Treatment for Narcissistic Abuse
Treatment for Narcissistic Abuse

Narcissistic abuse, a form of emotional and psychological manipulation, is considered domestic abuse.
Perpetrated by individuals with narcissistic traits or a narcissistic personality disorder, this form of abuse involves a wide range of tactics designed to control, exploit, and demean their victims.
While narcissistic abuse may not always leave physical scars, its impact on a victim’s mental health, self-esteem, and overall well-being can be devastating and long-lasting. By undermining a person’s sense of reality, eroding their self-worth, and isolating them from support networks, narcissistic abusers can maintain power and control over their victims, often causing lasting trauma.
Recognising narcissistic abuse as a legitimate form of domestic abuse is essential in providing support and resources to those affected.
As we delve deeper into understanding narcissistic abuse, its impact, and the available treatment options, we hope to shed light on this insidious issue and empower survivors in their journey toward healing and recovery.
Recognising Narcissistic Abuse
Oftentimes, it’s not until someone has left the relationship when they realize that they experienced narcissism abuse. This is because narcissism abuse is insidious and the victim is isolated from their support network over a period of time. The might feel trapped in the relationship and feel like their boundaries are being crossed, without realizing that they’re experiencing narcissism abuse.
At the beginning of the relationship the victim may think highly of the abuser and feel like they’re getting the love, care and support they’ve always wanted. They might even pick up that the abuser is controlling and think that they’re finally in a relationship that has security. Without realising that a controlling partner will give them anything but security, and that they will lose their sense of emotional safety, autonomy, independence and self-identity.
Later, they might learn through self-education on narcissistic abuse and domestic abuse that they were in the midst of the cycle of abuse where the abuser engaged in love bombing at the start of the relationship followed by the abusive incident, such as insulting the victim, shaming the victim and sexually coercing the victim.
This form of abuse is carried out by someone who has an excessive sense of entitlement and engages in interpersonal exploitation to meet their own needs at the expense of others autonomy.
Here’s some common signs of narcissistic abuse:
Crossing boundaries
One common characteristic of narcissistic abuse is their tendency to disregard, challenge and cross the boundaries of others. This is often the earliest warning sign of an abusive relationship, that can be easier to spot in the future.
It’s common for a narcissist to test your boundaries, use guilt and shaming techniques to manipulate you into doing something you don’t want to do, such as sexual coercion.
They can also cross your personal space, such as standing very close to you to intimidate you when you ask for personal space or follow you into another room, when you’ve said multiple times that you want space.
It’s important to consider that you can’t educate a narcissist to respect your boundaries, you should never have to teach someone to respect your autonomy and personal space.
Another way they cross boundaries is by monitoring you and stalking you, such as putting a mobile management tracking device on your phone that they’ve given you as a gift so they can track your whereabouts. They may also offer their work laptop for you to work on so they can log into your Google account and monitor your search history without your consent.
They may also stalk you during the relationship. When you go to see a friend, they might drive you to your friend’s house and ask for their address to monitor your whereabouts and who you’re socializing with.
Emotional exploitation
Narcissistic abusers frequently take advantage of their victim’s emotional vulnerabilities to strengthen their grip on the relationship. They may draw upon personal, intimate knowledge or confidential information shared in moments of trust, wielding it as a weapon to manipulate, inflict emotional pain, or exert further control.
By exploiting these vulnerabilities, the abuser deepens the victim’s sense of dependency, eroding their resilience and making it increasingly difficult to resist the narcissist’s influence. Recognizing this insidious tactic can be an essential step in breaking free from the cycle of narcissistic abuse.
Creating an atmosphere of constant uncertainty
The hallmark of narcissism abuse is the creation of an unstable, unpredictable environment for the victim. The abuser’s erratic behavior, sudden mood shifts, and inconsistent treatment leave their victim feeling perpetually on edge and uncertain.
This creates a state of heightened anxiety, making it challenging for the victim to anticipate and respond effectively to the manipulations and control tactics employed by the abuser. Narcissists rely on this sense of disorientation and vulnerability to exert dominance, further perpetuating the cycle of abuse.
