Narcissistic Personality (NPD) Counselling in Newbury

Photo of Mikiko Akeda, MBACP, Counsellor
Mikiko Akeda
Counsellor, MBACP
Verified Verified
Newbury RG14
I wonder what is on your mind at the moment? You may be experiencing overwhelming feelings, struggling with relationship problems, or feeling stuck in your life. I am here to help you share any burden you might be carrying. I am an experienced Psychodynamic Counsellor and am here to listen to your story. I offer you a safe and non-judgemental space where you can talk freely and be heard and accepted. Having a safe space to talk can have a powerful and positive impact on mental health, where you do not feel alone to face the challenges.
I wonder what is on your mind at the moment? You may be experiencing overwhelming feelings, struggling with relationship problems, or feeling stuck in your life. I am here to help you share any burden you might be carrying. I am an experienced Psychodynamic Counsellor and am here to listen to your story. I offer you a safe and non-judgemental space where you can talk freely and be heard and accepted. Having a safe space to talk can have a powerful and positive impact on mental health, where you do not feel alone to face the challenges.
01635 017261 View 01635 017261
Photo of Lucy Walthoe, MA, MUKCP, Psychotherapist
Lucy Walthoe
Psychotherapist, MA, MUKCP
Verified Verified
Newbury RG14
Are you struggling emotionally? I offer you a relationship where you can be vulnerable, supported, and we work together to find your way through. You may be going through a tumultuous time, like the end of a relationship or loss of a loved one. You may feel weighed down, stressed or anxious about how much you have to juggle. You may be carrying emotional pain or questions from your past that you would like to resolve. Or negative thoughts, feelings and behaviours might fill your life, leaving you isolated. I offer a space where you are safe to be vulnerable and find your way through.
Are you struggling emotionally? I offer you a relationship where you can be vulnerable, supported, and we work together to find your way through. You may be going through a tumultuous time, like the end of a relationship or loss of a loved one. You may feel weighed down, stressed or anxious about how much you have to juggle. You may be carrying emotional pain or questions from your past that you would like to resolve. Or negative thoughts, feelings and behaviours might fill your life, leaving you isolated. I offer a space where you are safe to be vulnerable and find your way through.
01962 571656 View 01962 571656
Photo of Linda Kathryn Berkeley, MSc, MBABCP, Psychotherapist
Linda Kathryn Berkeley
Psychotherapist, MSc, MBABCP
Verified Verified
Newbury RG14
You are the expert on yourself an only you can decide what might work for you. We will form a plan together, perhaps over the course of two to three sessions, of how we can proceed, and what we collaboratively believe is going on for you. You will find my practice is based on a humanistic, integrative, pluralistic blending of possibilities from several frameworks, including CBT, Gestalt, Compassion Focused Therapy, ideas from psychodynamic practice, with a person-centred, humanistic core.
You are the expert on yourself an only you can decide what might work for you. We will form a plan together, perhaps over the course of two to three sessions, of how we can proceed, and what we collaboratively believe is going on for you. You will find my practice is based on a humanistic, integrative, pluralistic blending of possibilities from several frameworks, including CBT, Gestalt, Compassion Focused Therapy, ideas from psychodynamic practice, with a person-centred, humanistic core.
01793 234332 View 01793 234332
Photo of Emmanuel Ampofo, MSc, MBABCP, Psychotherapist
Emmanuel Ampofo
Psychotherapist, MSc, MBABCP
Verified Verified
1 Endorsed
Newbury RG14
I am an Accredited Cognitive Behavioural Psychotherapist with the BABCP with 10 years experience of using CBT to treat various psychological disorders. Do you struggle with intrusive thoughts of horrific nature that makes you feel like a bad person? Or do you engage in excessive checks or intense fear of contamination hence the need to engage in certain rituals to feel safe and to keep others safe? If you struggle with any of the above as well as constantly re-living past trauma events and struggle with depression leading to isolation, then get in touch!
