Therapy for Narcissistic Abuse, A Compassionate Guide to Recovery

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Therapy for narcissistic abuse can help people to heal from the long-lasting emotional damage. Narcissistic abuse can leave individuals feeling shattered, doubting their self-worth, and struggling to rebuild their lives. Engaging in therapy for narcissistic abuse that is tailored to address the complexities of narcissistic abuse is an essential step towards recovery.

Through a supportive and understanding environment, survivors can come to terms with their experiences, process their emotions, and regain control over their lives. By addressing the trauma and fostering personal growth, therapy empowers individuals to break free from the cycle of abuse and embrace a brighter, more fulfilling future.

What is narcissistic abuse?

Narcissistic abuse is a form of emotional abuse inflicted by individuals with Narcissistic Personality Disorder (NPD) or narcissistic traits. This type of abuse involves a consistent pattern of manipulation, gaslighting, and other emotionally exploitative behaviors intended to assert control over their victims. The effects of narcissistic abuse can be severe, eroding the victim’s self-esteem, self-worth, and overall mental well-being.

Some common tactics employed by narcissists include:

  • Gaslighting: The act of distorting reality and manipulating the victim into questioning their own sanity and experiences.
  • Love bombing: An initial period of intense affection and attention, which can quickly turn into devaluation and discard.
  • Emotional manipulation: Using guilt, fear, or other emotions to control the victim’s actions and emotions.
  • Isolation: Separating the victim from friends and family, making them more dependent on the abuser.
  • Projection: Accusing the victim of behaviors or feelings that the abuser themselves exhibit.

Healing from narcissistic abuse often requires professional help, as well as support from friends, family, or support groups. Recognizing the signs of narcissistic abuse and understanding its impact is crucial for both the victims and those offering support.

Trauma therapy for narcissistic abuse

The trauma inflicted from narcissistic abuse fragments parts of the mind and impacts the nervous system. Early exposure to narcissistic abuse and emotional trauma during childhood can significantly heighten an individual’s vulnerability to various mental health challenges. These issues may include depression, anxiety, panic attacks, and post-traumatic stress disorder (PTSD) and complex PTSD.

Narcissistic abuse also impacts the nervous system, causing a range of psychological and physiological symptoms that can have a lasting effect on a person’s overall well-being. These effects often include:

  • Disruption in self-identity: Narcissistic abuse can lead to feelings of self-doubt, confusion, and a distorted sense of reality, making it challenging for survivors to maintain a consistent sense of self.
  • Emotional dysregulation: The trauma can result in heightened emotional responses, difficulty managing intense feelings of anxiety and fear.
  • Hypervigilance: Living in a state of constant alertness can exhaust the nervous system and make it difficult for survivors to relax or feel safe, even when the danger is no longer present.
  • Dissociation: Feeling disconnected from our bodies serves as a protective mechanism, allowing individuals to mentally escape from the overwhelming distress caused by trauma. 
  • Physical health issues: The psychological stress from narcissistic abuse can manifest in physical symptoms such as headaches, digestive problems, sleep disturbances, nightmares and chronic pain.
  • Impaired cognitive functioning: Trauma can affect memory, concentration, and decision-making abilities, making everyday tasks more challenging and impacting one’s overall quality of life.

In order to cope with the trauma of narcissistic abuse, the mind will become fragmented and exile the intense emotions inflicted from the emotional abuse, such as fear, anxiety, helplessness, unworthiness and shame. 

To protect the person from feeling these emotions, their nervous system will stay stuck in a state of fight or flight or it may enter the freeze state where it completely shuts off in order to cope.

This is why therapy for narcissistic abuse needs to be trauma-informed with a focus on befriending the nervous system and healing parts of the mind wounded by the emotional abuse.

Internal family systems therapy for narcissistic abuse

Narcissistic abuse leaves survivors grappling with a myriad of emotional wounds, often creating internal conflicts and fragmented identities. Internal Family Systems (IFS) therapy offers a powerful approach to healing these wounds, fostering self-compassion, and restoring inner balance. Let’s delve into how IFS can be particularly effective for survivors of narcissistic abuse.

Understanding IFS Therapy

Developed by Dr. Richard Schwartz, IFS is a non-pathologizing, evidence-based model of therapy that views the mind as a complex system comprising various parts or sub-personalities. These parts may be in conflict with one another, particularly in response to trauma, such as narcissistic abuse. The goal of IFS therapy is to help individuals identify and understand these parts, resolve inner conflicts, and promote a sense of wholeness and harmony.