A prime example of this is dangerous driving. The abuser may intentionally drive dangerously, like tailgating, weaving in and out of traffic, or excessively speeding, to intimidate the victim and make them feel unsafe.
By cultivating an environment of fear, they capitalise on the victim’s feelings of vulnerability and helplessness, effectively perpetuating the cycle of abuse. This manipulation strategy allows narcissists to assert dominance and control, ensuring the victim remains trapped within the toxic dynamic.
Another example may be standing uncomfortably close to someone to assert dominance and control. By invading their victim’s personal space, the abuser aims to create a sense of discomfort, anxiety, and vulnerability. This tactic serves to intimidate the victim and emphasize the power imbalance within the relationship.
Control and coercion
A prominent characteristic of narcissistic abuse is the abuser’s use of control and coercion to dominate their victim’s thoughts, emotions, and behaviors. This might involve employing threats, both explicit and implicit, to intimidate the victim into compliance. The narcissist may also leverage their power in the relationship to manipulate their victim’s actions and decisions, leaving the victim feeling trapped and powerless.
Isolation
Isolation is a common strategy employed by narcissists to maintain power and control over their victims. By separating their victim from friends, family, and support networks, the abuser cultivates an environment of dependency and vulnerability.
This isolation can be achieved through various means, such as discouraging the victim from spending time with loved ones, moving to a new location, or creating a rift between the victim and their support system.
As the victim becomes increasingly isolated, they may find themselves relying more heavily on the abuser for emotional support and validation. This heightened dependency makes it more challenging for the victim to escape the abusive dynamic, as they may feel they have nowhere else to turn.
Gaslighting
Gaslighting is a subtle yet potent form of psychological manipulation commonly employed by narcissists to gain control over their victims. By distorting reality and casting doubt on the victim’s perception, memory, and sanity, the abuser aims to erode their target’s self-trust and self-esteem. This manipulation often involves denying or twisting events, questioning the victim’s recollection, or accusing them of being overly sensitive or delusional.
As the victim’s sense of reality becomes increasingly shaky, they may become more reliant on the abuser for validation and clarity, ultimately deepening the power imbalance within the relationship. Recognizing the signs of gaslighting is crucial for identifying narcissistic abuse, as victims typically require support to regain confidence in their own judgment and rebuild their sense of self-worth.
An example of this might be the abuser saying “everyone calls you crazy” to isolate the victim and make them doubt themselves.
Manipulation
Manipulation lies at the heart of narcissistic abuse, serving as a means to control, exploit, and dominate the victim. By employing various tactics, such as love-bombing, guilt-tripping, or playing the victim, the abuser aims to erode their target’s sense of self, confidence, and independence.
The insidious nature of manipulation often makes it challenging for victims to recognize and confront the abuse, as abusers can skillfully disguise their actions as caring, concerned, or well-intentioned.
Over time, the victim may become entangled in a web of control, making it increasingly difficult to break free from the abuser’s influence. Identifying manipulative behaviors and understanding their impact is essential in recognizing narcissistic abuse and seeking appropriate support for recovery.
Emotional blackmail is a manipulation tactic commonly employed by narcissists and other abusers, often involving the use of fear, guilt, or sympathy to control and exploit the victim.
By eliciting strong emotional reactions, the abuser aims to coerce their target into acting or behaving in a way that serves the abuser’s interests.
For example, they might say their ex cheated on them, when in fact, they were controlling in the relationship. The abuser may be trying to evoke feelings of sympathy and pity, while simultaneously painting themselves as the victim. This manipulation can serve multiple purposes, such as:
- Gaining the upper hand in the current relationship by eliciting empathy and support from the victim
- Reinforcing the notion that they are the one who has been wronged, which can be used to justify their own controlling or abusive behaviors
- Deflecting attention from their own misconduct or mistreatment of their ex
Using emotional blackmail in this way can be highly effective in manipulating the victim’s perception and emotions, making it crucial to recognize and understand this tactic to safeguard oneself from narcissistic abuse.
