Narcissistic Personality (NPD) Therapists in Saint Louis, MO
![Photo of Kristin Hall - True Foundations Counseling, LLC, MA, LPC, CCPT, CCHT, CCBT](https://photos.psychologytoday.com/e51b9e5b-7c1d-4bab-ac2d-2117cd90b760/1/320x400.jpeg)
True Foundations Counseling, LLC
MA, LPC, CCPT, CCHT, CCBT
Verified Verified
1 Endorsed
Saint Louis, MO 63132
My specialties include narcissistic abuse recovery, relationship counseling, trauma and PTSD, sexuality and intimacy issues, eating disorders, professional growth coaching, and EMDR and hypnotherapy for phobias, life changes and performance.
Negative events, unhealthy relationship patterns, self-destructive behaviors and an overall sense of feeling "stuck" can hold you back. Through customized and collaborative therapy, we will explore current issues of concern and relevant past experiences to help put the missing pieces of the puzzle back together for a happier, healthier you. The overall plan is to work together towards your goals with honesty, vulnerability and commitment.
My specialties include narcissistic abuse recovery, relationship counseling, trauma and PTSD, sexuality and intimacy issues, eating disorders, professional growth coaching, and EMDR and hypnotherapy for phobias, life changes and performance.
Negative events, unhealthy relationship patterns, self-destructive behaviors and an overall sense of feeling "stuck" can hold you back. Through customized and collaborative therapy, we will explore current issues of concern and relevant past experiences to help put the missing pieces of the puzzle back together for a happier, healthier you. The overall plan is to work together towards your goals with honesty, vulnerability and commitment.
![Photo of Lacey Burch, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3f4ca24e-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I have extensive experience with difficult relationships including relationship endings, narcissistic abuse, and navigating relationships with personality disordered or antagonistic people from partners to parents to co-workers, and these challenging dynamics.
My name is Lacey, and I am so glad you're here. I specialize in assisting people who are struggling with emotional distress, difficulty coping with daily life, stressful relationships, and pivotal moments. Are you wondering how to take the next steps in your life, questioning how you got where you are now? Are you ready to examine your life on a deeper level and make changes, or get more comfortable with who you already are? Are you longing for a person and space to explore any and all of yourself and your life with a supportive and objective person to help guide you through? If so, I look forward to starting our journey together.
I have extensive experience with difficult relationships including relationship endings, narcissistic abuse, and navigating relationships with personality disordered or antagonistic people from partners to parents to co-workers, and these challenging dynamics.
My name is Lacey, and I am so glad you're here. I specialize in assisting people who are struggling with emotional distress, difficulty coping with daily life, stressful relationships, and pivotal moments. Are you wondering how to take the next steps in your life, questioning how you got where you are now? Are you ready to examine your life on a deeper level and make changes, or get more comfortable with who you already are? Are you longing for a person and space to explore any and all of yourself and your life with a supportive and objective person to help guide you through? If so, I look forward to starting our journey together.
![Photo of Krista Hsieh, PLPC, MA, Pre-Licensed Professional](https://photos.psychologytoday.com/27b1ee45-6645-492c-abb6-06e4844b04e6/2/320x400.jpeg)
Every individual possesses inherent worth and dignity. I am excited to know you and believe that your life has unique value and purpose. I strive to foster safe, trusting relationships where healing can take place. I enjoy working with adults and teens. I welcome those experiencing a wide range of concerns including anxiety, depression, disordered eating, grief and loss, relational conflict, and trauma. I also enjoy working with borderline personality disorder and people recovering from narcissistic personality disorder abuse.
Every individual possesses inherent worth and dignity. I am excited to know you and believe that your life has unique value and purpose. I strive to foster safe, trusting relationships where healing can take place. I enjoy working with adults and teens. I welcome those experiencing a wide range of concerns including anxiety, depression, disordered eating, grief and loss, relational conflict, and trauma. I also enjoy working with borderline personality disorder and people recovering from narcissistic personality disorder abuse.
![Photo of William Arrington, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/e4003db2-c3a8-4a3c-a7fb-75f2002bc393/2/320x400.jpeg)
Perhaps you're in a relationship, family or job where everything is always your fault. You're made to feel not good enough, that you have to try harder despite the other never taking accountability. You have difficulty expressing yourself in fear of the other person throwing it back in your face. Perhaps this mounting pressure from those relationships have made you give up, anxious, or just feel stuck. You don't know who you are anymore—you’ve been told how to think and feel. You may feel like you’re in a fog or just don’t know how to get back on track to the way things used to be.
