Narcissistic Personality (NPD) Therapists in Buffalo, MN
![Photo of Jacqui Theisen - Serenity Mental Health Services, MS, NCC, LPCC, Counselor](https://photos.psychologytoday.com/5131e6a0-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Serenity Mental Health Services
Counselor, MS, NCC, LPCC
Verified Verified
1 Endorsed
Buffalo, MN 55313
At Serenity Mental Health Services, we enjoy working with individuals from all walks of life. We are passionate about what we do, and feel great joy when we see individuals make positive changes towards their recovery goals. We have experience in treating many diagnoses, utilizing several different treatment modalities. We work with individuals, families, couples, and groups. We also offer ARMHS, and CTSS!
At Serenity Mental Health Services, we enjoy working with individuals from all walks of life. We are passionate about what we do, and feel great joy when we see individuals make positive changes towards their recovery goals. We have experience in treating many diagnoses, utilizing several different treatment modalities. We work with individuals, families, couples, and groups. We also offer ARMHS, and CTSS!
![Photo of Tanya Freedland, MPS, LPCC, LADC, Licensed Professional Counselor](https://photos.psychologytoday.com/f11db1de-7922-4f40-b0f5-c28afb24d450/1/320x400.jpeg)
Tanya Freedland
Licensed Professional Counselor, MPS, LPCC, LADC
Verified Verified
1 Endorsed
Buffalo, MN 55313
Hi my name is Tanya Freedland and I am Licensed as a Clinical Counselor and an Alcohol and Drug Counselor. I am also the founder of the ARCS Institute that provides personality-driven individual therapy. As a recovery-oriented therapist, I believe that everyone has their own path to recovery and there is no "right" way to heal from mental ill health and substance use problems. I rely on cutting-edge research to enhance our work together and utilize a non 12-step, personality-driven approach that incorporates evidence based skills and strategies.
Hi my name is Tanya Freedland and I am Licensed as a Clinical Counselor and an Alcohol and Drug Counselor. I am also the founder of the ARCS Institute that provides personality-driven individual therapy. As a recovery-oriented therapist, I believe that everyone has their own path to recovery and there is no "right" way to heal from mental ill health and substance use problems. I rely on cutting-edge research to enhance our work together and utilize a non 12-step, personality-driven approach that incorporates evidence based skills and strategies.
![Photo of Barb Suick, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3ee4298d-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I enjoy working with individuals and couples seeking to build and sustain healthy relationships. I use a strengths-based approach that helps clients gather the resources within to work toward positive change. I believe we all need a little help now and then for life's curveballs and challenges and I am passionate about helping others feel empowered to better themselves and their quality of life. I am an EMDR trained therapist for work with trauma and pain. I work with the Veterans Resilience Project to treat veterans with PTSD. I have daytime openings for new in-person clients in Annandale, MN.
I enjoy working with individuals and couples seeking to build and sustain healthy relationships. I use a strengths-based approach that helps clients gather the resources within to work toward positive change. I believe we all need a little help now and then for life's curveballs and challenges and I am passionate about helping others feel empowered to better themselves and their quality of life. I am an EMDR trained therapist for work with trauma and pain. I work with the Veterans Resilience Project to treat veterans with PTSD. I have daytime openings for new in-person clients in Annandale, MN.
![Photo of Kevin Smith - Northwinds Counseling Services, P.A., LMFT, LPCC, LGSW](https://photos.psychologytoday.com/3deaa0eb-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
At Northwinds, we consider it a privilege to help our clients as they go through life-changing experiences. With integrity, compassion, and a deep devotion to the worth of each individual we see, we are here to help you make positive adjustments to the stressful life challenges you are facing. We offer individual, couples, and family counseling. Our primary model of treatment is Cognitive-Behavioral therapy, though we frequently draw from other treatment models as needed. LMFT: Kevin Smith, Amy Halverson, John Torkelson, and Terri Jorstad; LPCC: Jordan Leuthold, Michelle Rhea, Raven Winter & Rindie Eagle; LGSW: Allison Brockway
At Northwinds, we consider it a privilege to help our clients as they go through life-changing experiences. With integrity, compassion, and a deep devotion to the worth of each individual we see, we are here to help you make positive adjustments to the stressful life challenges you are facing. We offer individual, couples, and family counseling. Our primary model of treatment is Cognitive-Behavioral therapy, though we frequently draw from other treatment models as needed. LMFT: Kevin Smith, Amy Halverson, John Torkelson, and Terri Jorstad; LPCC: Jordan Leuthold, Michelle Rhea, Raven Winter & Rindie Eagle; LGSW: Allison Brockway
More Therapists Nearby
![Photo of Neko J. Vanevenhoven - Authentic Roots Therapy PLLC, LMFT, LP, LPCC, LADC, Supervi, Marriage & Family Therapist](https://photos.psychologytoday.com/e146ec8d-9019-4a24-8699-8900fd34bbef/2/320x400.jpeg)
Authentic Roots Therapy PLLC
Marriage & Family Therapist, LMFT, LP, LPCC, LADC, Supervi
Verified Verified
Saint Michael, MN 55376
Authentic Roots Therapy is a mental health collaborative where licensed professionals provide individual, couple, & family mental health therapy in Minneapolis, Minnesota. We specialize in working with children, couples, families, LGBTQIA+ individuals, individuals who are questioning, curious, transitioning, or identifying as transgender/non-binary, mothers in postpartum, faith communities, individuals experiencing traumatic symptomatology, and highly sensitive men.