I am an Accredited Cognitive Behavioural Psychotherapist with the BABCP with 10 years experience of using CBT to treat various psychological disorders. Do you struggle with intrusive thoughts of horrific nature that makes you feel like a bad person? Or do you engage in excessive checks or intense fear of contamination hence the need to engage in certain rituals to feel safe and to keep others safe? If you struggle with any of the above as well as constantly re-living past trauma events and struggle with depression leading to isolation, then get in touch!
01256 595299 View 01256 595299
Photo of Naomi Jenkins, BACP, Counsellor
Naomi Jenkins
Counsellor, BACP
Verified Verified
Newbury RG14  (Online Only)
Hello, my name is Naomi. I am a professional, qualified counsellor and psychotherapist, accredited with the United Kingdom Council for Psychotherapy (UKCP). I offer a confidential, non-judgemental space to approach any concerns you may have and wish to address. I feel that counselling should be accessible for everyone. I am here to support you in gaining awareness of what may be behind your difficulties, exploring your needs and potential goals. It may be that you are unsure of your exact reasons for seeking counselling and this is perfectly normal. Together we can unravel and work towards what it is you may like to be different.
Hello, my name is Naomi. I am a professional, qualified counsellor and psychotherapist, accredited with the United Kingdom Council for Psychotherapy (UKCP). I offer a confidential, non-judgemental space to approach any concerns you may have and wish to address. I feel that counselling should be accessible for everyone. I am here to support you in gaining awareness of what may be behind your difficulties, exploring your needs and potential goals. It may be that you are unsure of your exact reasons for seeking counselling and this is perfectly normal. Together we can unravel and work towards what it is you may like to be different.
01264 317631 View 01264 317631
Photo of Nicola Kelly - Nicola Kelly Counselling, MBACP, Counsellor
Nicola Kelly Counselling
Counsellor, MBACP
Verified Verified
Newbury RG14
I am an Integrative psychotherapeutic counsellor. I work with a range of modalities including person-centred and psychodynamic. My private practice is located from my home, within a welcoming, safe and confidential setting. At times life can become difficult and confusing. If you feel you have lost your way, struggling with stress or anxiety, talking to a trained professional will help you explore your deeper thoughts and feelings at your own pace without judgement.
I am an Integrative psychotherapeutic counsellor. I work with a range of modalities including person-centred and psychodynamic. My private practice is located from my home, within a welcoming, safe and confidential setting. At times life can become difficult and confusing. If you feel you have lost your way, struggling with stress or anxiety, talking to a trained professional will help you explore your deeper thoughts and feelings at your own pace without judgement.
01235 428124 View 01235 428124

More Therapists Nearby

Photo of Mona Farjad, MSc, CPsychol, Psychotherapist
Mona Farjad
Psychotherapist, MSc, CPsychol
Verified Verified
Hampstead Norreys RG18
تحصیلات من با لیسانس روانشناسی کودک از دانشگاه علامه طباطبایی و فوق لیسانس روانشناسی بالینی در دانشگاه علوم تحقیقات تهران آغاز شد سپس با شروع رواندرمانی پویشی، تحت نظریه ی روانکاوی مدرن کار درمانی با نوجوانان و بزرگسالانی که با تاثر ازاختلالات شخصیت و خلق در روابط اجتماعی، صمیمانه و کار و تحصیل خود دچار دشواری شده اند پرداخته ام در مسیر درمانگری از سوپروایزرهای مرکز مطالعات روانکاوی نیویورک بهره گرفتم و دوره مطالعات روانکاوی را در دانشگاه برکبک لندن در سال ۱۴۰۲ با انجام تحقیقی در زمینه روانکاوی اجتماعی جنبش های زنان به پایان رسانده ام. در حیطه پژوهش علاقمندی مطالعاتی ام موضوعات زنان؛ مهاجرت و تحلیل روانکاوی آثار ادبی و هنری است.
