Narcissistic Personality (NPD) Therapists in Chicago, IL

Photo of Aviva Cahn, LCSW, Clinical Social Work/Therapist
Aviva Cahn
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Chicago, IL 60601
Not accepting new clients
Due to many years of experience working in family court, I understand the emotional and parental consequences of high conflict divorce (including the impact of narcissistic abuse).
Are you stuck but trying to move forward after a break-up or divorce? Were you traumatized by deceit or even a double life and wondering if you can ever trust again? Or are you simply terrified seeing so many red flags and disingenuous individuals in the dating pool? No matter what your age or life stage, when a relationship ends whether by choice or by the actions of another, you may be caught off guard and thinking clearly can be difficult. You may experience self-doubt, insecurity, anxiety, and fear. It can be helpful to work together to regain confidence (in yourself and others).
Due to many years of experience working in family court, I understand the emotional and parental consequences of high conflict divorce (including the impact of narcissistic abuse).
Are you stuck but trying to move forward after a break-up or divorce? Were you traumatized by deceit or even a double life and wondering if you can ever trust again? Or are you simply terrified seeing so many red flags and disingenuous individuals in the dating pool? No matter what your age or life stage, when a relationship ends whether by choice or by the actions of another, you may be caught off guard and thinking clearly can be difficult. You may experience self-doubt, insecurity, anxiety, and fear. It can be helpful to work together to regain confidence (in yourself and others).
(773) 786-9084 View (773) 786-9084
Photo of Erika Koch-Weser | Narcissistic Abuse Recovery, LCSW, Clinical Social Work/Therapist
Erika Koch-Weser | Narcissistic Abuse Recovery
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Chicago, IL 60614  (Online Only)
Narcissistic abuse (antagonistic relational stress) is one of the most painful, disorienting experiences a person can live through. My mission is to provide precise, impactful treatment, designed specifically for survivors of narcissistic abuse. I also treat NPD. I feel strongly that survivors, who typically already feel lost & misunderstood, deserve carefully curated care that aligns with their particular reality. Whether or not my clients would like to use the word “abuse” is up to them. Regardless of what we call it, recovery during & after these painful, challenging experiences can feel unbearable– but you are not alone.
Narcissistic abuse (antagonistic relational stress) is one of the most painful, disorienting experiences a person can live through. My mission is to provide precise, impactful treatment, designed specifically for survivors of narcissistic abuse. I also treat NPD. I feel strongly that survivors, who typically already feel lost & misunderstood, deserve carefully curated care that aligns with their particular reality. Whether or not my clients would like to use the word “abuse” is up to them. Regardless of what we call it, recovery during & after these painful, challenging experiences can feel unbearable– but you are not alone.
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Photo of Kelli A Hauer, MA, MS, LMHC, NCC, Counselor
Kelli A Hauer
Counselor, MA, MS, LMHC, NCC
Verified Verified
2 Endorsed
Chicago, IL 60657
I specialize in Trauma /PTSD, Relationship issues, Narcissistic Personality, Anxiety, and Divorce recovery.
Do you wake up each morning feeling excited and enthusiastic in anticipation the day ahead? Or do you find yourself feeling depressed, uninspired, anxious or just unfulfilled? Are you suffering from long-term Narcissistic abuse? We are influenced by our life experiences, some of these lead to inaccurate, limited beliefs about ourselves. Once you learn to identify and understand these beliefs, life changes. The path to happiness and wholeness involves getting to know your true self, transcending your perspective and embracing your highest potential and purpose. When you change your state of mind, you change your state of being.
I specialize in Trauma /PTSD, Relationship issues, Narcissistic Personality, Anxiety, and Divorce recovery.
Do you wake up each morning feeling excited and enthusiastic in anticipation the day ahead? Or do you find yourself feeling depressed, uninspired, anxious or just unfulfilled? Are you suffering from long-term Narcissistic abuse? We are influenced by our life experiences, some of these lead to inaccurate, limited beliefs about ourselves. Once you learn to identify and understand these beliefs, life changes. The path to happiness and wholeness involves getting to know your true self, transcending your perspective and embracing your highest potential and purpose. When you change your state of mind, you change your state of being.
