationships with help from Circles.
Finding the Right Professional for Effective Treatment
Finding proper treatment for narcissistic personality disorder (NPD) can be challenging. Most therapists focus on supporting victims of narcissistic abuse rather than the individuals displaying narcissistic traits. However, help is available. The right support can build self-awareness, improve behavior and communication, and foster empathy—leading to healthier self-esteem and relationships. Working with a knowledgeable therapist for narcissism can make a significant difference in this process.
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Understanding Narcissistic Personality Disorder (NPD)
To find the right care, you first need to understand narcissistic personality disorder (NPD). Clinicians diagnose NPD by identifying consistent behavior patterns. These often include a lack of empathy, constant need for attention and validation, an inflated ego, and a sense of entitlement. People with NPD also tend to use maladaptive coping strategies. They often struggle with communication, which can harm their relationships.
Importance of Seeking Professional Help for NPD
Because narcissistic personality disorder is so pervasive, seeking professional help is essential. It gives individuals a better chance at building productive, consistent, and happier lives. Therapy and support groups are essential tools for narcissists to make lasting positive changes. Read more here.
Types of Therapy Effective in Treating Narcissism
The following types of treatments have been shown to have positive results treating NPD. All of these types of therapy are talk-based therapies. This list is not all-inclusive.
- Cognitive Behavioral Therapy (CBT): Therapy that challenges negative thought and behavior patterns and teaches individuals to manage their thoughts and feelings
- Schema Therapy: This type of therapy focuses on changing the mental framework of deeply held beliefs and thinking patterns (schemas) that often form in childhood and interfere with relationships.
- Psychodynamic Therapy: Focuses on memories, experiences, unconscious thoughts to address the current behavior patterns of the narcissist.
- Dialectical Behavior Therapy (DBT): Therapy that helps people focus on the reality of their lives and learn to better regulate their emotions. It is derived from CBT but is for people who experience intense emotions.
These approaches can be guided effectively by a therapist for narcissism who understands the unique traits and resistance common in NPD.

How to Find a Qualified Therapist for Narcissism
When searching for a therapist, look for someone who holds a mental health license, understands narcissism and narcissistic abuse, has training in complex trauma, and specializes in treating personality disorders
Questions to Ask Potential Therapists
First and foremost, it is important to find out if the therapist has any experience working with individuals who have NPD. Another question to ask is what types of therapy does he/she/they use in treatment. Not one size fits all so it is helpful if the therapist is familiar with several modalities of treatment. Here are some other common questions one may want to ask.
- What are your counseling credentials
- Do you use trauma-informed therapy models?
- Is your practice spiritually based?
- What should I expect from a typical session?
- How do I know if therapy is working for me?
Asking these questions will help you assess if the therapist for narcissism is a good fit for your healing journey.
What to Expect in Therapy for Narcissism
During treatment for narcissism, individuals learn to recognize narcissistic behaviors and connect them to their root causes. Therapy also focuses on emotional regulation and developing empathy for others. Another key aspect is challenging negative belief systems and unhelpful thought patterns. This reflection helps individuals change their narrative and improve communication skills.
Frequently Asked Questions (FAQ):
Therapy can help individuals get in touch with their emotions and uncover life events and past experiences that have caused and/or exacerbated narcissistic behavior patterns. Using therapeutic techniques such as psychoanalysis, EMDR, or DBT approaches encourage patients to work through trauma and negative limiting beliefs to re-write the narrative and build a consistent self-image. Read more here.
There are challenges that therapists face when working with individuals with NPD including a resistance to change, a lack of insight into behavior issues and the impact they have on relationships and hypersensitivity to any feedback that the therapist may have. Narcissists are very sensitive to critique and can easily become defensive and use this as an excuse to discontinue treatment. A seasoned therapist for narcissism will know how to gently navigate these challenges while maintaining the therapeutic alliance.
It depends on the family dynamic and the individual undergoing treatment. In general, it is important for patients to have a support system, but this may be challenging if family members are also narcissistic or dysfunctional. Ultimately, it is the patient’s decision to include family members in treatment.
Exploring the Role of Support Groups in NPD Treatment
Support groups like Circles can be a powerful tool in treating NPD. Group members challenge each other’s perspectives and offer validation, encouragement, and accountability. These groups normalize vulnerability and help foster empathy. They also provide a safe space to practice healthy communication skills.
Understanding the Impact of Narcissism on Relationships
The impact of narcissism on relationships can be negatively profound as the relationship usually follows a cycle of abuse that leaves the non-narcissistic partner/family member/friend exhausted and confused. The emotional damage causes destruction of self-esteem and co-dependency. The result for many relationships is separation and estrangement.
Recognizing the Signs That Indicate the Need for Professional Help
Often narcissists do not recognize the destructive patterns, but when their quality of life is impacted, this is a wake-up call to seek treatment. The narcissist may experience constant interpersonal conflict in their relationships, problems with co-workers and supervisors in their workplaces that may lead to multiple job changes. They may feel increasingly isolated or have trouble with medical issues, finances and legal problems. All of these are good indicators that it is time to seek treatment for NPD.
As part of your therapeutic journey, Circles offers meaningful support. We connect you with specialized group facilitators for narcissism treatment. Research shows that support groups can be just as therapeutic—if not more—than individual counseling, thanks to the power of peer connection. At Circles, professionals and peers alike welcome every group member with kindness, inclusivity, and validation. You can take your time, share at your own pace, and feel safe in a confidential, judgment-free space where vulnerability becomes easier.
In summary, narcissists can find help to improve the quality of their lives, enhance communication skills, learn adaptive coping skills and increase empathy and self-reflection. Individual therapy coupled with group support offers the best opportunity for those suffering from NPD to lead more emotionally healthy lives, better manage their emotions and develop new, more positive behavior patterns which can ultimately, with time, lead to a happier, more stable and healthier life for both the individual with NPD and their loved ones.