Perhaps you're in a relationship, family or job where everything is always your fault. You're made to feel not good enough, that you have to try harder despite the other never taking accountability. You have difficulty expressing yourself in fear of the other person throwing it back in your face. Perhaps this mounting pressure from those relationships have made you give up, anxious, or just feel stuck. You don't know who you are anymore—you’ve been told how to think and feel. You may feel like you’re in a fog or just don’t know how to get back on track to the way things used to be.
![Photo of Dena B Tranen, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/49306e41-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Dena B Tranen
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63108
Making the decision to seek therapy is a sign of strength, not weakness. Getting help during a difficult time can ease the burdens one carries during times of high stress and transition. Depression, Anxiety, PTSD, Eating Disorders, Addiction and Self-Destructive Behaviors are real problems, yet with the right treatment you can expect to experience meaningful recovery and growth. In therapy, we work collaboratively to reduce the impact the symptoms or behaviors have on your life and build coping strategies and resiliency.
Making the decision to seek therapy is a sign of strength, not weakness. Getting help during a difficult time can ease the burdens one carries during times of high stress and transition. Depression, Anxiety, PTSD, Eating Disorders, Addiction and Self-Destructive Behaviors are real problems, yet with the right treatment you can expect to experience meaningful recovery and growth. In therapy, we work collaboratively to reduce the impact the symptoms or behaviors have on your life and build coping strategies and resiliency.
![Photo of Angela Webb, PsyD, Psychologist](https://photos.psychologytoday.com/e13c873e-8528-4c47-adde-a874653f7dea/2/320x400.jpeg)
Hello, I'm Dr. Angela Webb (McIntyre), the driving force and visionary behind our practice. With over 16 years of hands-on experience, I am a passionate advocate for guiding clients through the intricate paths of self-discovery and success. My commitment goes beyond the clinical realm; it extends to creating a space where clients feel heard, understood, and empowered to embark on their own journeys of healing and growth. Whether you're facing challenges in your life, seeking support for mental health concerns, or striving for personal development, I am here to provide a safe therapeutic space to discover your best self.
Hello, I'm Dr. Angela Webb (McIntyre), the driving force and visionary behind our practice. With over 16 years of hands-on experience, I am a passionate advocate for guiding clients through the intricate paths of self-discovery and success. My commitment goes beyond the clinical realm; it extends to creating a space where clients feel heard, understood, and empowered to embark on their own journeys of healing and growth. Whether you're facing challenges in your life, seeking support for mental health concerns, or striving for personal development, I am here to provide a safe therapeutic space to discover your best self.
![Photo of Alicia Seidler, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/49c5875f-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Alicia Seidler
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63129
I seek to do whatever possible to help you feel safe in counseling. The relationship between you and I needs to be one that feels warm, inviting, non-judgmental, and encouraging. From the safety of this relationship, you can then feel supported enough to grieve what has been lost and push to fight for the things that have been taken from your life.
I seek to do whatever possible to help you feel safe in counseling. The relationship between you and I needs to be one that feels warm, inviting, non-judgmental, and encouraging. From the safety of this relationship, you can then feel supported enough to grieve what has been lost and push to fight for the things that have been taken from your life.
![Photo of Annetta Sykes, MA, ED, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3d07ffb3-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
My ideal client is an individual interested in a professional that can assist them in being better, having healthy relationships, and developing skills that can enhance their life and those they encounter. We all have problems and I can help clients learn the skills to overcome any issue and have a healthier mind and life!
My ideal client is an individual interested in a professional that can assist them in being better, having healthy relationships, and developing skills that can enhance their life and those they encounter. We all have problems and I can help clients learn the skills to overcome any issue and have a healthier mind and life!
![Photo of Edward F Allen, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/773fd2ed-ba45-4d90-920c-1f40d52bd726/3/320x400.jpeg)
Do you want to live a happier and healthier life? Talking to an experienced, qualified therapist can help. I treat adults, teens, couples, and families seeking relief from depression, anxiety, grief, addiction,and mood disorders. We all work strive towards happiness, but we sometimes get stuck in pattern from the past and live with anxiety about the future. You don't have to suffer alone.