Authentic Roots Therapy is a mental health collaborative where licensed professionals provide individual, couple, & family mental health therapy in Minneapolis, Minnesota. We specialize in working with children, couples, families, LGBTQIA+ individuals, individuals who are questioning, curious, transitioning, or identifying as transgender/non-binary, mothers in postpartum, faith communities, individuals experiencing traumatic symptomatology, and highly sensitive men.
![Photo of Nathan Hoffman, MA, LPCC, Counselor](https://photos.psychologytoday.com/a9d383e3-b798-47aa-8aeb-0dfc4416827b/1/320x400.jpeg)
Nathan Hoffman
Counselor, MA, LPCC
Verified Verified
Saint Michael, MN 55376
Waitlist for new clients
As a therapist, I take a person-centered approach to therapy and work with individuals to help them gain awareness and understanding of their mental health, while helping them identify their strengths and values. I work to meet individuals where they are and I believe that openness, honesty, trust, and respect are foundational in a therapeutic relationship. I am committed to helping individuals move towards improving their mental health and overall well-being by utilizing a holistic approach that focuses on physical, emotional, and spiritual health.
As a therapist, I take a person-centered approach to therapy and work with individuals to help them gain awareness and understanding of their mental health, while helping them identify their strengths and values. I work to meet individuals where they are and I believe that openness, honesty, trust, and respect are foundational in a therapeutic relationship. I am committed to helping individuals move towards improving their mental health and overall well-being by utilizing a holistic approach that focuses on physical, emotional, and spiritual health.
![Photo of Michele Laney, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3b810538-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Michele Laney
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Saint Michael, MN 55376
I have worked for several years with individuals, couples, families, children, and adolescents on many different presenting issues. I work collaboratively with people to identify strengths within themselves to address their life challenges. I work with many parents regarding parenting concerns, balancing marriage and kids, and trying to find themselves again after having children. I work with couples to re-start their relationship after many years of unspoken distance. My practice is broad-based; I have experience with a range of issues such as marital strife, blended families, substance abuse, mental illness, depression, grief, anxiety, sexual abuse, and loss.
I have worked for several years with individuals, couples, families, children, and adolescents on many different presenting issues. I work collaboratively with people to identify strengths within themselves to address their life challenges. I work with many parents regarding parenting concerns, balancing marriage and kids, and trying to find themselves again after having children. I work with couples to re-start their relationship after many years of unspoken distance. My practice is broad-based; I have experience with a range of issues such as marital strife, blended families, substance abuse, mental illness, depression, grief, anxiety, sexual abuse, and loss.
![Photo of Vincent Miles, PsyD, LP, Psychologist](https://photos.psychologytoday.com/3fcd0a11-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Vincent Miles
Psychologist, PsyD, LP
Verified Verified
Monticello, MN 55362
Not accepting new clients
I'm a clinical psychologist operating a private practice in St. Cloud and serving Central Minnesota. My training is in clinical health psychology and along with helping clients with various mental health needs, I also have a specific interest in helping individuals with medical and health-related conditions. I provide a full range of psychological services, from general counseling and therapy to testing and bariatric surgery evaluations.
I'm a clinical psychologist operating a private practice in St. Cloud and serving Central Minnesota. My training is in clinical health psychology and along with helping clients with various mental health needs, I also have a specific interest in helping individuals with medical and health-related conditions. I provide a full range of psychological services, from general counseling and therapy to testing and bariatric surgery evaluations.