تحصیلات من با لیسانس روانشناسی کودک از دانشگاه علامه طباطبایی و فوق لیسانس روانشناسی بالینی در دانشگاه علوم تحقیقات تهران آغاز شد سپس با شروع رواندرمانی پویشی، تحت نظریه ی روانکاوی مدرن کار درمانی با نوجوانان و بزرگسالانی که با تاثر ازاختلالات شخصیت و خلق در روابط اجتماعی، صمیمانه و کار و تحصیل خود دچار دشواری شده اند پرداخته ام در مسیر درمانگری از سوپروایزرهای مرکز مطالعات روانکاوی نیویورک بهره گرفتم و دوره مطالعات روانکاوی را در دانشگاه برکبک لندن در سال ۱۴۰۲ با انجام تحقیقی در زمینه روانکاوی اجتماعی جنبش های زنان به پایان رسانده ام. در حیطه پژوهش علاقمندی مطالعاتی ام موضوعات زنان؛ مهاجرت و تحلیل روانکاوی آثار ادبی و هنری است.
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Photo of Ajay Lamba, MSc, MBABCP, Psychotherapist
Ajay Lamba
Psychotherapist, MSc, MBABCP
Verified Verified
Thatcham RG19  (Online Only)
Ajay Lamba has delivered psychotherapy in NHS hospitals and private practice, which has provided a wealth of experience with people from diverse backgrounds and all age groups. His academic and work career has been focused on helping people achieve their goals of recovery by relieving symptoms of depression and anxiety, from mild to severe psychological difficulties.
Ajay Lamba has delivered psychotherapy in NHS hospitals and private practice, which has provided a wealth of experience with people from diverse backgrounds and all age groups. His academic and work career has been focused on helping people achieve their goals of recovery by relieving symptoms of depression and anxiety, from mild to severe psychological difficulties.
023 9200 3294 View 023 9200 3294
Photo of Viviane Hill, BACP, Counsellor
Viviane Hill
Counsellor, BACP
Verified Verified
Reading RG20
Are you feeling anxious, depressed, stuck ? Not quite yourself ? Perhaps you’re struggling with unexpected changes… difficulties in your relationship, the loss of a loved one, health problems? Or maybe you are wanting to move on from a situation that's holding you back, recover from a hurt or disappointment or regain your sense of self and what to do with your life? Whatever our age or circumstances, there are times when we could all use some support to light our way forward and to develop a deeper understanding of ourselves and our current situation.
Are you feeling anxious, depressed, stuck ? Not quite yourself ? Perhaps you’re struggling with unexpected changes… difficulties in your relationship, the loss of a loved one, health problems? Or maybe you are wanting to move on from a situation that's holding you back, recover from a hurt or disappointment or regain your sense of self and what to do with your life? Whatever our age or circumstances, there are times when we could all use some support to light our way forward and to develop a deeper understanding of ourselves and our current situation.
01903 684002 View 01903 684002
Photo of Karen Arnold - Aurora Counselling, PhD, MBACP, Counsellor
Aurora Counselling
Counsellor, PhD, MBACP
Verified Verified
Hermitage RG18
Do you feel stuck or frustrated in your life? Overwhelmed by feelings of anxiety, self-doubt, or struggling with a relationship? Perhaps you experience episodes of low mood that are affecting you and your family. It is often hard for others to understand how we experience life, and this can lead to feelings of isolation and despair. The evidence suggests that finding a therapist you feel able to talk to and understood by is key to a successful therapeutic experience. I support my clients to explore their problems and worries in a safe, non-judgmental, and collaborative way, leading to improved mental health and wellbeing.
Do you feel stuck or frustrated in your life? Overwhelmed by feelings of anxiety, self-doubt, or struggling with a relationship? Perhaps you experience episodes of low mood that are affecting you and your family. It is often hard for others to understand how we experience life, and this can lead to feelings of isolation and despair. The evidence suggests that finding a therapist you feel able to talk to and understood by is key to a successful therapeutic experience. I support my clients to explore their problems and worries in a safe, non-judgmental, and collaborative way, leading to improved mental health and wellbeing.