(407) 278-4958 View (407) 278-4958
Photo of Kay Burk, LCSW, Clinical Social Work/Therapist
Kay Burk
Clinical Social Work/Therapist, LCSW
Verified Verified
Chicago, IL 60616  (Online Only)
Hi, my name is Kay and I specialize in Women and Families. I specifically have experience with individuals healing from Perinatal Mood and Anxiety Disorders, Narcissistic Abuse and Domestic Violence. I have over 15 years of therapy experience and 20 years of healthcare experience. I work with clients from adolescence into adulthood through many life cycles. My secondary interests include eating disorders in adolescents and young adults, and women's mental health related to menopause, parenting, significant others, work stress, etc.
Hi, my name is Kay and I specialize in Women and Families. I specifically have experience with individuals healing from Perinatal Mood and Anxiety Disorders, Narcissistic Abuse and Domestic Violence. I have over 15 years of therapy experience and 20 years of healthcare experience. I work with clients from adolescence into adulthood through many life cycles. My secondary interests include eating disorders in adolescents and young adults, and women's mental health related to menopause, parenting, significant others, work stress, etc.
(312) 565-6732 View (312) 565-6732
Photo of Andrew McNaughton, LCSW, CADC, Clinical Social Work/Therapist
Andrew McNaughton
Clinical Social Work/Therapist, LCSW, CADC
Verified Verified
1 Endorsed
Chicago, IL 60606
I specialize in treating anxiety, anger management, depression, alcohol and substance use disorders, and Narcissistic Personality Disorder.
I utilize Rational Emotive Behavior Therapy (REBT) to help clients identify and dispute problematic beliefs, and re-frame them into productive patterns of thinking, feeling, and behaving. With REBT, you can learn to reduce and manage your anger, anxiety, depression, guilt, rage, shame, and/or addictive behaviors. We work together to identify and dispute your rigid demands and/or dire needs, and re-frame them into strong, healthy preferences, and your catastrophic thinking into proportionate appraisals of activating events.
I specialize in treating anxiety, anger management, depression, alcohol and substance use disorders, and Narcissistic Personality Disorder.
I utilize Rational Emotive Behavior Therapy (REBT) to help clients identify and dispute problematic beliefs, and re-frame them into productive patterns of thinking, feeling, and behaving. With REBT, you can learn to reduce and manage your anger, anxiety, depression, guilt, rage, shame, and/or addictive behaviors. We work together to identify and dispute your rigid demands and/or dire needs, and re-frame them into strong, healthy preferences, and your catastrophic thinking into proportionate appraisals of activating events.
(312) 800-1799 View (312) 800-1799
Photo of Ann Marie Zakos, MS, LPC, CLC, RMT
Ann Marie Zakos
MS, LPC, CLC, RMT
Verified Verified
Chicago, IL 60610
Do you have a toxic relationship in your life that is causing you stress? It could be a parent, spouse, child, sibling, teacher, coach, boss, co-worker, friend, neighbor, or significant other. Does this person trigger you to over-eat/under eat, use alcohol/drugs, or feel anxious or depressed? Do you have symptoms of C-PTSD? I am a holistic therapist specializing in empath/highly sensitive person (HSP), and narcissistic abuse recovery. I will help you build the inner resources to aid in healing the whole person; mind, body, and soul.
Do you have a toxic relationship in your life that is causing you stress? It could be a parent, spouse, child, sibling, teacher, coach, boss, co-worker, friend, neighbor, or significant other. Does this person trigger you to over-eat/under eat, use alcohol/drugs, or feel anxious or depressed? Do you have symptoms of C-PTSD? I am a holistic therapist specializing in empath/highly sensitive person (HSP), and narcissistic abuse recovery. I will help you build the inner resources to aid in healing the whole person; mind, body, and soul.
