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Narcissistic abuse is a deeply damaging form of psychological and emotional mistreatment inflicted by individuals with narcissistic personality traits.

Victims of narcissistic abuse often find themselves trapped in a web of manipulation, gaslighting, belittlement, and control, leading to profound emotional and psychological scars. 

The journey to recovery from narcissistic abuse can be arduous, but therapy plays a pivotal role in helping survivors heal, reclaim their self-worth, and rebuild their lives.

This article explores some of the best therapists for narcissistic abuse and delves into its dynamics, the impact it has on victims, and the significance of therapy as a vital tool in the recovery process. 

Understanding Narcissistic Abuse

Narcissistic abuse is characterized by a range of behaviors that aim to exert power and control over the victim. It often involves manipulation, exploitation, and the relentless pursuit of admiration and validation. 

The narcissistic abuser may employ tactics such as gaslighting (manipulating the victim’s perception of reality), constant criticism, devaluation, isolation, and emotional or financial exploitation.

By understanding the dynamics of narcissistic abuse, survivors can gain clarity about their experiences and begin the healing process.

The Impact of Narcissistic Abuse

The insidious nature of narcissistic abuse leaves deep emotional and psychological wounds on the victim. The effects can be long-lasting and debilitating, impacting various aspects of the survivor’s life:

Psychological Effects: Narcissistic abuse can lead to a decline in self-esteem, self-worth, and self-confidence. Victims often struggle with feelings of inadequacy, shame, and guilt.

Emotional Turmoil: Survivors of narcissistic abuse commonly experience a rollercoaster of emotions, including anxiety, depression, anger, confusion, and fear. The constant manipulation and emotional upheaval can leave them feeling emotionally drained and vulnerable.

Identity Erosion: The narcissistic abuser systematically undermines the victim’s sense of self, causing them to doubt their own perceptions, beliefs, and abilities. This erosion of identity can leave survivors feeling lost, disconnected, and unsure of who they truly are.

The Role of Therapy in Recovery

Therapy serves as a lifeline for survivors of narcissistic abuse, providing a safe and supportive space for healing and growth. Here are some key ways in which therapy facilitates the recovery process:

  • Creating a Safe Space: Therapy offers a confidential and non-judgmental environment for survivors to share their experiences, express their emotions, and begin the healing journey.
  • Validation and Normalization: Survivors often doubt the validity of their experiences due to gaslighting and manipulation. Therapy validates their emotions, helps them understand the dynamics of narcissistic abuse, and assures them that they are not alone.
  • Rebuilding Self-Esteem: Therapists employ various techniques, such as cognitive-behavioral therapy (CBT), to challenge negative self-beliefs and rebuild self-esteem. Through targeted interventions, survivors learn to recognize their strengths, establish healthy self-care practices, and cultivate self-compassion.
  • Setting Boundaries: Therapy empowers survivors to establish and enforce healthy boundaries, enabling them to protect themselves from further abuse. Therapists provide guidance on assertiveness skills and teach effective communication strategies.
  • Healing from Trauma: Survivors may have experienced significant trauma as a result of narcissistic abuse. Therapeutic modalities like eye movement desensitization and reprocessing (EMDR) or trauma-focused cognitive-behavioral therapy (TF-CBT) can help process traumatic memories, alleviate distress, and promote healing.
  • Breaking the Cycle: Therapy assists survivors in breaking free from the cycle of abuse by exploring patterns of behavior and relationships. Through increased self-awareness, survivors can develop healthier relationship dynamics and avoid re-victimization.
  • Reclaiming Identity and Autonomy: Therapists guide survivors in rediscovering their authentic selves, rebuilding their identity, and regaining a sense of control over their lives. This process involves exploring personal values, interests, and goals, fostering self-discovery and personal growth.

Best Therapists for Narcissistic Abuse

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Following are some of the best therapists for narcissistic abuse. 

1. Claudia Sinay-Mosias

Claudia Sinay-Mosias is a highly specialized therapist who focuses on helping survivors of narcissistic abuse, as well as individuals struggling with relationship issues, anxiety, and depression.

With a deep interest in holistic well-being, Claudia aims to guide her clients toward becoming fully functioning individuals on emotional, mental, physical, and spiritual levels. 

Drawing from her 40-year relationship and 45 years of personal meditation practice, Claudia combines personal experience with her education and expertise to inform her therapeutic work.

In her practice, Claudia takes an interactive and humanistic approach, engaging in active conversations, listening attentively, and offering insights and advice when appropriate. 

She exclusively offers online therapy, enabling clients from anywhere in California and other states with reciprocal licensing to receive her counseling services.

Through a HIPAA-compliant platform, clients enjoy flexibility in scheduling sessions without the hassle of commuting. With a session fee of $175, Claudia strives to make her specialized therapy accessible to those seeking healing and growth.

2. Maysie Tift

Specializing in the recovery from narcissistic abuse and Childhood Emotional Neglect (CEN), Maysie Tift is a compassionate and interactive therapist with a warm and practical approach.

With a focus on empowering empaths and caretakers, Maysie understands the challenges of balancing sensitivity, kindness, and generosity without neglecting one’s own needs. 

Recognizing that self-love and self-care are crucial components of personal growth, Maysie helps clients shift their focus toward nurturing themselves with the same level of care they extend to others.

Through her therapeutic guidance, clients can establish healthy boundaries, prioritize self-care, and cultivate a sense of self-worth. 