0118 324 6263 View 0118 324 6263
Photo of Phil J Giles - The Giles Practice, MBACP, Psychotherapist
The Giles Practice
Psychotherapist, MBACP
Verified Verified
Tadley RG26
The Giles Practice Is Committed To Helping You. We are a forward-thinking, progressive practice with genuine testimonials from satisfied clients. We have 5 star Google reviews with clients from all over the world. We have been instructed on recent catastrophic incidents such as the Grenfell Tower fire and the London Bridge/Borough Market terrorist attack. Each client is treated like an individual and every issue presented is important to us. We want our clients to be 100% happy, safe and secure when they use our service.
The Giles Practice Is Committed To Helping You. We are a forward-thinking, progressive practice with genuine testimonials from satisfied clients. We have 5 star Google reviews with clients from all over the world. We have been instructed on recent catastrophic incidents such as the Grenfell Tower fire and the London Bridge/Borough Market terrorist attack. Each client is treated like an individual and every issue presented is important to us. We want our clients to be 100% happy, safe and secure when they use our service.
01256 595034 View 01256 595034

Online Therapists

Photo of Dawn Bell, MBACP, Counsellor
Dawn Bell
Counsellor, MBACP
Verified Verified
1 Endorsed
Maidstone ME14
Are you concerned your partner/friend/family member is a narcissist? Perhaps you know they are but feel stuck. Maybe your previous relationship was toxic, leaving you afraid to date again. As well as working with anxiety, depression, anger issues, relationship problems and much more. I have many years experience in helping clients free themselves from the total devastation that narcissistic abuse brings. I know from first hand experience how it feels to be love bombed, devalued, gaslit, manipulated and then ultimately discarded. To be left feeling as though your soul has been sucked out and questioning who you even are!
Are you concerned your partner/friend/family member is a narcissist? Perhaps you know they are but feel stuck. Maybe your previous relationship was toxic, leaving you afraid to date again. As well as working with anxiety, depression, anger issues, relationship problems and much more. I have many years experience in helping clients free themselves from the total devastation that narcissistic abuse brings. I know from first hand experience how it feels to be love bombed, devalued, gaslit, manipulated and then ultimately discarded. To be left feeling as though your soul has been sucked out and questioning who you even are!
01622 239674 View 01622 239674
Photo of Nisa Farooq, MBACP Accred, Counsellor
Nisa Farooq
Counsellor, MBACP Accred
Verified Verified
Stevenage SG1
Hello! I am Nisa, an accredited Psychodynamic Counsellor and Bereavement Counsellor. In my practice, I have helped clients struggling with anxiety, depression, low mood, low self-esteem, bereavement, childhood abuse, shame, anger, narcissistic injuries, victims of crime, obsessive-compulsive disorder (OCD), body dysmorphia, eating disorder. relational trauma created through family dynamics,.
Hello! I am Nisa, an accredited Psychodynamic Counsellor and Bereavement Counsellor. In my practice, I have helped clients struggling with anxiety, depression, low mood, low self-esteem, bereavement, childhood abuse, shame, anger, narcissistic injuries, victims of crime, obsessive-compulsive disorder (OCD), body dysmorphia, eating disorder. relational trauma created through family dynamics,.
01438 584569 View 01438 584569
Photo of Gaia Bertocci, MSc, CPsychol, Psychotherapist
Gaia Bertocci
Psychotherapist, MSc, CPsychol
Verified Verified
London SW5  (Online Only)
I’m a psychodynamic psychotherapist since 2002. I worked with narcissistic personality disorder, depression and anxiety, eating disorder, trauma and pre-menopausal and menopausal issues. My focus is always patient oriented, holistic and deeply respectful of the individual personality. After a free initial consultation to understand what your goals and expectations are from yourself and the therapy, I will propose you a plan to work towards the improvement of your actual conditions
I’m a psychodynamic psychotherapist since 2002. I worked with narcissistic personality disorder, depression and anxiety, eating disorder, trauma and pre-menopausal and menopausal issues. My focus is always patient oriented, holistic and deeply respectful of the individual personality. After a free initial consultation to understand what your goals and expectations are from yourself and the therapy, I will propose you a plan to work towards the improvement of your actual conditions
020 3889 5965 View 020 3889 5965
Photo of Mel Crowe, MBACP, Counsellor
Mel Crowe
Counsellor, MBACP
Verified Verified
Littlehampton BN17  (Online Only)
If you have a narcissistic parent, I am the right counsellor for you! Do you feel like you are living with the consequences of bad parenting? Were you treated badly or unfairly during your childhood by your parent? Do they still treat you badly even though you're an adult? Do they ever give you the silent treatment? Does all this still affect you today, and you can’t stop thinking about the way they treated you? Does this leave you feeling confused and with a low self esteem, but you don’t know what to do about it or how to get over it? If so, then you might be feeling really hurt and alone, unable to see a way out.