(224) 279-6685 View (224) 279-6685
Photo of Jane Qin Chen, PhD, LCPC
Jane Qin Chen
Licensed Clinical Professional Counselor, PhD, LCPC
Verified Verified
Chicago, IL 60602
I specialize in psychodynamic, insight driven treatment for emotional difficulties or dissatisfaction in life, including depression, anxiety, repeated relationship difficulty, job burnout, trauma, grief, NPD, OCD, aging, emotional difficulty experienced by children of immigrants.
At some point in our lives we all experience the full force of life’s challenges. Sometimes the distress, pain, alienation or isolation is too intense for us to traverse life’s path alone. Yet, for many of us, asking for help or inviting others into our private world is equally difficult. I hope to convince you that therapy can help us understand conflicts underlying these challenges. Through insight, self-empowerment and enhanced emotional regulation, we can become more adaptive and begin to heal and grow in the face of challenges or transitions. Therapy can also help to cultivate a greater sense of meaning and purpose in our live.
I specialize in psychodynamic, insight driven treatment for emotional difficulties or dissatisfaction in life, including depression, anxiety, repeated relationship difficulty, job burnout, trauma, grief, NPD, OCD, aging, emotional difficulty experienced by children of immigrants.
At some point in our lives we all experience the full force of life’s challenges. Sometimes the distress, pain, alienation or isolation is too intense for us to traverse life’s path alone. Yet, for many of us, asking for help or inviting others into our private world is equally difficult. I hope to convince you that therapy can help us understand conflicts underlying these challenges. Through insight, self-empowerment and enhanced emotional regulation, we can become more adaptive and begin to heal and grow in the face of challenges or transitions. Therapy can also help to cultivate a greater sense of meaning and purpose in our live.
(773) 915-0445 View (773) 915-0445
Photo of Pooja Shah, MA, LMFT, Marriage & Family Therapist
Pooja Shah
Marriage & Family Therapist, MA, LMFT
Verified Verified
Chicago, IL 60601  (Online Only)
Waitlist for new clients
I am an advocate for victims of narcissistic abuse and provide psychoeducation on ways to cope, grieve, and heal from these toxic relationships.
I know finding a therapist can be overwhelming, so I welcome you on this journey! My approach is client centered which combines treatment methods of Humanism, CBT, Mindfulness, Attachment Theory, and other interpersonal theories. During our work together, I will focus on understanding your story, values, and goals to help you in finding coping strategies that promote self-awareness, self-compassion, and overall, an improved quality of life.
I am an advocate for victims of narcissistic abuse and provide psychoeducation on ways to cope, grieve, and heal from these toxic relationships.
I know finding a therapist can be overwhelming, so I welcome you on this journey! My approach is client centered which combines treatment methods of Humanism, CBT, Mindfulness, Attachment Theory, and other interpersonal theories. During our work together, I will focus on understanding your story, values, and goals to help you in finding coping strategies that promote self-awareness, self-compassion, and overall, an improved quality of life.
(773) 302-1412 View (773) 302-1412
Photo of Brandy Porche, LPC, MA, CAMS-I, Licensed Professional Counselor
Brandy Porche
Licensed Professional Counselor, LPC, MA, CAMS-I
Verified Verified
1 Endorsed
Chicago, IL 60637
If you are struggling with dysfunctional family issues, trauma, toxic shame, anxiety, depression, codependency, spirituality, narcissistic abuse, relationship issues or more, call me today.
Licensed in Texas and Illinois. As we navigate our unique journey in life, sometimes additional support is needed along the way. My interactions with clients are grounded in compassion, respect, empathy, and an understanding of cultural impacts. My role as a therapist is to help educate and empower clients so that they develop the insight and skills necessary to overcome their own personal and situational challenges. Examining the core of your presenting symptoms can be challenging but you are worth the life changing experience. I work with couples, families, & individuals including adults and adolescents ages 14+.
If you are struggling with dysfunctional family issues, trauma, toxic shame, anxiety, depression, codependency, spirituality, narcissistic abuse, relationship issues or more, call me today.
