Narcissistic Personality (NPD) Therapists in San Jose, CA

Photo of Bea Armstrong, MA, MFT, Marriage & Family Therapist
Bea Armstrong
Marriage & Family Therapist, MA, MFT
Verified Verified
San Jose, CA 95117
Hi! Thanks for considering me as your therapist. Whether you are struggling with a past trauma or current relationship, I have more than 30 years of helping people learn to live the best life possible. Areas of expertise: cult recovery (religious, other); ACA, PTSD, addictions, and narcissistic relationships, grief and loss. All of us hit speed bumps -- sometimes mountains -- that keep us from moving forward. Our beliefs about how life works can block happiness. We can't always change what's happening, but we can change our perception of it. I work exclusively online. See my web site: www.beaarmstrong.com
Hi! Thanks for considering me as your therapist. Whether you are struggling with a past trauma or current relationship, I have more than 30 years of helping people learn to live the best life possible. Areas of expertise: cult recovery (religious, other); ACA, PTSD, addictions, and narcissistic relationships, grief and loss. All of us hit speed bumps -- sometimes mountains -- that keep us from moving forward. Our beliefs about how life works can block happiness. We can't always change what's happening, but we can change our perception of it. I work exclusively online. See my web site: www.beaarmstrong.com
(408) 351-1879 View (408) 351-1879
Photo of Claudia Sinay-Mosias - Claudia Sinay-Mosias, Mft Online Psychotherapy, MA, MHS, LFMT, Marriage & Family Therapist
Claudia Sinay-Mosias, Mft Online Psychotherapy
Marriage & Family Therapist, MA, MHS, LFMT
Verified Verified
San Jose, CA 95125
I specialize in treating survivors of narcissistic abuse, relationship issues, anxiety and depression. I am also very interested in what it means and how to become, a fully functioning human being, emotionally, mentally, physically and spiritually. In this world that has been accelerating at a pace beyond our expectations and sometimes our ability to cope,how do we find peace, happiness and fulfillment, or at least the absence of anxiety and depression? Locked within our own personal stories lie the answer to these questions. Whatever "pathology" you present with can be turned into a "path" toward healing.
I specialize in treating survivors of narcissistic abuse, relationship issues, anxiety and depression. I am also very interested in what it means and how to become, a fully functioning human being, emotionally, mentally, physically and spiritually. In this world that has been accelerating at a pace beyond our expectations and sometimes our ability to cope,how do we find peace, happiness and fulfillment, or at least the absence of anxiety and depression? Locked within our own personal stories lie the answer to these questions. Whatever "pathology" you present with can be turned into a "path" toward healing.
(628) 600-1629 View (628) 600-1629
Photo of Laura Johnson - Laura Johnson, CBT and Schema Therapist, MA, MBA, LMFT, LPCC, Marriage & Family Therapist
Laura Johnson, CBT and Schema Therapist
Marriage & Family Therapist, MA, MBA, LMFT, LPCC
Verified Verified
San Jose, CA 95120
Start creating more helpful thinking and behavioral patterns! My focus is to help you gain confidence, feel less anxious and think and act differently. I am one of the few therapists certified in CBT and schema therapy, which means I can help you get to the underlying issues so you can break unhealthy emotional, relationship and personality patterns. I specialize in practical, goal-oriented CBT for anxiety, OCD and social anxiety. I also use schema therapy with personality problems like avoidant, obsessive-compulsive, narcissistic and borderline personality. Schema therapy can turbocharge CBT. Visit CBTSV.com to learn more.
Start creating more helpful thinking and behavioral patterns! My focus is to help you gain confidence, feel less anxious and think and act differently. I am one of the few therapists certified in CBT and schema therapy, which means I can help you get to the underlying issues so you can break unhealthy emotional, relationship and personality patterns. I specialize in practical, goal-oriented CBT for anxiety, OCD and social anxiety. I also use schema therapy with personality problems like avoidant, obsessive-compulsive, narcissistic and borderline personality. Schema therapy can turbocharge CBT. Visit CBTSV.com to learn more.
(408) 676-4734 View (408) 676-4734
Photo of Eamonn Mckay, MS, LMFT, Marriage & Family Therapist
Eamonn Mckay
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Jose, CA 95101  (Online Only)
Please note that I work only with clients in California at this time. Often, when we connect with therapists, we present with clear issues we want to address. Other times, we could be struggling to interpret how a life event may be affecting us. When I work with a client, I like to know and understand that person deeply, including where they feel they are now in life, and how is it they got here, to this point. We will delve into moments in your earlier life that you believe may hold some importance, some current relevance, what I term the echo of our pasts. It is this exploration that makes therapy both enlightening and releasing.
Please note that I work only with clients in California at this time. Often, when we connect with therapists, we present with clear issues we want to address. Other times, we could be struggling to interpret how a life event may be affecting us. When I work with a client, I like to know and understand that person deeply, including where they feel they are now in life, and how is it they got here, to this point. We will delve into moments in your earlier life that you believe may hold some importance, some current relevance, what I term the echo of our pasts. It is this exploration that makes therapy both enlightening and releasing.