Online Therapists
![Photo of Dr. Tanya Holthus, PsyD, LP, RPT, SEP, Psychologist](https://photos.psychologytoday.com/482b0b9c-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Dr. Tanya Holthus
Psychologist, PsyD, LP, RPT, SEP
Verified Verified
2 Endorsed
Edina, MN 55424
Waitlist for new clients
Hi. I know you're ready for this. I see most everyone for most everything. I enjoy working with a wide variety of clients and specialize in healing trauma and helping people with many types of issues, including post-traumatic stress, attachment/connection, sexual/physical/emotional abuse, anxiety, depression, and relationship issues. I am most passionate about helping people overcome relationships involving narcissistic abuse and strengthening parent-child relationships. I also have a special place in my heart for people suffering with fertility issues.
Hi. I know you're ready for this. I see most everyone for most everything. I enjoy working with a wide variety of clients and specialize in healing trauma and helping people with many types of issues, including post-traumatic stress, attachment/connection, sexual/physical/emotional abuse, anxiety, depression, and relationship issues. I am most passionate about helping people overcome relationships involving narcissistic abuse and strengthening parent-child relationships. I also have a special place in my heart for people suffering with fertility issues.
![Photo of Beth McDonald, MA, LPCC](https://photos.psychologytoday.com/5c02ab7e-42b3-4111-b8bd-db00976aa014/1/320x400.jpeg)
Beth McDonald
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
1 Endorsed
Eagan, MN 55122 (Online Only)
Waitlist for new clients
I specialize in working with clients who have experienced narcissistic abuse. As an adult child of a narcissist myself, I know all too well how difficult it is to get help and to heal. Narcissism isn't necessarily overt abuse, especially for children, and it is often hard to figure out why you feel depressed, anxious, struggle with perfectionism, or keep finding yourself in codependent relationships as adults. Narcissistic abuse is trauma and it can keep you in survival mode for a very long time. As trauma therapist, I would love to help you learn to thrive, to find joy, to be free, and really live your own life. We do heal!
I specialize in working with clients who have experienced narcissistic abuse. As an adult child of a narcissist myself, I know all too well how difficult it is to get help and to heal. Narcissism isn't necessarily overt abuse, especially for children, and it is often hard to figure out why you feel depressed, anxious, struggle with perfectionism, or keep finding yourself in codependent relationships as adults. Narcissistic abuse is trauma and it can keep you in survival mode for a very long time. As trauma therapist, I would love to help you learn to thrive, to find joy, to be free, and really live your own life. We do heal!
![Photo of Miranda Kuschel, MA, CPSS, Pre-Licensed Professional](https://photos.psychologytoday.com/22af6148-6b9f-4956-b461-252f82e1fd0a/2/320x400.jpeg)
Miranda Kuschel
Pre-Licensed Professional, MA, CPSS
Verified Verified
2 Endorsed
Maple Grove, MN 55369
My ideal client is looking for a breath of fresh air, and a way to experience immediate relief from pain and struggles. Your challenges can be changed into dramatic life improvements. Our interactions will help you feel understood. I build in tasks for you to work on in between sessions Focus Areas: Depression,OCD, Anxiety, Codependency, Narcissistic Harm Abuse/Survivor, Self Healing, Trauma, Relationship or Life Transitions,Compulsions, All Addictions, Intrusive Thoughts, Self-worth/Value/Health/Motivation.Burying all your disappointments will not be a sustainable strategy. There is a special approach that will help in your healing
My ideal client is looking for a breath of fresh air, and a way to experience immediate relief from pain and struggles. Your challenges can be changed into dramatic life improvements. Our interactions will help you feel understood. I build in tasks for you to work on in between sessions Focus Areas: Depression,OCD, Anxiety, Codependency, Narcissistic Harm Abuse/Survivor, Self Healing, Trauma, Relationship or Life Transitions,Compulsions, All Addictions, Intrusive Thoughts, Self-worth/Value/Health/Motivation.Burying all your disappointments will not be a sustainable strategy. There is a special approach that will help in your healing
![Photo of Philip Lee Burton, MA, LPCC, LADC, Counselor](https://photos.psychologytoday.com/c7dd4a16-fa2b-41f1-894b-5ac3b2c78ed9/1/320x400.jpeg)
My experience as a therapist for over two decades has shown me that we have been programed through the hormones of stress and traumas to repeat the same thoughts, feelings and behaviors. Without changing and deprogramming from the inside out our lives and our relationships become dysfunctional and problematic. If you ever asked yourself if you may be narcissistic or someone might suggest that you are it's possible that your thoughts and behaviors become harmful to yourself and others. If you've ever thought that depression and anxiety have taken a real life than you have been programmed through the hormones of stress.