The 3 Core Components of IFS

Exiles: These are parts that carry emotional pain, often related to past trauma or neglect. Exiles are typically pushed out of conscious awareness to protect the individual from their overwhelming emotions.

In the context of therapy for narcissistic abuse, exiles are the buried emotions, memories and beliefs that are inflicted from the emotional abuse.

Here are some examples of exiles that may be present in narcissistic abuse survivors:

  • The Abandoned Child: This exile carries feelings of loneliness, fear, and desperation stemming from emotional neglect, rejection, or abandonment experienced during the abuse.
  • The Shamed Victim: Carrying the burden of shame, humiliation, and feelings of worthlessness, this exile may emerge as a result of constant belittling, criticism, and devaluation by the narcissist.

Managers: These parts work to prevent exiles from surfacing by focusing on tasks, routines, and external achievements. Their goal is to maintain emotional stability and avoid triggers that may provoke exiles.

In the context of therapy for narcissistic abuse, managers are parts of the survivor’s internal system that work to prevent exiles from surfacing by focusing on tasks, routines, and external achievements. Here are some examples of managers that may be present in narcissistic abuse survivors:

Firefighters: When exiles become activated and threaten to flood the system with intense emotions, firefighters engage in impulsive, numbing, or distracting behaviors to dissipate the distress.

In the context of narcissistic abuse, firefighters can manifest in various ways as coping mechanisms to help survivors manage overwhelming emotions. Here are some examples:

  • Self-medicating: Survivors may turn to substance abuse, excessive alcohol consumption, or prescription drug misuse as a way to numb emotional pain and manage feelings of anxiety, depression, or post-traumatic stress.
  • Emotional outbursts: Survivors might experience intense anger, rage, or fear, leading to explosive outbursts that temporarily release the emotional pressure built up by exiles.
  • Impulsive behaviors: Survivors may engage in risky or impulsive behaviors, such as compulsive spending, gambling, or unsafe sexual encounters, as a means of distracting themselves from emotional pain and regaining a sense of control.
  • Dissociation: Survivors might detach from their emotions and experiences by “checking out” mentally, entering a trance-like state, or engaging in daydreaming or fantasy as a way to avoid the emotional distress of exiles.

How IFS Helps Narcissistic Abuse Survivors

IFS therapy offers a compassionate and non-judgmental framework for understanding and healing the psychological wounds inflicted by narcissistic abuse. By exploring their internal parts, survivors can:

Identify and validate emotional pain

IFS allows survivors to acknowledge the suffering of their exiled parts, fostering self-compassion and healing.

Understand coping strategies

Recognizing the roles of managers and firefighters in maintaining inner stability helps survivors reframe maladaptive behaviors as attempts to protect themselves from further harm.

Integrate fragmented aspects of self

Through IFS, survivors can heal internal divisions, developing a more cohesive sense of identity and resilience in the face of past trauma.

Strengthen the Self

By accessing the innate wisdom of the “Self” (the core, undamaged part of an individual), survivors can develop a healthier relationship with their emotions, thoughts, and behaviors.

Emotional coping mechanisms

In addition to ifs therapy for narcissistic abuse, it’s helpful for survivors to learn emotional coping mechanisms, such as self-soothing techniques and grounding techniques that help them cope with their emotions and regulate them, so they can stay “rooted” and grow their emotional resilience and self-esteem. 

Survivors who experience narcissism abuse, particularly those who grew up with narcissistic mothers or narcissistic parents, will have missed out in having a secure and stable childhood that helped them to grow up with personal building blocks to deal with life. 

Usually, when a child is anxious, a parent’s natural response will be to soothe and reassure the child. This helps the child to feel safe and secure and they will grow up with the tools to self-soothe, regulate their emotions, set boundaries and have a toxicity radar to protect themselves from entering abusive relationships. 

However, those who grow up in abusive homes lack the skills in setting boundaries, regulating their emotions, having discernment and self-esteem to assert themselves and advocate for their emotional wellbeing. 

Psychoeducation

Another important aspect of narcissism abuse is psychoeducation. Therapists who specialise in narcissism abuse will educate someone on the cycle of narcissism abuse, the red flags of abusive relationships, how to deal with a narcissist and other hallmarks of narcissism abuse such as legal abuse, financial abuse, sexual coercion and emotional exploitation. This psychoeducation empowers the victim through knowledge, discernment and self-trust. 

Conclusion

Internal Family Systems therapy for narcissistic abuse provides a powerful and transformative approach to healing the emotional wounds inflicted by narcissistic abuse. 

By fostering self-compassion and inner integration, survivors can regain control over their lives and pave the way for a brighter, more fulfilling future.

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.