Narcissistic Personality (NPD) Therapists in Cedar Grove, NJ
![Photo of Dr. Daria Luongo, PsyD, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/5353ab3c-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Dr. Daria Luongo
Licensed Professional Counselor, PsyD, LPC
Verified Verified
2 Endorsed
Cedar Grove, NJ 07009
Are you struggling and experiencing sadness, anxiousness and/or stress from day to day? As life and certain relationships can be challenging, we may find ourselves wondering what to do in order to stop the unwanted stress. For those who are parents with a struggling child or adolescent, do you feel like you’ve tried everything to help and instead feel stuck? Fear of the unknown prevents many individuals from reaching out and finding the right professional that is a suitable match to support healthy change. Challenges are real and there is help.
Are you struggling and experiencing sadness, anxiousness and/or stress from day to day? As life and certain relationships can be challenging, we may find ourselves wondering what to do in order to stop the unwanted stress. For those who are parents with a struggling child or adolescent, do you feel like you’ve tried everything to help and instead feel stuck? Fear of the unknown prevents many individuals from reaching out and finding the right professional that is a suitable match to support healthy change. Challenges are real and there is help.
![Photo of Christopher J Ratte, LCSW, LCADC, IFS, Clinical Social Work/Therapist](https://photos.psychologytoday.com/fb0f51d2-9c9b-43df-a85d-5794202dcc26/2/320x400.jpeg)
Christopher J Ratte
Clinical Social Work/Therapist, LCSW, LCADC, IFS
Verified Verified
2 Endorsed
Cedar Grove, NJ 07009
Recovery is not a solitary journey; it is about connection with self and others. As we enter into the process of therapy you will have the opportunity to experience inner connection and awareness leading to Self expansion and outer growth. I believe strongly that our primary task is to continue your journey of self exploration; to seek the wealth of potential, strength, compassion, understanding, and openness that lies within. It is your ability to connect with these that will serve as your greatest asset in obtaining whatever goals you have coming into therapy.
Recovery is not a solitary journey; it is about connection with self and others. As we enter into the process of therapy you will have the opportunity to experience inner connection and awareness leading to Self expansion and outer growth. I believe strongly that our primary task is to continue your journey of self exploration; to seek the wealth of potential, strength, compassion, understanding, and openness that lies within. It is your ability to connect with these that will serve as your greatest asset in obtaining whatever goals you have coming into therapy.
![Photo of Whitney Cohen, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/95f11dcc-90a4-499e-bd8f-49241c2202cb/1/320x400.jpeg)
Whitney Cohen
Clinical Social Work/Therapist, LCSW
Verified Verified
Cedar Grove, NJ 07009 (Online Only)
Thank you for your interest in working with me. My passion is helping others with the belief that whatever you are facing, you are not alone. I provide a comfortable, safe and supportive environment. Approaches are based on the nature of the presenting complaint(s) as well as the inclination of the client. My intent is to help address issues that negatively affect every day functioning and promote awareness about oneself and circumstances. Specializing in early intervention and youth psychotherapy. My background consists of working with a variety of populations and issues.
Thank you for your interest in working with me. My passion is helping others with the belief that whatever you are facing, you are not alone. I provide a comfortable, safe and supportive environment. Approaches are based on the nature of the presenting complaint(s) as well as the inclination of the client. My intent is to help address issues that negatively affect every day functioning and promote awareness about oneself and circumstances. Specializing in early intervention and youth psychotherapy. My background consists of working with a variety of populations and issues.
![Photo of Maha Souman, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a1f8e643-d2a7-4455-a987-542403960ee3/1/320x400.jpeg)
My focus and knowledge is directed toward individuals experiencing family conflict and relationship difficulties.
My focus and knowledge is directed toward individuals experiencing family conflict and relationship difficulties.
![Photo of Jacqueline Marie Gallios, PsyD, MS, Psychologist](https://photos.psychologytoday.com/46301dd8-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Jacqueline Marie Gallios
Psychologist, PsyD, MS
Verified Verified
7 Endorsed
Cedar Grove, NJ 07009
Not accepting new clients
We are all filled with expectations and hopes, but sometimes things happen that keep us from our plans, from being happy, or just... from being. Perhaps fear, sadness, or grief have kept you stuck for a while, which has left you feeling depressed, anxious, or hopeless. This is completely understandable; our experiences can certainly shape us, but they do not have to define us. With compassion and warmth, I will help you explore your upbringing, problems of self-esteem, and communication style. In doing so, I am committed to helping you get the relief you have long needed, and deserve.