Licensed in Texas and Illinois. As we navigate our unique journey in life, sometimes additional support is needed along the way. My interactions with clients are grounded in compassion, respect, empathy, and an understanding of cultural impacts. My role as a therapist is to help educate and empower clients so that they develop the insight and skills necessary to overcome their own personal and situational challenges. Examining the core of your presenting symptoms can be challenging but you are worth the life changing experience. I work with couples, families, & individuals including adults and adolescents ages 14+.
(469) 436-9298 View (469) 436-9298
Photo of Karen Tompkins, MSW, LICSW, Clinical Social Work/Therapist
Karen Tompkins
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Chicago, IL 60601  (Online Only)
Not accepting new clients
Over 30 years' experience helping people with emotional pain, trauma, fear, anxiety, depression, confusion, grief, esteem, stress, and life changes including heart break and narcissistic abuse. I can assist you in using your personal strengths, develop new coping skills and strategies that you can, immediately use to feel better and live fully.
Over 30 years' experience helping people with emotional pain, trauma, fear, anxiety, depression, confusion, grief, esteem, stress, and life changes including heart break and narcissistic abuse. I can assist you in using your personal strengths, develop new coping skills and strategies that you can, immediately use to feel better and live fully.
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Photo of Danielle Dragon, PsyD, Psychologist
Danielle Dragon
Psychologist, PsyD
Verified Verified
1 Endorsed
Chicago, IL 60645
Therapy might be the place where we process the trauma of having a narcissistic parent.
I work with individuals, couples and families who want to feel more fulfilled and connected. During the therapeutic process, I primarily help adults and older adolescents with challenges associated with anxiety, depression, trauma, relational stress, life transitions, boundary issues, shame and perfectionism.
Therapy might be the place where we process the trauma of having a narcissistic parent.
I work with individuals, couples and families who want to feel more fulfilled and connected. During the therapeutic process, I primarily help adults and older adolescents with challenges associated with anxiety, depression, trauma, relational stress, life transitions, boundary issues, shame and perfectionism.
(224) 204-0396 View (224) 204-0396
Photo of Lauren N. Prieboy, MA, LPC, NATC, Licensed Professional Counselor
Lauren N. Prieboy
Licensed Professional Counselor, MA, LPC, NATC
Verified Verified
Chicago, IL 60601
Waitlist for new clients
Lauren earned her Master’s Degree in Clinical Psychology from The Chicago School, and working toward her Psy.D. in Clinical Psychology at National Louis University. She is a Certified Narcissistic Abuse Treatment Clinician. She has provided psychotherapy services across various settings including community mental health centers, private practices, and law enforcement collaboration. She has experience working with depression, anxiety, trauma, mood instability, & relationship issues. She enjoys working with individuals navigating overwhelming levels of stress related to academics, relationships, social media, work, and change.
Lauren earned her Master’s Degree in Clinical Psychology from The Chicago School, and working toward her Psy.D. in Clinical Psychology at National Louis University. She is a Certified Narcissistic Abuse Treatment Clinician. She has provided psychotherapy services across various settings including community mental health centers, private practices, and law enforcement collaboration. She has experience working with depression, anxiety, trauma, mood instability, & relationship issues. She enjoys working with individuals navigating overwhelming levels of stress related to academics, relationships, social media, work, and change.
(708) 816-2565 View (708) 816-2565
Photo of Iwona S Florianowicz Lcpc Ccpt- II, MSc, CCTP-II, LPC-T, LCPC, Coach
Iwona S Florianowicz Lcpc Ccpt- II
MSc, CCTP-II, LPC-T, LCPC, Coach
Verified Verified
2 Endorsed
Chicago, IL 60604  (Online Only)
I specialize in complex-PTSD, adult children of emotionally immature parents, and narcissistic/antagonistic relationships.
