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What is narcissism?

Narcissism is a trait, much like aggression, assertiveness, affection, charm, etc. This means that narcissism exists on a spectrum and is present at some level in everyone. Yes, we all have at least a sprinkle of narcissistic traits and it’s actually good. Healthy narcissism allows us to have a sense of self-esteem, self-worth, helps us tolerate hardship, criticism, and maintain confidence.



As you move from the healthy end of the narcissism spectrum you become less and less healthy, eventually finding narcissistic personality disorder (NPD). This is what comes to mind for most people when they hear the term “narcissism”. This is more than a trait, rather it is a diagnosable personality disorder with severe symptoms.


What is the cause of narcissistic traits or narcissistic personality disorder (NPD)?

When interacting with someone who is high in narcissistic traits, or someone diagnosed with NPD, we may see someone who appears to be self-obsessed, grandiose, superior, self-centered, and self-important. The exact cause of high narcissistic traits or NPD will vary from person to person and a definitive link to the development of NPD hasn’t yet been identified. The root of narcissism can generally be distilled down to into a few general categories:

  • The parenting style they experienced during childhood – this can happen in a few ways:

    • The narcissist created from pampering:

      • Were they coddled or highly praised? Were they idolized? Could they do no wrong? Were they overindulged?

    • The narcissist created from highly critical, insensitive, or emotionally immature parenting:

      • Were the critical messages from parents in childhood internalized by the child, causing him/her/them to build an ideal image of worth and value (the narcissist we see externally) and be caught in a constant battle for validation, always seeking external validation for the internal doubt?

      • Was this child emotionally neglected, leaving them without a sense of self, looking to others for validation in adulthood?

  • Other factors could include:

    • Genetic factors

    • Changes in brain function

    • Family history of mental health disorders


What does it feel like to experience narcissistic abuse? What’s it like to be in a family or other relationship with a narcissist? How do I know?


First, being on the receiving end of narcissistic abuse feels confusing as hell and incredibly isolating. There are likely moments where you have felt like you’re losing your grip on reality. You’ve probably even asked yourself the question, “Am I the narcissist?!?!”





Here are a few telltale signs that your family member, partner, or friend has narcissistic traits:

  • They lack empathy for others

    • This one can be difficult to identify at times but keep an eye out and if you see the person experiencing emotion, ask what they’re feeling. Most often the emotion will be less about others (e.g., “I’m sad for the child without presents on their birthday.”) and more related to themselves (e.g., “Seeing the child without presents on their birthday reminded me of my childhood and I’m sad for my experience.”).

  • They are highly envious

    • They can be envious of the success of their children, their partners, and their friends. This can show up in subtle and extremely destructive ways.

  • They feel entitled

    • Whether it is to your time, your physical space, material possessions, or even to things like success or good luck, folks with high narcissistic traits often feel like the world and those in it owe them something.

  • Narcissistic parents often parentify their children

    • A parentified child is one that takes on some or all of the responsibilities of the parent. There’s instrumental parentification, giving responsibility to a child for things, like chores, paying bills, helping siblings with homework, childcare, etc. and emotional parentification which might look like caring for a parent’s emotions (soothing a distressed parent, listening to one parent vent about the other parent’s behavior, hearing about financial stressors, providing reassurance or validation to a parent, etc.)

  • They will use emotional manipulation & sometimes emotional abuse

    • This could look like using criticism, sympathy seeking, etc. to poke at the places they know will make you feel either sympathy, pity, obligation, or a sense of duty to them.

    • Emotional abuse can look many ways, here are some of the most common ways, although this isn’t an all-inclusive list:

      • Humiliation

      • Accusation, blame, denial

      • Emotional neglect and isolation, stonewalling, ignoring when someone is speaking to them, walking away, giving the silent treatment, eyerolling, etc.

      • Gaslighting, manipulating your reality and making you question your basic perception, experience, and competence.

      • Outbursts of anger & rage

  • They can’t be wrong and have a need to feel superior to others

    • If you know, you know. A person with high narcissistic traits will always try to build up their own sense of self-worth and that will often come at a cost to others. This could look like criticism about strangers (e.g., “Look at how disheveled she is, I can’t believe she left the house looking like that.”), family members, or friends.

    • Additionally, it is near impossible for these folks to ever admit they were wrong, and you’ll rarely hear an apology. If you do hear an apology, it’s some iteration of the classic “I’m sorry you feel that way.” It is highly unlikely that they will take ownership for their actions or for the role they’ve played in a situation.

    • Admiration from others is vital. They can get their “narcissistic supply” of admiration and attention in many ways, this could be showing off material wealth, a successful child, etc. This could even mean taking on financial debt to obtain material possessions or overworking to achieve the thing that bring about praise and admiration.

  • They’re one person in public and another person in private.

    • It is not uncommon for friends, acquaintances, or members of the community to regard those with narcissistic traits highly. Most of these folks can be very personable and can turn on their charismatic charm. Anyone who knows someone with high narcissistic traits or NPD knows that the reality of this person in private is very different. The charisma disappears in private, when insecurity starts to bubble under the surface, the mask can come off revealing something very ugly and hurtful.

  • You are never enough.

    • No matter what you do, no matter how much you love them. You, your love, whatever it may be is never enough and they are never satisfied.

  • They get upset when you place a boundary

    • This comes back to the entitlement and the need to access you for their “narcissistic supply” of attention and admiration. If you have a boundary in place they no longer feel safe and will likely act out or move into “love bombing” – more on that in another blog post!

I hope this post was helpful in clarifying what it's like to know someone with narcissistic traits. If this feels like your experience, you're not alone and healing is possible. Check out the resources tab on this website for more information, book recommendations, podcasts, and more. If therapy feels supportive, please reach out and schedule a session.