Sessions with Maysie are priced at $190, reflecting her commitment to providing quality therapy that facilitates meaningful change. She offers a free phone consultation to discuss individual needs and goals. 

3. Emma Nelson

Emma Nelson is a highly specialized therapist with expertise in Narcissistic Personality Disorder (NPD) and anxiety.

Her focus lies in providing support to individuals who have experienced emotional and physical abandonment, as well as those healing from narcissistic abuse within parental, romantic, or family relationships. 

Additionally, Emma works with children and youth, possessing specialized training to work with children aged 0-5. With a compassionate and client-centered approach, Emma creates a safe space for individuals to explore their experiences and navigate the complexities of healing from narcissistic abuse.

She offers attachment therapy and employs evidence-based techniques to address the unique challenges faced by her clients.

Emma’s fees for individual sessions are set at $150, while couple sessions are priced at $175. This pricing structure reflects her commitment to making therapy accessible to those in need.

With her specialized training and deep understanding of narcissistic abuse, Emma guides her clients toward healing, growth, and the restoration of healthy relationships.

4. Diane Vaillancourt

Diane Vaillancourt is an experienced therapist specializing in providing psychotherapy and coaching to individuals impacted by narcissistic spectrum disorders, anxiety, and depression.

Having received training from professionals Cloe Madanes and Tony Robbins as a Life Coach, Diane brings a blend of coaching and psychotherapeutic approaches to her practice.

With a deep understanding of the tactics employed by character-disordered individuals, Diane guides victims of narcissistic abuse through the healing process, empowering them to thrive during and after experiences such as smear campaigns, blame-shifting, gaslighting, PTSD, victim playing, and projecting.

Recognizing the importance of finding a compatible therapist, Diane offers a complimentary 20-minute evaluation to ensure a good fit between herself and potential clients. With her compassion and extensive training, Diane supports clients on their journey toward healing and growth.

5. Jamie Gillette

Jamie Gillette is a highly experienced therapist with over a decade of work in the mental health field. Known for providing feedback, information, and practical tools that yield rapid progress, Jamie specializes in the treatment and recovery of narcissistic abuse. 

Understanding the challenges, confusion, and pain associated with interacting with narcissistic individuals, Jamie has helped numerous individuals heal from unhealthy relationships, establish healthy boundaries, and reclaim their personal power.

With a personalized and engaging approach, Jamie ensures that each client’s therapy experience is unique and tailored to their specific needs. Sessions with Jamie are designed to provide a supportive and transformative environment, where individuals can gain insight, healing, and empowerment.

In addition to in-person sessions, Jamie also offers the convenience of online therapy. This ensures accessibility and flexibility for clients who prefer or require remote counseling. Individual sessions with Jamie are priced at $130, while couple sessions are available for $150.

6. BetterHelp

BetterHelp is a trusted online platform that offers a wide range of therapy services, including support for individuals who have experienced narcissistic abuse. Through BetterHelp, you can connect with licensed therapists who specialize in narcissistic abuse and have the expertise to guide you on your healing journey. 

Whether you prefer the convenience of online therapy or require the flexibility it provides, BetterHelp ensures that you have access to experienced professionals who can support you through the challenges of narcissistic abuse and help you regain your well-being and empowerment.

Finding the Right Therapist

Finding a therapist experienced in treating survivors of narcissistic abuse is essential for effective healing. Consider the following when seeking therapy:

Specialized Expertise: Look for therapists who have experience working with survivors of narcissistic abuse. They possess the knowledge and skills to address the unique challenges faced by victims.

Building Trust: Developing a trusting therapeutic alliance is crucial. Choose a therapist with whom you feel comfortable sharing your experiences and emotions openly.

Tailored Approaches: Therapists may employ various modalities, such as psychodynamic therapy, schema therapy, or dialectical behavior therapy (DBT), tailored to the specific needs of survivors.


Narcissistic abuse can have devastating consequences on victims’ mental, emotional, and overall well-being. However, therapy offers a lifeline for survivors, providing them with the necessary support, validation, and tools to heal and rebuild their lives. 

Through the guidance of skilled therapists, survivors can navigate the complex process of recovery, reclaim their identity, restore their self-worth, and establish healthy boundaries.

If you have experienced narcissistic abuse, reaching out to a qualified therapist can be a transformative step toward healing and creating a brighter future. 

Remember, you are not alone, and with the right support, there is hope for healing and reclaiming your life.


Can narcissistic abuse only occur in romantic relationships?

No, narcissistic abuse can occur in various relationships, including family, friendships, and work environments. Narcissistic individuals may exploit and manipulate anyone they come into contact with.

How long does it take to recover from narcissistic abuse?

The recovery process varies for each individual and depends on various factors such as the duration and intensity of the abuse, the individual’s support system, and their commitment to therapy. Healing from narcissistic abuse is a journey that takes time, patience, and self-care.

Can therapy help with the legal aspects of dealing with narcissistic abuse?

While therapy primarily focuses on the emotional healing and recovery process, therapists can provide guidance and support in navigating legal challenges associated with narcissistic abuse.

They can refer clients to appropriate resources and professionals who specialize in legal aspects related to abuse.

Can therapy be beneficial for those who suspect they have been victims of narcissistic abuse but are unsure?

Yes, therapy can help individuals gain clarity and understanding about their experiences. A therapist can assess the situation, provide support, and help individuals navigate their feelings and concerns, whether or not narcissistic abuse is confirmed.

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