Accepting New Clients for Virtual Therapy! Have you experienced trauma or highly distressing circumstances, or toxic relationships, and now struggling with lasting effects, affecting your daily life or mental, physical, social, emotional, or spiritual well-being? I'm here to help - to listen to your needs and help you to set healthy goals for your healing process. I'll help you to process and heal from your past experiences, teach you new coping skills to deal with distress, and develop a healthy sense of self-worth, as well as build resiliency for the future, so you can achieve ultimate personal and relational growth.
I specialize in complex-PTSD, adult children of emotionally immature parents, and narcissistic/antagonistic relationships.
Accepting New Clients for Virtual Therapy! Have you experienced trauma or highly distressing circumstances, or toxic relationships, and now struggling with lasting effects, affecting your daily life or mental, physical, social, emotional, or spiritual well-being? I'm here to help - to listen to your needs and help you to set healthy goals for your healing process. I'll help you to process and heal from your past experiences, teach you new coping skills to deal with distress, and develop a healthy sense of self-worth, as well as build resiliency for the future, so you can achieve ultimate personal and relational growth.
(630) 349-2956 View (630) 349-2956
Photo of Alex Schwaninger - Arrow Counseling & Coaching, LLC, MA, LCPC, Counselor
Arrow Counseling & Coaching, LLC
Counselor, MA, LCPC
Verified Verified
2 Endorsed
Chicago, IL 60606
What's holding you back? I work with driven professionals to work through obstacles and get you back on track to the life you want. Whether it's a diagnosable disorder like depression, something from your past you'd like to sort out, an addiction or consistent compulsion, or a relational issue, it's my privilege to offer my training and experience in service of your goals. I find a lot of our experience comes down to patterns. Our brains quickly assess a situation, choose from a list of pre-formed thoughts and behaviors, and push "GO."
What's holding you back? I work with driven professionals to work through obstacles and get you back on track to the life you want. Whether it's a diagnosable disorder like depression, something from your past you'd like to sort out, an addiction or consistent compulsion, or a relational issue, it's my privilege to offer my training and experience in service of your goals. I find a lot of our experience comes down to patterns. Our brains quickly assess a situation, choose from a list of pre-formed thoughts and behaviors, and push "GO."
(312) 626-6250 View (312) 626-6250
Photo of Kyle Steinke, MA, Pre-Licensed Professional
Kyle Steinke
Pre-Licensed Professional, MA
Verified Verified
Chicago, IL 60603
Therapy can be a place to confront difficult feelings, memories, and experiences, which occurred in the past and how they can come up in the present. Therapy provides a non-judgmental, curious space in which we can explore your feelings and thoughts in ways that can be difficult to do in the fast-paced, 'outside' world.
Therapy can be a place to confront difficult feelings, memories, and experiences, which occurred in the past and how they can come up in the present. Therapy provides a non-judgmental, curious space in which we can explore your feelings and thoughts in ways that can be difficult to do in the fast-paced, 'outside' world.
(773) 780-2815 View (773) 780-2815
Photo of J Alex Sanger, MSW, LCSW, Clinical Social Work/Therapist
J Alex Sanger
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Chicago, IL 60602
Consideration of entering therapy can feel like an overwhelming task, especially if you are struggling, feeling like "nothing will change", in transition or have been hurt in previous relationships. I provide a safe, trusting and non-judgmental environment in which we work together on your challenges. While I bring knowledge and experience to our work, you are the expert on you: your goals and feedback on the process will drive our work together. Clients have provided me with excellent feedback, stating that I am open, empathic and good-natured about the difficulties of change.
Consideration of entering therapy can feel like an overwhelming task, especially if you are struggling, feeling like "nothing will change", in transition or have been hurt in previous relationships. I provide a safe, trusting and non-judgmental environment in which we work together on your challenges. While I bring knowledge and experience to our work, you are the expert on you: your goals and feedback on the process will drive our work together. Clients have provided me with excellent feedback, stating that I am open, empathic and good-natured about the difficulties of change.