If you have a narcissistic parent, I am the right counsellor for you! Do you feel like you are living with the consequences of bad parenting? Were you treated badly or unfairly during your childhood by your parent? Do they still treat you badly even though you're an adult? Do they ever give you the silent treatment? Does all this still affect you today, and you can’t stop thinking about the way they treated you? Does this leave you feeling confused and with a low self esteem, but you don’t know what to do about it or how to get over it? If so, then you might be feeling really hurt and alone, unable to see a way out.
07403 931297 View 07403 931297
Photo of Christine Barton, Counsellor
Christine Barton
Counsellor
Verified Verified
Saffron Walden CB11
I work with individuals and couples over the age of 16, I am experienced working with issues such as: Mental & Physical Abuse, Complex PTSD, Anger Management, Bereavement, Self Esteem, Stress, Relationship issues, Narcissistic Personality, Sexuality issues.
I understand that to make that first call or email for counselling can be extremely difficult, the fact you’re here means you’ve taken the first step towards making positive changes in your life. Are you stuck, feeling lost or alone, afraid or upset? I aim to help you to make sense of your fears, worries and anxieties. Many people find it easier to talk to someone who they see as being separate to their life rather than friends or family. I can help you make sense of experiences of the past and resolve complicated feelings linked to these. Therapy can be used to better yourself, allowing you to take complete control of your life.
I work with individuals and couples over the age of 16, I am experienced working with issues such as: Mental & Physical Abuse, Complex PTSD, Anger Management, Bereavement, Self Esteem, Stress, Relationship issues, Narcissistic Personality, Sexuality issues.
I understand that to make that first call or email for counselling can be extremely difficult, the fact you’re here means you’ve taken the first step towards making positive changes in your life. Are you stuck, feeling lost or alone, afraid or upset? I aim to help you to make sense of your fears, worries and anxieties. Many people find it easier to talk to someone who they see as being separate to their life rather than friends or family. I can help you make sense of experiences of the past and resolve complicated feelings linked to these. Therapy can be used to better yourself, allowing you to take complete control of your life.
07723 440410 View 07723 440410
Photo of Kelly Croucher, MBACP, Counsellor
Kelly Croucher
Counsellor, MBACP
Verified Verified
1 Endorsed
Sittingbourne ME9
As a certified person-centered counsellor and counselling tutor, I bring a wealth of experience in supporting individuals who have dealt with narcissistic/toxic abuse, co-dependency, anxiety, depression, attachment.
Do you find yourself feeling overwhelmed, anxious, or stressed? I am here to support you manage and reduce these feelings, while also boosting your self-esteem and confidence. Together, we can work towards rediscovering your true self and finding a sense of peace. It's completely normal to feel lost or confused about your emotions. I provide a judgment-free environment where you can freely express yourself and make positive changes to progress in your life.
As a certified person-centered counsellor and counselling tutor, I bring a wealth of experience in supporting individuals who have dealt with narcissistic/toxic abuse, co-dependency, anxiety, depression, attachment.
Do you find yourself feeling overwhelmed, anxious, or stressed? I am here to support you manage and reduce these feelings, while also boosting your self-esteem and confidence. Together, we can work towards rediscovering your true self and finding a sense of peace. It's completely normal to feel lost or confused about your emotions. I provide a judgment-free environment where you can freely express yourself and make positive changes to progress in your life.