We are all filled with expectations and hopes, but sometimes things happen that keep us from our plans, from being happy, or just... from being. Perhaps fear, sadness, or grief have kept you stuck for a while, which has left you feeling depressed, anxious, or hopeless. This is completely understandable; our experiences can certainly shape us, but they do not have to define us. With compassion and warmth, I will help you explore your upbringing, problems of self-esteem, and communication style. In doing so, I am committed to helping you get the relief you have long needed, and deserve.
More Therapists Nearby
![Photo of Karen Greenberg, LCSW, Couples, Therapy, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4bcea44d-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Karen Greenberg
Clinical Social Work/Therapist, LCSW, Couples, Therapy
Verified Verified
3 Endorsed
Montclair, NJ 07042
Having relationship problems? Feeling stuck or in a downward spiral? I work in a confidential setting where you find solutions and make changes to live a more satisfying and meaningful life. I work with individuals and couples experiencing anxiety, depression, trauma/recovery, grief, difficult relationships, and major life transitions. I also treat borderline, narcissistic personality and mood disorders. A combination of advanced training in various modalities and experience allows me to custom treatment to your needs and concerns. A strong connection to the therapist is the most important factor in a successful therapy.
Having relationship problems? Feeling stuck or in a downward spiral? I work in a confidential setting where you find solutions and make changes to live a more satisfying and meaningful life. I work with individuals and couples experiencing anxiety, depression, trauma/recovery, grief, difficult relationships, and major life transitions. I also treat borderline, narcissistic personality and mood disorders. A combination of advanced training in various modalities and experience allows me to custom treatment to your needs and concerns. A strong connection to the therapist is the most important factor in a successful therapy.
![Photo of Robert Brett Fechner, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3e79aa16-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Whether therapy is something you feel you need, something you want, or something your parents are making you do, understanding your deeper self is never a bad choice. But it can be a challenging one. I honor any person willing or wanting to embark on that adventure, and focus on helping my clients to identify, understand, and explore the aspects of their lives and their selves that feel stuck, painful, or not quite where they want them to be. I firmly believe that depth of understanding, emotional awareness, and rejuvenated coping skills are the foundations of progress, confidence, and success.
Whether therapy is something you feel you need, something you want, or something your parents are making you do, understanding your deeper self is never a bad choice. But it can be a challenging one. I honor any person willing or wanting to embark on that adventure, and focus on helping my clients to identify, understand, and explore the aspects of their lives and their selves that feel stuck, painful, or not quite where they want them to be. I firmly believe that depth of understanding, emotional awareness, and rejuvenated coping skills are the foundations of progress, confidence, and success.
![Photo of Kathleen Little, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3cd2e5c7-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Do you ever have the feeling that if you could talk to someone you would feel less anxious, worried or depressed about a situation or issue? Do you ever feel that perhaps, if someone would listen to your concerns and "get it", you might be able to make "sense out of nonsense"? My clients are the drivers, directors and deciders of their talk sessions. You bring your areas of concern to the table and in a safe and trusting setting we join hands in a collaborative effort to make "sense out of nonsense". Pieces of the puzzle start to fit.
Do you ever have the feeling that if you could talk to someone you would feel less anxious, worried or depressed about a situation or issue? Do you ever feel that perhaps, if someone would listen to your concerns and "get it", you might be able to make "sense out of nonsense"? My clients are the drivers, directors and deciders of their talk sessions. You bring your areas of concern to the table and in a safe and trusting setting we join hands in a collaborative effort to make "sense out of nonsense". Pieces of the puzzle start to fit.
![Photo of Susanne Ciancio, LPC, CCMHC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/3ffe2ebf-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Susanne Ciancio
Licensed Professional Counselor, LPC, CCMHC, NCC
Verified Verified
Montclair, NJ 07042 (Online Only)
My most successfull work has been with clients struggling with issues related to anxiety, depression, unresolved grief and all types of boundary issues including: assertiveness training, power/control issues, dependent personality, parenting, co-dependency and conflict resolution. Marital therapy and interpersonal relationship issues are also a specialty which includes work, peer, dating and family issues. People need support, guidance and a working connection with a professional who has experience and can help them navigate through life's struggles. I help people untangle knots and long held beliefs that are holding them back.