(312) 548-1577 View (312) 548-1577
Photo of Cai Fasse, MA, NCC, LPC, Licensed Professional Counselor
Cai Fasse
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Chicago, IL 60657
I approach counseling with empathy and acceptance through an intersectional lens. I support clients through short-term goals, long-term processing of trauma/past experiences, and the impact on the present using their existing strengths and interests. The therapeutic relationship itself is an effective avenue of healing and as such I value open communication.
I approach counseling with empathy and acceptance through an intersectional lens. I support clients through short-term goals, long-term processing of trauma/past experiences, and the impact on the present using their existing strengths and interests. The therapeutic relationship itself is an effective avenue of healing and as such I value open communication.
(847) 243-6591 View (847) 243-6591
Photo of Alexander Bauman, LSW, CADC, Clinical Social Work/Therapist
Alexander Bauman
Clinical Social Work/Therapist, LSW, CADC
Verified Verified
Chicago, IL 60622
The basis of an ideal client in my lens does not have a select issue. Everyone has their own life challenges and emotional weight they carry with them. In the end, what I want for my clients is a common goal to be the best version of themselves they can be while being open-minded in facing tasks related to that goal. Whether it is an interpersonal relationship problem, anxiety, substance abuse, etc; the ultimate goal is to be better in comparison to yourself yesterday rather than someone else. That common ideal goal is what I aim for with every client I work with through the use of problem-solving strategies and coping mechanisms.
The basis of an ideal client in my lens does not have a select issue. Everyone has their own life challenges and emotional weight they carry with them. In the end, what I want for my clients is a common goal to be the best version of themselves they can be while being open-minded in facing tasks related to that goal. Whether it is an interpersonal relationship problem, anxiety, substance abuse, etc; the ultimate goal is to be better in comparison to yourself yesterday rather than someone else. That common ideal goal is what I aim for with every client I work with through the use of problem-solving strategies and coping mechanisms.
(847) 282-4041 View (847) 282-4041
Photo of Michael Atella, PhD, Psychologist
Michael Atella
Psychologist, PhD
Verified Verified
1 Endorsed
Chicago, IL 60602
When you contact our practice, we aim to provide a comfortable, professional, and pleasant experience for you to grow and freely process. We want you to feel heard, so we listen carefully and deeply. We commit to be proactive and help create a safe and welcoming place for you to connect with your thoughts and feelings, your values, and even your dreams. We help build an alliance with you to grow in understanding and wisdom, to help you find and become yourself, and to develop more meaningful relationships and work.
When you contact our practice, we aim to provide a comfortable, professional, and pleasant experience for you to grow and freely process. We want you to feel heard, so we listen carefully and deeply. We commit to be proactive and help create a safe and welcoming place for you to connect with your thoughts and feelings, your values, and even your dreams. We help build an alliance with you to grow in understanding and wisdom, to help you find and become yourself, and to develop more meaningful relationships and work.
(847) 457-1714 x2 View (847) 457-1714 x2
Photo of Josh Abrahams, LCSW, MS, Clinical Social Work/Therapist
Josh Abrahams
Clinical Social Work/Therapist, LCSW, MS
Verified Verified
3 Endorsed
Chicago, IL 60640
Not accepting new clients
In my therapy practice, I work with individuals of all ages, including young children, and with families and couples. At our first meeting, you can expect me to listen closely as you tell me about yourself and what brings you to therapy. You might be suffering greatly and be seeking urgently to relieve distress and find hope that things can improve. Or you might feel fine in many ways but want to strengthen your relationships with others, increase understanding of yourself and your behavior, or begin to make better use of your talents and build your creative potential.
In my therapy practice, I work with individuals of all ages, including young children, and with families and couples. At our first meeting, you can expect me to listen closely as you tell me about yourself and what brings you to therapy. You might be suffering greatly and be seeking urgently to relieve distress and find hope that things can improve. Or you might feel fine in many ways but want to strengthen your relationships with others, increase understanding of yourself and your behavior, or begin to make better use of your talents and build your creative potential.
(773) 492-6998 View (773) 492-6998
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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.