Do you want to live a happier and healthier life? Talking to an experienced, qualified therapist can help. I treat adults, teens, couples, and families seeking relief from depression, anxiety, grief, addiction,and mood disorders. We all work strive towards happiness, but we sometimes get stuck in pattern from the past and live with anxiety about the future. You don't have to suffer alone.
![Photo of Dr. Robin Moore-Chambers, MSW, PhD, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/51fb729e-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Dr. Robin Moore-Chambers
Licensed Professional Counselor, MSW, PhD, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63136
Are you depressed, anxious with panic attacks, self-harming, angry, and/or distressed from past or current abuse/trauma? Are you grieving a major loss or sometimes you may feel like you do not want to be here. You may have family/relationship issues, parent-child conflict or single-parenting. Or you may have "church-hurt" or other hurtful situations. Well, there is hope. As a Trauma-Informed therapist I know that your path can get heavy. But you are still unique and can still Awaken to Every Opportunity For You and become a better version of yourself. You do count, you matter and there are new Awakenings everyday!
Are you depressed, anxious with panic attacks, self-harming, angry, and/or distressed from past or current abuse/trauma? Are you grieving a major loss or sometimes you may feel like you do not want to be here. You may have family/relationship issues, parent-child conflict or single-parenting. Or you may have "church-hurt" or other hurtful situations. Well, there is hope. As a Trauma-Informed therapist I know that your path can get heavy. But you are still unique and can still Awaken to Every Opportunity For You and become a better version of yourself. You do count, you matter and there are new Awakenings everyday!
![Photo of Jason Eccker, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3d567b68-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Jason Eccker
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63139
Waitlist for new clients
As a social worker, my goal is to partner with my clients so that they may achieve their goals. I have a diverse background in treating trauma, addiction and mental health from a strengths-based perspective, and I have been successful in helping clients to integrate long-term solutions in their daily lives. I feel that my ability to create a strong therapeutic alliance with clients as one of my biggest strengths. For those suffering from PTSD/other past trauma, I offer EMDR therapy which continues to be researched as highly effective for individuals suffering from these conditions.
As a social worker, my goal is to partner with my clients so that they may achieve their goals. I have a diverse background in treating trauma, addiction and mental health from a strengths-based perspective, and I have been successful in helping clients to integrate long-term solutions in their daily lives. I feel that my ability to create a strong therapeutic alliance with clients as one of my biggest strengths. For those suffering from PTSD/other past trauma, I offer EMDR therapy which continues to be researched as highly effective for individuals suffering from these conditions.
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![Photo of Edward Donald Flynn, ABS, MA, LPC, NBCCH, DBTC, Licensed Professional Counselor](https://photos.psychologytoday.com/40bb6963-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Edward Donald Flynn
Licensed Professional Counselor, ABS, MA, LPC, NBCCH, DBTC
Verified Verified
Saint Louis, MO 63129
I am a nationally certified DBT therapist. Dialectical Behavior Therapy is my orientation and specialty. My orientation and personal experiences have inspired me to work toward the treatment of clients struggling with childhood trauma, PTSD, anxiousness, distress tolerance, emotion regulation, relationship issues, LGBTQ concerns, NSSI(Self-Injury) and Borderline Personality Disorder.
I am a nationally certified DBT therapist. Dialectical Behavior Therapy is my orientation and specialty. My orientation and personal experiences have inspired me to work toward the treatment of clients struggling with childhood trauma, PTSD, anxiousness, distress tolerance, emotion regulation, relationship issues, LGBTQ concerns, NSSI(Self-Injury) and Borderline Personality Disorder.
![Photo of Andrea Kostadinovic, MA, PLPC, Pre-Licensed Professional](https://photos.psychologytoday.com/f8428cfe-4060-4d70-8459-4e1c92ba7e8b/2/320x400.jpeg)
Have you ever felt like your life is an emotional roller coaster? I certainly have. Those rides can be thrilling at times, but can also leave you tense and terrified afterwards. Maybe you feel hopeless, mentally exhausted, stuck in your relationship, or overwhelmed with unwanted intrusive thoughts. Perhaps you’re unsatisfied with where you’re at in life and are unsure of how to move forward. It may be that you & your partner are emotionally drained from not knowing how to overcome challenges in your relationship. Whatever brought you here is valid & together we can develop a roadmap, find clarity, & deepen connection.