01795 905167 View 01795 905167
Photo of Maria Lonergan - Maria Lonergan Counselling, MNCPS Acc., Counsellor
Maria Lonergan Counselling
Counsellor, MNCPS Acc.
Verified Verified
Walton-on-Thames KT12
Over the years, I have gained extensive experience working with toxic and abusive relationships particularly with a narcissistic partner/parent/friendship.
I have been in private practice for over 10 years. I gained extensive experience working in various setting such as Rape and Sexual Abuse centre in Guildford, GP surgery and a Drug and Alcohol charity. Working in these settings increased my knowledge and understanding with working with a variety of mental health issues around trauma, depression, anxiety and addictions. I have a particular interest in working with abuse (childhood, emotional and physical) and issues around relationship difficulties particularly toxic relationships. I offer both long and short term therapy depending on your specific needs.
Over the years, I have gained extensive experience working with toxic and abusive relationships particularly with a narcissistic partner/parent/friendship.
I have been in private practice for over 10 years. I gained extensive experience working in various setting such as Rape and Sexual Abuse centre in Guildford, GP surgery and a Drug and Alcohol charity. Working in these settings increased my knowledge and understanding with working with a variety of mental health issues around trauma, depression, anxiety and addictions. I have a particular interest in working with abuse (childhood, emotional and physical) and issues around relationship difficulties particularly toxic relationships. I offer both long and short term therapy depending on your specific needs.
01372 239545 View 01372 239545
Photo of Kirsty Georgieff - Kirsty - Echo Counselling, MSc, MBACP, Counsellor
Kirsty - Echo Counselling
Counsellor, MSc, MBACP
Verified Verified
Romford RM3  (Online Only)
I specialise in narcissistic abuse in relationships and the workplace. I work with anxiety and trauma alongside the dissociation from emotions this can cause. I have worked with survivors of domestic violence and bereaved families within a hospice setting. I also work for a society with worldwide clients recovering from narcissistic abuse. Exploring variations from your personal life within therapy is hugely important as I believe that no client is the same; regardless of whether they are experiencing loss, anxiety or an abusive narcissistic relationship.
I specialise in narcissistic abuse in relationships and the workplace. I work with anxiety and trauma alongside the dissociation from emotions this can cause. I have worked with survivors of domestic violence and bereaved families within a hospice setting. I also work for a society with worldwide clients recovering from narcissistic abuse. Exploring variations from your personal life within therapy is hugely important as I believe that no client is the same; regardless of whether they are experiencing loss, anxiety or an abusive narcissistic relationship.
01277 289640 View 01277 289640
Photo of Dr Agnieszka Lyons, MBACP, Psychotherapist
Dr Agnieszka Lyons
Psychotherapist, MBACP
Verified Verified
London SE1
Hello, I’m Agnieszka, an integrative counsellor with extensive experience working with trauma, personality disorders (BPD/EUPD, NPD), narcissistic and sexual abuse as well as a range of relational difficulties, including in family and romantic relationships. My experience includes working with loss, depression, anxiety, phobias, eating disorders, addictions, anger, PTSD, self-harm and suicidal ideation. I see each person as a unique individual, with a unique background and lived experience and in our sessions I will offer you my full attention and welcome all aspects of you into the room.
Hello, I’m Agnieszka, an integrative counsellor with extensive experience working with trauma, personality disorders (BPD/EUPD, NPD), narcissistic and sexual abuse as well as a range of relational difficulties, including in family and romantic relationships. My experience includes working with loss, depression, anxiety, phobias, eating disorders, addictions, anger, PTSD, self-harm and suicidal ideation. I see each person as a unique individual, with a unique background and lived experience and in our sessions I will offer you my full attention and welcome all aspects of you into the room.
020 3816 3588 View 020 3816 3588

See more therapy options for Newbury

Narcissistic Personality (NPD) Counsellors

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.