My most successfull work has been with clients struggling with issues related to anxiety, depression, unresolved grief and all types of boundary issues including: assertiveness training, power/control issues, dependent personality, parenting, co-dependency and conflict resolution. Marital therapy and interpersonal relationship issues are also a specialty which includes work, peer, dating and family issues. People need support, guidance and a working connection with a professional who has experience and can help them navigate through life's struggles. I help people untangle knots and long held beliefs that are holding them back.
![Photo of Connie Lieberman, LSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4d45da70-4a35-4edd-be2d-d5b51e7ca7df/2/320x400.jpeg)
I view counseling as an opportunity to come alongside my clients and partner with them as they journey toward discovering a life of meaning and purpose. Through empathy, humor, and warmth, I aim to create and hold a safe space for my clients to begin the journey inward. My biggest joy is walking alongside my clients as they begin to realize their strength and resilience to find solutions to the issues they are facing.
I view counseling as an opportunity to come alongside my clients and partner with them as they journey toward discovering a life of meaning and purpose. Through empathy, humor, and warmth, I aim to create and hold a safe space for my clients to begin the journey inward. My biggest joy is walking alongside my clients as they begin to realize their strength and resilience to find solutions to the issues they are facing.
![Photo of Pamela Andrea Zambrana, MA, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/37dfeaa6-9473-4609-a291-e0f407e44094/2/320x400.jpeg)
Pamela Andrea Zambrana
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Montclair, NJ 07042
I have more than 10 years of experience as a psychotherapist. I offer individual psychotherapy for children, adolescents and adults. I believe the therapeutic relationship must be supported and safe, as an effective way to explore life challenges while feeling fully accepted and understood. I strongly believe that a successful relationship between therapist and client leads to lasting change. During this difficult time due to the Covid-19 I'm offering phone sessions in order reduce the stress to come to the office and have the session from hour home.
I have more than 10 years of experience as a psychotherapist. I offer individual psychotherapy for children, adolescents and adults. I believe the therapeutic relationship must be supported and safe, as an effective way to explore life challenges while feeling fully accepted and understood. I strongly believe that a successful relationship between therapist and client leads to lasting change. During this difficult time due to the Covid-19 I'm offering phone sessions in order reduce the stress to come to the office and have the session from hour home.
![Photo of Deborah Stymest, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e585da47-f8bb-4593-aa73-7cd5e5d17035/1/320x400.jpeg)
You may be struggling through a painful time of life, but you’ve taken an important step by looking for support. As we begin our work together, you'll find words for your feelings, get to know yourself better and experience comfort in the presence of a trained professional. With this, you may find relief and be able to get moving again. I'll be fully present and curious alongside you, while sharing insights as they emerge. It gives me great joy to help people to feel stronger, more hopeful and able to tackle life again.
You may be struggling through a painful time of life, but you’ve taken an important step by looking for support. As we begin our work together, you'll find words for your feelings, get to know yourself better and experience comfort in the presence of a trained professional. With this, you may find relief and be able to get moving again. I'll be fully present and curious alongside you, while sharing insights as they emerge. It gives me great joy to help people to feel stronger, more hopeful and able to tackle life again.
![Photo of Emily Sarah Krause, Emily, S, Krause, LMHC, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/9e44509f-3267-4e3d-ae26-749bcffc4ca8/1/320x400.jpeg)
Emily Sarah Krause
Licensed Professional Counselor, Emily, S, Krause, LMHC, LPC
Verified Verified
2 Endorsed
Montclair, NJ 07042 (Online Only)
Welcome to my page! I am a full time clinical counselor at my own private practice Krause Therapy LLC. See my website- www.krausetherapyllc.com. I hold license in two states; a Massachusetts (LMHC), New Jersey (LPC), and am a Nationally Certified Counselor (NCC) as well as a Nationally Board Certified Approved Clinical Supervisor (ACS). I currently practice online via Telemental Counseling per insurance plan approval and sliding scale basis. Also, I am offering individual supervision opportunities for LACs and provisional LMHCs for state licensure. Please contact me if interested at krausetherapyllc@gmail.com.
Welcome to my page! I am a full time clinical counselor at my own private practice Krause Therapy LLC. See my website- www.krausetherapyllc.com. I hold license in two states; a Massachusetts (LMHC), New Jersey (LPC), and am a Nationally Certified Counselor (NCC) as well as a Nationally Board Certified Approved Clinical Supervisor (ACS). I currently practice online via Telemental Counseling per insurance plan approval and sliding scale basis. Also, I am offering individual supervision opportunities for LACs and provisional LMHCs for state licensure. Please contact me if interested at krausetherapyllc@gmail.com.