(570) 605-4783 View (570) 605-4783
Photo of Andrew Aguilar Maldonado, MS, LMFT, Marriage & Family Therapist
Andrew Aguilar Maldonado
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Jose, CA 95125
Whether you're here for yourself, a family member, or a friend... welcome! If you'd like to skip reading and give me a call or email, I will be happy to answer any questions or address any concerns you may have. If you'd like to read more about the foundation in which I work please continue. For many of us life can be complicated, and at all ages in our lives we are faced with tough times that we have to overcome. We all follow a unique path to find solutions for our difficulties. Sometimes, along that path, we find that we need support, to help us reach the level of functioning and happiness that we desire.
Whether you're here for yourself, a family member, or a friend... welcome! If you'd like to skip reading and give me a call or email, I will be happy to answer any questions or address any concerns you may have. If you'd like to read more about the foundation in which I work please continue. For many of us life can be complicated, and at all ages in our lives we are faced with tough times that we have to overcome. We all follow a unique path to find solutions for our difficulties. Sometimes, along that path, we find that we need support, to help us reach the level of functioning and happiness that we desire.
(562) 374-7080 View (562) 374-7080
Photo of Inhwa Byun, LPCC, MA
Inhwa Byun
Licensed Professional Clinical Counselor, LPCC, MA
Verified Verified
San Jose, CA 95110
Are you feeling alone and stuck in the same place? Believe you aren't good enough? Experiencing relationship difficulties? If you’re tired of dealing with your issues on your own, I’m here to work with you and to help you move forward. Exploring your issues by yourself can be overwhelming. By working together, I aim to provide a warm and safe environment to better aid your process of self-discovery and learning. Through collaborative and compassionate therapy sessions, I would like to help you find the power of self-healing, self-resilience and solid calmness will gradually improve your well-being.
Are you feeling alone and stuck in the same place? Believe you aren't good enough? Experiencing relationship difficulties? If you’re tired of dealing with your issues on your own, I’m here to work with you and to help you move forward. Exploring your issues by yourself can be overwhelming. By working together, I aim to provide a warm and safe environment to better aid your process of self-discovery and learning. Through collaborative and compassionate therapy sessions, I would like to help you find the power of self-healing, self-resilience and solid calmness will gradually improve your well-being.
(408) 668-0583 View (408) 668-0583
Photo of Amy Dunniway, MA, LMFT, Marriage & Family Therapist
Amy Dunniway
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Jose, CA 95125
Have you ever looked at your life and thought, “Why is this happening? Is it always going to be like this? What can I do?” Do you feel anxious, sad or misunderstood more often than not? Maybe life seems easier and better for everyone around you. Maybe you're surrounded by people, but you feel alone. Your relationships feel like a struggle to maintain. Conflict and discomfort seem like the norm, not the exception. Sometimes it seems like it will never get better and no one understands.
Have you ever looked at your life and thought, “Why is this happening? Is it always going to be like this? What can I do?” Do you feel anxious, sad or misunderstood more often than not? Maybe life seems easier and better for everyone around you. Maybe you're surrounded by people, but you feel alone. Your relationships feel like a struggle to maintain. Conflict and discomfort seem like the norm, not the exception. Sometimes it seems like it will never get better and no one understands.
(669) 800-1205 View (669) 800-1205
Photo of Nancy Chau, LMFT, Marriage & Family Therapist
Nancy Chau
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95133  (Online Only)
It is believed that the healing process begins with a therapeutic relationship. My genuineness and honest personality helps me build a strong connection and relationship with you to begin this journey. Through this foundation, you will learn how to develop healthy relationships with people in your own life. You might also need a safe and non-judgmental space to gain confidence to share and express what you are unable to with people in your life. My directive approach will challenge you to take what you learn in therapy and make changes that you need to reach the ideal life that you want to live!
It is believed that the healing process begins with a therapeutic relationship. My genuineness and honest personality helps me build a strong connection and relationship with you to begin this journey. Through this foundation, you will learn how to develop healthy relationships with people in your own life. You might also need a safe and non-judgmental space to gain confidence to share and express what you are unable to with people in your life. My directive approach will challenge you to take what you learn in therapy and make changes that you need to reach the ideal life that you want to live!
(408) 351-8557 View (408) 351-8557
Photo of Lesa M Pascali, Lesa Pascali, MFT, Marriage & Family Therapist
Lesa M Pascali
Marriage & Family Therapist, Lesa Pascali, MFT
Verified Verified
San Jose, CA 95110  (Online Only)
Welcome! I’m Lesa Pascali and I am committed to connecting with individuals, couples and families through individualized therapy and to helping them to discover/rediscover the harmony, meaning and wellness within their lives. After 23 years in law enforcement and 18 years doing therapy, I have dealt with a variety of situations. I’ve worked with individuals, couples and families, veterans, ex-offenders, children, teens and neurologically imbalanced individuals. I use a variety of therapies including RLT therapy, CBT & Solution Focused therapy and am a Certified Relational Life couples therapist.