Have you ever felt like your life is an emotional roller coaster? I certainly have. Those rides can be thrilling at times, but can also leave you tense and terrified afterwards. Maybe you feel hopeless, mentally exhausted, stuck in your relationship, or overwhelmed with unwanted intrusive thoughts. Perhaps you’re unsatisfied with where you’re at in life and are unsure of how to move forward. It may be that you & your partner are emotionally drained from not knowing how to overcome challenges in your relationship. Whatever brought you here is valid & together we can develop a roadmap, find clarity, & deepen connection.
![Photo of Maria Kuhn, MEd, LPC, RSAP, Licensed Professional Counselor](https://photos.psychologytoday.com/3e4b447b-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I started to work in the Psychology field in 1989. I have experience in counseling many different clients from several different backgrounds. I provided personal counseling for employees, individual and group counseling for adolescents an adults. Currently, I provide Couples/Marriage Counseling and Individual Counseling for adults. I hold a BA in Psychology, and earned my Masters degree in Community Counseling from the University of Missouri-St.Louis.
I started to work in the Psychology field in 1989. I have experience in counseling many different clients from several different backgrounds. I provided personal counseling for employees, individual and group counseling for adolescents an adults. Currently, I provide Couples/Marriage Counseling and Individual Counseling for adults. I hold a BA in Psychology, and earned my Masters degree in Community Counseling from the University of Missouri-St.Louis.
![Photo of Dr. Carolyn Catchings, PhD, LPC, CRC, Coach, Licensed Professional Counselor](https://photos.psychologytoday.com/020830e9-c444-4d40-85f5-43c84be7b3da/3/320x400.jpeg)
Dr. Carolyn Catchings
Licensed Professional Counselor, PhD, LPC, CRC, Coach
Verified Verified
Saint Louis, MO 63108 (Online Only)
If your behavior does not reflect your core potential, make this your day to initiate personal growth & evolutionary change. Learn how to discover and employ your personal power to activate transformation! As a Personal Empowerment Coach, I help clients learn cognitive restructuring and behavior modification techniques to release their "authentic self" making change operational in their everyday life. I address physical, mental, emotional & spiritual issues through a wellness paradigm vs. symptom treatment approach. My philosophy is framed from a strength based perspective, "what's well with you" not "what's wrong with you".
If your behavior does not reflect your core potential, make this your day to initiate personal growth & evolutionary change. Learn how to discover and employ your personal power to activate transformation! As a Personal Empowerment Coach, I help clients learn cognitive restructuring and behavior modification techniques to release their "authentic self" making change operational in their everyday life. I address physical, mental, emotional & spiritual issues through a wellness paradigm vs. symptom treatment approach. My philosophy is framed from a strength based perspective, "what's well with you" not "what's wrong with you".
![Photo of Ashley Blake, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/36dc89a9-de02-4556-927c-bfdb1fb11dd1/3/320x400.jpeg)
Ashley Blake
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63117
People think you have it all together, but inside it feels like you're losing control. You can’t stay focused. Simple tasks that used to be easy feel overwhelming and you're avoiding them completely. You feel disconnected from the people around you, and you feel a constant underlying dread. You want to be easy-going and caring, but you're impatient and irritable. You want to be sociable and fun, but you're withdrawn and apathetic. Despite how competent you may seem to others, the fear of being exposed as a fraud looms over you constantly. You’re hanging on by a thread and it's only getting worse.
People think you have it all together, but inside it feels like you're losing control. You can’t stay focused. Simple tasks that used to be easy feel overwhelming and you're avoiding them completely. You feel disconnected from the people around you, and you feel a constant underlying dread. You want to be easy-going and caring, but you're impatient and irritable. You want to be sociable and fun, but you're withdrawn and apathetic. Despite how competent you may seem to others, the fear of being exposed as a fraud looms over you constantly. You’re hanging on by a thread and it's only getting worse.
![Photo of Peter Maynor, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/76bbe954-3dbb-4aa4-89ae-9503b4b62047/1/320x400.jpeg)
Peter Maynor
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63139
Waitlist for new clients
If you are motivated to grow as an individual or as a couple, face challenging realities, and develop a growth mentality, or if you need to recover from harm, work through grief, and move toward wholeness and wellbeing, this could be the right therapeutic fit for you. If you feel stuck, unsatisfied, anxious, or discouraged, we can work through your struggles. If your relationship is in jeopardy or you just want to take it to the next level of connection, this is the right place for you. Lastly, to recent graduates looking for supervision, I've enjoyed supervising many therapists over the years and would be happy to discuss fitting.