My experience as a therapist for over two decades has shown me that we have been programed through the hormones of stress and traumas to repeat the same thoughts, feelings and behaviors. Without changing and deprogramming from the inside out our lives and our relationships become dysfunctional and problematic. If you ever asked yourself if you may be narcissistic or someone might suggest that you are it's possible that your thoughts and behaviors become harmful to yourself and others. If you've ever thought that depression and anxiety have taken a real life than you have been programmed through the hormones of stress.
![Photo of Ronda Adelmann, MA, Pre-Licensed Professional](https://photos.psychologytoday.com/946475b1-87dc-472f-aab3-457989b62362/2/320x400.jpeg)
Ronda Adelmann
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Sartell, MN 56377 (Online Only)
I work with clients who have experienced trauma, narcissistic behavior from others, anxiety, depression, relationship issues, long-term illness, or pain.
It is possible to overcome both past and present difficulties. I believe that our past influences our present, and looking at the past, even briefly, can help us understand how we got to where we are today, which can help us start the healing process. Healing takes place when we move from the past and begin work on ourselves mentally, physically, and spiritually. In my quiet and calm manner, I will listen to you without judgment and guide you through the healing process to reach your full potential and live the life you want to live, even if you are unsure of what that is yet. I utilize a Christian perspective when requested.
I work with clients who have experienced trauma, narcissistic behavior from others, anxiety, depression, relationship issues, long-term illness, or pain.
It is possible to overcome both past and present difficulties. I believe that our past influences our present, and looking at the past, even briefly, can help us understand how we got to where we are today, which can help us start the healing process. Healing takes place when we move from the past and begin work on ourselves mentally, physically, and spiritually. In my quiet and calm manner, I will listen to you without judgment and guide you through the healing process to reach your full potential and live the life you want to live, even if you are unsure of what that is yet. I utilize a Christian perspective when requested.
![Photo of Kristy Dunham, MS, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/207f0710-887c-4e28-a699-bb46aa2b755e/3/320x400.jpeg)
Kristy Dunham
Marriage & Family Therapist Associate, MS
Verified Verified
1 Endorsed
Saint Paul, MN 55103
Many people often feel disconnected or experienced a recent loss or change. I enjoy assisting clients in getting to know themselves better. Other times, Brief counseling (8 sessions or less) can be just as rewarding. It depends on what you are looking for, which is not set in stone! Relationships are hard, therapy is the real safe space to dig deep, evaluate, address the not-so-fun things that brings discomfort or that have been avoided. Therapy is a journey. Each experience is valuable in the big picture.
Many people often feel disconnected or experienced a recent loss or change. I enjoy assisting clients in getting to know themselves better. Other times, Brief counseling (8 sessions or less) can be just as rewarding. It depends on what you are looking for, which is not set in stone! Relationships are hard, therapy is the real safe space to dig deep, evaluate, address the not-so-fun things that brings discomfort or that have been avoided. Therapy is a journey. Each experience is valuable in the big picture.
![Photo of Linda J Etim, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3f09a035-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Linda J Etim
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Minneapolis, MN 55401
Hi! I'm Linda Etim and I specialize in working with women and men who are in toxic or abusive/predatory relationships. My unique approach is designed to help you detach from and avoid these toxic relationships. I also work with individuals who are suffering from anxiety, depression and other mental health issues. As well I work with those experiencing work related stress, racial injustice and everyday life stressors. All of the above issues can threaten your physical and emotional wellbeing. I prescribe techniques that will help you to manage your symptoms while at the same time achieving overall wellness.
Hi! I'm Linda Etim and I specialize in working with women and men who are in toxic or abusive/predatory relationships. My unique approach is designed to help you detach from and avoid these toxic relationships. I also work with individuals who are suffering from anxiety, depression and other mental health issues. As well I work with those experiencing work related stress, racial injustice and everyday life stressors. All of the above issues can threaten your physical and emotional wellbeing. I prescribe techniques that will help you to manage your symptoms while at the same time achieving overall wellness.
![Photo of David Henry Swan - Family Quest Therapy, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/4d36cee8-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Stuck? Repeating the same non-helpful patterns? Change often begins when we feel really listened to and understood. Struggles get untangled as we tell our stories in a safe place. My approach is to give each client a safe and compassionate place to tell their story and look for new pathways together. Sometimes the hope of change seems almost impossible, but in more than a decade of private practice, I have seen so many couples and individuals restore their hope and find a healing path to a new way of living. I'd love to join you on that healing journey for a season. Come on in. I'm eager to hear your story.