Invalidation
Invalidation is a common tactic employed by narcissists to undermine their victim’s self-worth, confidence, and emotional well-being. This form of psychological manipulation involves dismissing, denying, or minimizing the victim’s thoughts, feelings, or experiences, causing them to question their own reality and emotional reactions.
Some common invalidation techniques used by narcissists include:
- Dismissing the victim’s feelings: “You’re overreacting,” or “It’s not a big deal.”
- Belittling their thoughts or opinions: “That’s ridiculous,” or “You don’t know what you’re talking about.”
- Gaslighting: “That never happened,” or “You’re imagining things.”
- Deflecting blame: “You’re too sensitive,” or “It’s your fault for making me act this way.”
Over time, these repeated instances of invalidation can lead the victim to doubt their own emotions, perceptions, and self-worth. This weakening of self-trust makes it easier for the abuser to exert control and further manipulate their target.
Treatment for Narcissistic Abuse
Treatment for Narcissistic Abuse is a complex process that often requires a combination of therapy, self-care and support groups on domestic abuse. The following approaches can aid in healing and rebuilding one’s sense of self-worth and autonomy:
1. Work with someone who specialises in treatment for narcissistic abuse
Often, victims of narcissism abuse are invalidated and retraumatised by law enforcement, ill-informed therapists, family members and friends who invalidate their perceptions of abuse.
This is also apparent if victims have grown up with narcissistic parents who frequently gaslighted them and invalidated them, after abusing them.
Oftentimes, people who are vulnerable to narcissistic abuse are people who haven’t had a place to go to refuge and are ostracised from their family.
When the victim is isolated from their parents, their parents may turn a blind eye to their isolation, particularly if they haven’t been a secure support system due to their narcissistic tendencies.
Because of this, they might dismiss, minimize and invalidate their experience because they feel guilt and shame for not being supportive parents.
Often victims fear that no one will understand them and will carry shame that it’s their fault, particularly if they grew up with narcissistic parents who were emotionally abusive or parents who were emotionally immature making them susceptible and vulnerable to further invalidation.
In the aftermath of abuse, victims will doubt their self-perception and struggle to trust their experiences. It isn’t until working with someone who is domestic-abuse informed and narcissistic-abuse informed that their experiences will be validated and they will trust themselves again.
When they fear that no one will understand or believe them, instead of reaching out for help, they will withdraw from others. The abuser has instilled so much fear in them, they can struggle to trust others.
2. Trauma therapy
Working with a therapist experienced in treating narcissistic abuse can provide victims valuable support and guidance.
An important hallmark of trauma-informed therapy is non-pathologising and non victim-blaming care.
One particular approach that is effective for treating narcissistic abuse is internal family systems therapy. Internal family systems therapy is a compassionate approach to healing emotional distress and trauma.
Its focus is understanding and healing the various “parts” or sub-personalities within an individual that have become fragmented due to ongoing abuse.
In the context of narcissistic abuse, IFS therapy can help survivors identify and address the internal conflicts and emotional wounds that may have developed due to the abuse.
It’s important to note that every case of narcissistic abuse should be considered unique and complex and should be treated as such. However, these are some examples:
Example 1
One example of this may be that when someone has experienced narcissistic abuse, the abuser may have exploited someone’s fears or vulnerabilities to control them. An example of this may be shaming them for not complying to them and coercing them.
The abuser may gaslight the victim and place the blame on the victim to avoid accountability for their abuse, leading to the victim doubting themselves.
If the victim also has a history of trauma and the abuser exploits this to control them, the victim may be carrying a shame wound that the abuser is exploiting to control them.
As a result, the victim may have a self doubt part that doubts their experiences. A shame part that carries emotional experiences of shame from the past narcissistic relationships and the current relationship.
The aftermath of narcissistic abuse is challenging, because the victim may feel anxious in social situations where they have an underlying fear of being objectified and shamed.
If we are to look at this through an IFS lens, we can identify the different parts in the system that are in conflict:
- Shame part “it’s my fault I don’t want to be intimate, it’s my trauma”.