![Photo of Daniel Marc Edelman - Daniel Edelman Psy.D PC, PsyD, Psychologist](https://photos.psychologytoday.com/3de79f1f-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I specialize in both clinical psychology and neuropsychology with extensive experience treating adolescents and adults with psychiatric disabilities, anxiety, depression, couples and marital conflict, and geriatric issues. I also provide neuropsychological assessment of older children, adolescents and adults dealing with a host of issues including ADD, specific learning disabilities, traumatic brain injury, and dementia. I have an extensive background in vocational rehabilitation and can provide related assistance via evaluation and recommendations, related counseling and linkage to relevant services.
I specialize in both clinical psychology and neuropsychology with extensive experience treating adolescents and adults with psychiatric disabilities, anxiety, depression, couples and marital conflict, and geriatric issues. I also provide neuropsychological assessment of older children, adolescents and adults dealing with a host of issues including ADD, specific learning disabilities, traumatic brain injury, and dementia. I have an extensive background in vocational rehabilitation and can provide related assistance via evaluation and recommendations, related counseling and linkage to relevant services.
![Photo of Carole Pasahow, DSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3c7ff5f2-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Carole Pasahow
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
1 Endorsed
Montclair, NJ 07042 (Online Only)
I hold licenses in Florida, New Jersey and New York. My extensive training and experience (certified psychoanalyst, couple & sex therapist, hypnotherapy, somatic experiencing, IFS, EMDR, PACT and Hakomi) allows me to treat a wide variety of issues successfully. (adolescent to adults). Clients with complicated problems who have been treated by other therapists unsuccessfully seek my help because of my motivational, self -powering approach to treating clients. My services range from sexual concerns (dysfunctions, abuse, infidelity, compulsive behavior, gender dysphoria), acute and post trauma stress to personality and mood disorders.
I hold licenses in Florida, New Jersey and New York. My extensive training and experience (certified psychoanalyst, couple & sex therapist, hypnotherapy, somatic experiencing, IFS, EMDR, PACT and Hakomi) allows me to treat a wide variety of issues successfully. (adolescent to adults). Clients with complicated problems who have been treated by other therapists unsuccessfully seek my help because of my motivational, self -powering approach to treating clients. My services range from sexual concerns (dysfunctions, abuse, infidelity, compulsive behavior, gender dysphoria), acute and post trauma stress to personality and mood disorders.
![Photo of Alexandra Young, MA, EdM, LMHC, Counselor](https://photos.psychologytoday.com/a960a4c4-3241-49c6-a26d-669d2f776e2d/2/320x400.jpeg)
Welcome. My name is Allie. I specialize in relationship psychotherapy and anxiety disorders. Patients that work well with me are those that wish to understand the deeper, unconscious drivers of their present anxious and/or depressive symptoms. I help all patients gain a life-long ability to self-reflect internally, take responsibility, and build more connected lives. An important note to consider is that I honor many aspects of masculinity that have been ridiculed culturally as of late, and empower men to embrace these important parts of themselves.
Welcome. My name is Allie. I specialize in relationship psychotherapy and anxiety disorders. Patients that work well with me are those that wish to understand the deeper, unconscious drivers of their present anxious and/or depressive symptoms. I help all patients gain a life-long ability to self-reflect internally, take responsibility, and build more connected lives. An important note to consider is that I honor many aspects of masculinity that have been ridiculed culturally as of late, and empower men to embrace these important parts of themselves.
![Photo of James Walkup, MLitt, MA, PhD, Psychologist](https://photos.psychologytoday.com/532ab938-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Most people solve most problems on their own or with help from friends, but that doesn’t always work. Troubles mount up. Upheavals catch you unawares. “Go to” solutions can leave you empty-handed. Even planned changes can be disorienting - new jobs, retirement, new relationships, going off to school, children leaving home. Sometimes people just need help coping, changing bad habits, or thinking through options. Other times people feel hemmed in by circumstances, or find they don’t recognize themselves in the life they lead and want to deepen their sense that the life they are living reflects their own values and choices.