Stuck? Repeating the same non-helpful patterns? Change often begins when we feel really listened to and understood. Struggles get untangled as we tell our stories in a safe place. My approach is to give each client a safe and compassionate place to tell their story and look for new pathways together. Sometimes the hope of change seems almost impossible, but in more than a decade of private practice, I have seen so many couples and individuals restore their hope and find a healing path to a new way of living. I'd love to join you on that healing journey for a season. Come on in. I'm eager to hear your story.
![Photo of Shaylor Alley, MA, LPCC, LADC, Counselor](https://photos.psychologytoday.com/54bec933-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Have you struggled with trauma or addiction? I work with people who want help supporting their recovery from a troubled life, or those affected by a loved ones struggles. I offer office based therapy, online or therapeutic horsemanship (horsemanship through a therapeutic lens).
Have you struggled with trauma or addiction? I work with people who want help supporting their recovery from a troubled life, or those affected by a loved ones struggles. I offer office based therapy, online or therapeutic horsemanship (horsemanship through a therapeutic lens).
![Photo of Selah Smith, MA, LPCC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/1202181b-ca3a-47d0-8b49-7e5eeb900a77/1/320x400.jpeg)
Selah Smith
Licensed Professional Counselor, MA, LPCC, NCC
Verified Verified
1 Endorsed
Saint Louis Park, MN 55416
Now accepting new clients! My personal belief is that every person is valuable and has the potential to overcome negative events of the past, find acceptance in their unique identity, and engage in healthy, meaningful, and joy-filled relationships. I come from a passionate Colorado family that has taught me about the importance of caring, accepting, and loving others. These values have made me become an empathic and confident counselor.
Now accepting new clients! My personal belief is that every person is valuable and has the potential to overcome negative events of the past, find acceptance in their unique identity, and engage in healthy, meaningful, and joy-filled relationships. I come from a passionate Colorado family that has taught me about the importance of caring, accepting, and loving others. These values have made me become an empathic and confident counselor.
![Photo of Brian K. Flick, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/bdda5b99-4c1e-4f71-99ac-5032f3def052/3/320x400.jpeg)
Brian K. Flick
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Pine Island, MN 55963
Waitlist for new clients
Licensed Independent Clinical Social Worker who specializes in working with individuals experiencing mental illness and addiction problems. Often patients seek therapy to develop ways to improve their relationships, better manage stress/negative emotions, and to work through traumatic experiences.
Licensed Independent Clinical Social Worker who specializes in working with individuals experiencing mental illness and addiction problems. Often patients seek therapy to develop ways to improve their relationships, better manage stress/negative emotions, and to work through traumatic experiences.
![Photo of John Rogers, MA, LPCC, Counselor](https://photos.psychologytoday.com/ce23276c-32fc-4435-9415-57c913fe229f/1/320x400.jpeg)
I work from a non-judgmental, non-shaming, non-pathologizing perspective. My role is to help clients understand, heal and/or transcend underlying and often unconscious patterns that manifest as addiction, anxiety, depression and so many other complex ways our lives get stuck, stagnate and lose vitality. I am certified in NeuroAffective Relational Model (NARM), which is a globally recognized modality for resolving Complex Post Traumatic Stress Disorder (C-PTSD). Through our work together, clients report feeling more ease, freedom and energy to pursue a life that allows stuck energy to move toward growth, wholeness and fulfillment.
I work from a non-judgmental, non-shaming, non-pathologizing perspective. My role is to help clients understand, heal and/or transcend underlying and often unconscious patterns that manifest as addiction, anxiety, depression and so many other complex ways our lives get stuck, stagnate and lose vitality. I am certified in NeuroAffective Relational Model (NARM), which is a globally recognized modality for resolving Complex Post Traumatic Stress Disorder (C-PTSD). Through our work together, clients report feeling more ease, freedom and energy to pursue a life that allows stuck energy to move toward growth, wholeness and fulfillment.
See more therapy options for Buffalo
Nearby Narcissistic Personality (NPD) Therapists Searches for Buffalo
- Andover
- Anoka
- Brooklyn Park
- Elk River
- Hopkins
- Maple Grove
- Minnetonka
- Plymouth
- Rogers
- Saint Michael
- Wayzata
- Zimmerman
Narcissistic Personality (NPD) Therapists
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.