- Empathy part “he was cheated on, so that’s why he’s the way he is as he was betrayed”.
- Lost child part “I won’t find this security elsewhere”.
Example 2
The hallmark of narcissistic abuse is isolation. When the victim experiences isolation in the relationship, they will develop a fear of the outside world and feeling lonely.
It’s likely they’ve lost their independence, self-identity and self-worth, so they might experience cognitive dissonance in the relationship due to internal conflict in the system.
For example, they might have a rational part saying that they feel trapped and something doesn’t feel right.
But because of their fear of loneliness and uncertainty of the world, they will have parts that try to soothe the system.
They might have a part that says “I won’t be lonely if I stay in this relationship and I have company”.
They might also have a part that fears the abuser finding out that they’re realizing that they want to leave and fears the consequences, so to create cognitive coherence, they have denying parts and minimizing parts that say “well they’re caring” without realizing that it isn’t care, it’s possessiveness and control.
If we are to look at this through an IFS lens, we can identify the different parts in the system that are in conflict:
- Rational part “I feel trapped, this doesn’t feel right”.
- Shame part “it’s my fault because I have a history of trauma” and “something is wrong with me”.
- Justifying part “they’re really caring”.
- Fear part “I fear them knowing that I know”.
- Denial part “I’m just going to not think about it”.
- Lonely part “I fear I’ll be lonely”.
By exploring and understanding the roles that different parts play in their internal system, survivors can gain a deeper understanding of their emotional experiences, the self doubt and confusion they have as a result of the abuse and the deeper underlying emotions that contribute to their cognitive dissonance.
It’s important that this is approached with the utmost compassion and understanding in the system. This helps the client to understand the positive intent of their parts to keep themselves safe.
Example 3
Another example may be that as the victim tries to gain more independence and set boundaries, the abuser will begin to stalk, monitor and control the victim.
This can lead to the victim feeling fear that their abuser is stalking them and they become hyper-vigilant and on edge. They might also feel guilty for catching up with a friend they haven’t seen for a year because of the isolation.
If we are to look at this through an IFS lens, we can identify the different parts in the system:
- Hyper-vigilant part “I fear he is following me”.
- Guilty part “I feel guilty for seeing a friend”.
- Justifying part “they’re really caring”.
- Fear part “I fear the consequence of leaving them”.
Treatment for Narcissistic Abuse (An IFS Approach)
Treatment for narcissistic abuse using IFS would help the victim to heal their emotional distress by connecting to their inner world of parts with curiosity and compassion.
1. Identify and understand the different parts: Victims of narcissistic abuse often develop specific parts to cope with the abuse, such as a compliant part or a protective part. IFS therapy helps clients recognize and acknowledge these parts.
2. Build trust and communication among parts: IFS aims to establish a more balanced and harmonious internal system by promoting understanding and cooperation among different parts.
3. Heal wounded parts: By identifying and addressing the emotional wounds inflicted by narcissistic abuse such as fear, shame and helplessness, clients can begin to heal and release the pain and negative beliefs associated with those experiences.
4. Develop healthy coping strategies: Through the IFS process, clients can develop more effective ways to attend to their parts with compassion. For example, instead of saying “I’m dissociated” they can learn to say “a part of me is dissociated” and they can practice validating their feelings and providing comfort and support.
2. Joining local support groups
Survivors can contact local charities that provide education on domestic abuse and recovery from domestic abuse, such as The Freedom Program.
This is a fantastic group course where survivors can connect with other survivors, share their experiences, learn the mindset of an abuser, the different archetypes of an abuser, red flags of abuse, the power control wheel and the cycle of abuse.
This helps them to become discerning with people, assess whether people are emotionally safe and learn to empower themselves to build their independence and autonomy.
Joining a local support group can help survivors feel less isolated and provide them with a safe space to discuss their feelings and concerns.
If this resonates, go to my home page to view my current availability for booking a session. I offer virtual therapy for those in the UK, US & Europe.