What topics related to narcissistic abuse and healing are you most interested in? Comment below or e-mail me at kaci@thepinecenter.com and I’ll try my best to answer your questions in my next post!

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kaci08

Before I found my therapist (yes, therapists have therapists), I felt like I was constantly looking at “therapists near me” or “counselors near me”. I had no idea what made a good mental healthcare provider or how to know if someone would make a good match for my needs. Ultimately, I found a nice looking website with a friendly and trustworthy looking face, and I took a leap of faith. Honestly, I felt like I was closing my eyes and throwing a dart at a dartboard. I got lucky and found an amazing clinician. Not everyone gets so lucky, I’ve loved the therapist I found and I’m still with her today, over 3 years later! However, if I had to go through the process of searching all over again, would I use the same technique? Absolutely not.


Since those days I've learned a thing two, here are a few pro-tips that I would recommend when trying to find a mental healthcare provider.


Am I looking for therapy or counseling?

You might be asking “what’s the difference between therapy and counseling”?

The primary difference is duration of care.

  • Therapy is usually more long-term and has to do with you, your worldviews, thoughts, patterns, beliefs, and/or symptoms (e.g., depression, anxiety, panic, nightmares, OCD, etc.). Therapy is best for things that feel more chronic (i.e., long-term and persistent) in your life. For example:

o “I’ve always had anxiety and I’d like some help coping with it now.”

o ”I’ve been dealing with panic attacks since I was a teen.”

o ”I’ve been always dealt with bouts of depression.”


Therapy helps you develop the skills to build coping strategies and reduce the impact of those symptoms on your daily life. Therapy is also a great way to develop self-insight and introspection.


  • Counseling is typically a bit shorter in treatment duration and is more focused on a specific concern.

o “I’m working through a divorce and would like help coping.”

o “We just moved to a new city and it has been difficult adjusting.”

o “My pet passed away and I’m feeling lots of grief.”

Counseling can provide guidance and tools for managing life’s acute (i.e., shorter term) concerns.


What do I want from this experience?

Knowing your end goal for why you’re seeking care can help point you to the best type of professional for helping you reach these goals.


· Do you want to gain skills for coping with life?

· Do you want to learn about emotional health and wellbeing?

· Do you want to a place to vent and share your stressors?

· Do you want to develop new insights about who you are and why you function the way you do?

· Do you want to mitigate a certain symptom or behavior?

· Do you want to explore the influence of your past on your present?



How do you want to feel while you’re in therapy or counseling?

Most people don’t think about this and are surprised when I recommend it. Therapy or counseling can work even if the relationship with your clinician is so-so but it will thrive if you are comfortable, connected, heard and able to show up authentically and openly.


Do you want a clinician who feels comfortable and welcoming? Do you want someone who is laid back and wears a hoodie in session or is it important to you if your clinician wears a blazer? Do you want a clinician who feels like a leader and offers up direction and guidance? Do you want someone who provides you the full session to explore whatever you want? Do you want to be able to curse in session? Do you want a therapist who curses with you? Do you want someone who offers you insight into the patters and behaviors they notice?


Often times we have expectations for what we want our experience with mental health care to be like and when we don’t consider this before hand and filter out the folks that don’t align with our expectations, we can end up feeling disappointed.

There’s no right or wrong, only what you want.


Free consultation call – DO IT!

Most clinicians offer a completely free 10-, 15-, or 20-minute consultation call. It sounds a little anxiety inducing for some folks, but it’s just a way for you to ask questions and feel out if the clinician and their personality are a good fit for your needs. This is a great way to save yourself time, energy, and money! We all need more of those things. Rather than scheduling the appointment, completing all the intake paperwork, attending the first session and then deciding, “oh crap, I don’t click with this clinician at all!” and still having to foot the bill for the session, you can reduce the chances of that happening by vetting the clinician during the consultation call.

Here are some great questions to ask during the call:

· Do you offer services at the time I need?

· Do you offer services at the price point I need, accept my insurance, or offer reduced rate or sliding scale fees?

· Do you offer services where I need them (in-person/virtual)?

· Do you offer any of the specific services I’m looking for (trauma treatment, OCD treatment, mindfulness, treatment for panic disorder, court appearances, etc.)

· Do you have experience working with a certain group of people (e.g., the LGBTQIA+ community, folks with chronic health concerns, sex workers, those living in the US without documentation, etc.)

· Can you tell me about your experience working with XYZ or treating ABC? What does treatment look like?

· What does it look like to work with you? Are you casual/professional/direct/non-directive/etc.?

· How often are sessions?


How do I even find a clinician?

  • TherapyDen – it’s a directory of clinicians, you can search by area code, clinician specialty, insurance provider, the type of therapy you want, and more. It is owned and operated by a therapist, someone who understands the needs and wants of clients and healthcare providers alike.

  • OpenPath – a collective of therapists offering high quality and reduced rate therapy services. A one-time lifetime membership fee of $65 provides access to care at $40-$70 per session. This is a nonprofit organization supporting clients who lack insurance or those with insufficient healthcare benefits. Bonus: You can search for clinicians before signing up!

  • Psychology Today – a very popular platform and directory for finding mental healthcare providers with options to filter search. This organization also publishes a magazine; however, it has historically lacked diversity and representation.

  • Meet Monarch - is another directory powered by the SimplePractice platform.

  • OutCare - is an amazing resource for finding all kinds of providors (medical, mental health, etc.) for those in the LGBTQIA+ community. OutCare also provides training for those on the OutCare directory.



There are tons of amazing local therapists waiting to meet you. Please don't feel discouraged if there is a bit of trial and error in your search, you will find the right clinician to meet your needs.


If you have questions you’d like answered in future blogs, feel free to e-mail them to at kaci@thepinecenter.com


All the best, Kaci



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