If you are motivated to grow as an individual or as a couple, face challenging realities, and develop a growth mentality, or if you need to recover from harm, work through grief, and move toward wholeness and wellbeing, this could be the right therapeutic fit for you. If you feel stuck, unsatisfied, anxious, or discouraged, we can work through your struggles. If your relationship is in jeopardy or you just want to take it to the next level of connection, this is the right place for you. Lastly, to recent graduates looking for supervision, I've enjoyed supervising many therapists over the years and would be happy to discuss fitting.
![Photo of Jacqueline Fay Langley, PhD, Psychologist](https://photos.psychologytoday.com/3c3494cf-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
I have been treating all age groups in the St. Louis area for over 35 years. My in depth training as both a psychologist and psychoanalyst for children and adults provides a full spectrum of skills to treat short and long term issues for all age groups. I am highly skilled at meeting a person where they are to help them, through connection with me and my understanding of them, reach new and emotionally healthier places in their life. In addition to the areas of specialties listed I work with mother/infant dyads and children who are adopted and their parents achieve more satisfying attachments.
I have been treating all age groups in the St. Louis area for over 35 years. My in depth training as both a psychologist and psychoanalyst for children and adults provides a full spectrum of skills to treat short and long term issues for all age groups. I am highly skilled at meeting a person where they are to help them, through connection with me and my understanding of them, reach new and emotionally healthier places in their life. In addition to the areas of specialties listed I work with mother/infant dyads and children who are adopted and their parents achieve more satisfying attachments.
![Photo of Greg Tissi, MA Ed, PLPC, Pre-Licensed Professional](https://photos.psychologytoday.com/149a8aa2-55c1-480d-bcd1-3878e5618507/3/320x400.jpeg)
Greg Tissi
Pre-Licensed Professional, MA Ed, PLPC
Verified Verified
2 Endorsed
Saint Louis, MO 63141 (Online Only)
Do you find yourself at a moment where you are wondering how to refine how you hold space for yourself and others around you? Get off the exhausting treadmill, move with intention, and realign with the trust you have envisioned for yourself. Expect your space to be held just for you, room to breathe, and authentic, non-judgmental support. In a sex-positive, trauma-informed, and integrative space, all genders, sexual orientations, ethnicities, ages, and bodies are welcome. If not right now, then when will it be time for you to give yourself permission to transform? Success can take many forms.
Do you find yourself at a moment where you are wondering how to refine how you hold space for yourself and others around you? Get off the exhausting treadmill, move with intention, and realign with the trust you have envisioned for yourself. Expect your space to be held just for you, room to breathe, and authentic, non-judgmental support. In a sex-positive, trauma-informed, and integrative space, all genders, sexual orientations, ethnicities, ages, and bodies are welcome. If not right now, then when will it be time for you to give yourself permission to transform? Success can take many forms.
![Photo of Camille McCormack, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/5f9cd723-4b59-4a0f-a62d-7281b446610c/2/320x400.jpeg)
Camille McCormack
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63129
Are you scared of what’s to come? Do you sometimes feel lonely, confused? Maybe unheard or misunderstood. Perhaps it’s a transitional time in your life. Have you lost someone (or something) dear to you? Do you have a decision to make but don’t quite know how to launch? A counselor can be a resource to help you through these adjustments. A set of ears, a sounding board... Whether there’s difficulty with interpersonal relationships you need to further explore, or challenges with current situations you suspect stem from your past, let's explore and navigate
Are you scared of what’s to come? Do you sometimes feel lonely, confused? Maybe unheard or misunderstood. Perhaps it’s a transitional time in your life. Have you lost someone (or something) dear to you? Do you have a decision to make but don’t quite know how to launch? A counselor can be a resource to help you through these adjustments. A set of ears, a sounding board... Whether there’s difficulty with interpersonal relationships you need to further explore, or challenges with current situations you suspect stem from your past, let's explore and navigate
See more therapy options for Saint Louis
Nearby Narcissistic Personality (NPD) Therapists Searches for Saint Louis
- Arnold
- Bridgeton
- Clayton
- Creve Coeur
- Florissant
- Kirkwood
- Ladue
- Oakville
- Olivette
- Richmond Heights
- University City
- Webster Groves
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.