Most people solve most problems on their own or with help from friends, but that doesn’t always work. Troubles mount up. Upheavals catch you unawares. “Go to” solutions can leave you empty-handed. Even planned changes can be disorienting - new jobs, retirement, new relationships, going off to school, children leaving home. Sometimes people just need help coping, changing bad habits, or thinking through options. Other times people feel hemmed in by circumstances, or find they don’t recognize themselves in the life they lead and want to deepen their sense that the life they are living reflects their own values and choices.
![Photo of Cyndi Koch - The Koch Center, PsyD, Psychologist](https://photos.psychologytoday.com/44bdd124-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
The Koch Center (located in Montclair, Morristown, Waldwick, & Englewood) specializes in Dialectical Behavior Therapy (DBT) Therapy and Programs for Adults, Adolescents, Children, and Families. Our DBT Programs offer an opportunity to receive extensive support and expert treatment in an outpatient setting. We treat the full range of psychological issues (including Mood Disorders, Anxiety Disorders, Impulse Control disorders, Eating Disorders, Trauma, Relationship Problems, Personality Disorders). We have an outpatient Trauma Program for Adults. We also offer individual therapy from varying theoretical orientations.
The Koch Center (located in Montclair, Morristown, Waldwick, & Englewood) specializes in Dialectical Behavior Therapy (DBT) Therapy and Programs for Adults, Adolescents, Children, and Families. Our DBT Programs offer an opportunity to receive extensive support and expert treatment in an outpatient setting. We treat the full range of psychological issues (including Mood Disorders, Anxiety Disorders, Impulse Control disorders, Eating Disorders, Trauma, Relationship Problems, Personality Disorders). We have an outpatient Trauma Program for Adults. We also offer individual therapy from varying theoretical orientations.
![Photo of Kevin Wittenberg - Kevin Wittenberg, Psychologist and Psychoanalyst, PhD, Psychologist](https://photos.psychologytoday.com/964b46b8-ba01-4f8d-8100-6a1f53bf466d/1/320x400.jpeg)
Kevin Wittenberg, Psychologist and Psychoanalyst
Psychologist, PhD
Verified Verified
Upper Montclair, NJ 07043 (Online Only)
Our capacity to connect, both with ourselves (i.e. our passions, feelings, and body) and with others, is crucial to our feelings of well-being. When we connect, we generally feel a sense of aliveness in ourselves and the world. When we can't connect, we feel anxious, isolated, empty, or depressed. I feel my job is to help clients to more fully connect to the range of their experiences. I help adults, adolescents, and couples explore why they lose connection. I help them identify, understand, and overcome the deep root of their disconnection. I help them find well-being, which gives me great joy.
Our capacity to connect, both with ourselves (i.e. our passions, feelings, and body) and with others, is crucial to our feelings of well-being. When we connect, we generally feel a sense of aliveness in ourselves and the world. When we can't connect, we feel anxious, isolated, empty, or depressed. I feel my job is to help clients to more fully connect to the range of their experiences. I help adults, adolescents, and couples explore why they lose connection. I help them identify, understand, and overcome the deep root of their disconnection. I help them find well-being, which gives me great joy.
![Photo of Beth Levy-Merlin - Roseland Psychotherapy Associates, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/51c65fc7-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Roseland Psychotherapy Associates
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Caldwell, NJ 07006
Are you experiencing sadness, anxiety, in a challenging relationship, facing a transitions or just feeling overwhelmed with life? Then therapy at Roseland Psychotherapy Associates can help you feel and get better. We can match your needs with a therapist who specializes in your area of concern. We understand that the therapist-client relationship is important in the process of change and growth. Starting therapy is not easy and feeling at ease is essential. All of the therapists in our group are interactive and will utilize different approaches depending on your specific needs and goals.
Are you experiencing sadness, anxiety, in a challenging relationship, facing a transitions or just feeling overwhelmed with life? Then therapy at Roseland Psychotherapy Associates can help you feel and get better. We can match your needs with a therapist who specializes in your area of concern. We understand that the therapist-client relationship is important in the process of change and growth. Starting therapy is not easy and feeling at ease is essential. All of the therapists in our group are interactive and will utilize different approaches depending on your specific needs and goals.
See more therapy options for Cedar Grove
Nearby Narcissistic Personality (NPD) Therapists Searches for Cedar Grove
- Bloomfield
- Caldwell
- Clifton
- East Orange
- Montclair
- Nutley
- Passaic
- Paterson
- Upper Montclair
- Verona
- Wayne
- West Orange
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.