Welcome! I’m Lesa Pascali and I am committed to connecting with individuals, couples and families through individualized therapy and to helping them to discover/rediscover the harmony, meaning and wellness within their lives. After 23 years in law enforcement and 18 years doing therapy, I have dealt with a variety of situations. I’ve worked with individuals, couples and families, veterans, ex-offenders, children, teens and neurologically imbalanced individuals. I use a variety of therapies including RLT therapy, CBT & Solution Focused therapy and am a Certified Relational Life couples therapist.
(408) 715-3046 View (408) 715-3046
Photo of Jennifer Lara, ASW
Jennifer Lara
Associate Clinical Social Worker, ASW
Verified Verified
San Jose, CA 95125
Childhood trauma can cripple us, it creates overpowering ‘intense’ emotions such as anxiety, depression, and anger when left unattended which begins to create physical symptoms to defend our bodies from the internal wounds. Has there ever been a time in your life where you have experienced this reaction? Are you experiencing these feelings based on current or past trauma from childhood, early teens, adolescence, adulthood, or as a senior? I aim to utilize a variety of actionable techniques to help reduce trauma related symptoms and make lasting changes in life.
Childhood trauma can cripple us, it creates overpowering ‘intense’ emotions such as anxiety, depression, and anger when left unattended which begins to create physical symptoms to defend our bodies from the internal wounds. Has there ever been a time in your life where you have experienced this reaction? Are you experiencing these feelings based on current or past trauma from childhood, early teens, adolescence, adulthood, or as a senior? I aim to utilize a variety of actionable techniques to help reduce trauma related symptoms and make lasting changes in life.
(408) 214-6772 View (408) 214-6772
Photo of Dean Leav - Men's Issues - Dr. Dean, PsyD, QME, Author, Psychologist
Men's Issues - Dr. Dean
Psychologist, PsyD, QME, Author
Verified Verified
San Jose, CA 95113
Welcome to my practice. I have been in practice since 2007 and have been featured on ABC, NBC, and KCAL as an expert psychologist. I work primarily with men who have hit “rock bottom” and would like help getting up. These men are often in crisis when we first meet. The issues I address are typically related to unhealthy sexual behaviors, infidelity, financial recklessness, gambling, drugs/alcohol, dishonesty/lying, and relational conflicts. My therapy approach is a combination of psychoanalytic, cognitive-behavioral, and the 12-Step recovery model. I also share insight from my own painful but redemptive recovery journey.
Welcome to my practice. I have been in practice since 2007 and have been featured on ABC, NBC, and KCAL as an expert psychologist. I work primarily with men who have hit “rock bottom” and would like help getting up. These men are often in crisis when we first meet. The issues I address are typically related to unhealthy sexual behaviors, infidelity, financial recklessness, gambling, drugs/alcohol, dishonesty/lying, and relational conflicts. My therapy approach is a combination of psychoanalytic, cognitive-behavioral, and the 12-Step recovery model. I also share insight from my own painful but redemptive recovery journey.
(408) 351-7382 View (408) 351-7382
Photo of Sven Ohah, PsyD, Psychologist
Sven Ohah
Psychologist, PsyD
Verified Verified
1 Endorsed
San Jose, CA 95126
I believe in a compassionate approach to psychotherapy that combines valid and reliable assessments with a warm, focused attention to your emotional needs. As a clinical psychologist I can offer these objective measures of your cognitive abilities and personality traits, as well as ongoing weekly sessions tailored to provide you with active listening, understanding, and creative feedback. Working with adolescents and young adults are a particular focus of my practice.
I believe in a compassionate approach to psychotherapy that combines valid and reliable assessments with a warm, focused attention to your emotional needs. As a clinical psychologist I can offer these objective measures of your cognitive abilities and personality traits, as well as ongoing weekly sessions tailored to provide you with active listening, understanding, and creative feedback. Working with adolescents and young adults are a particular focus of my practice.
(408) 465-9955 View (408) 465-9955
Photo of Audrey Hu, ASW
Audrey Hu
Associate Clinical Social Worker, ASW
Verified Verified
San Jose, CA 95125
We all feel lost from time to time, but there’s always light at the end of the tunnel. I’ve been through my own therapy as a young adult when I was stuck in a bout of anxiety and panic attacks due to childhood trauma. Throughout my years of working with traumatized individuals, I learned first-hand about how childhood trauma can have a strong impact on adulthood. I can help you address unresolved trauma, in order for you to find passion, connection, and purpose in your life.
We all feel lost from time to time, but there’s always light at the end of the tunnel. I’ve been through my own therapy as a young adult when I was stuck in a bout of anxiety and panic attacks due to childhood trauma. Throughout my years of working with traumatized individuals, I learned first-hand about how childhood trauma can have a strong impact on adulthood. I can help you address unresolved trauma, in order for you to find passion, connection, and purpose in your life.
(408) 404-5583 View (408) 404-5583
Photo of Dr. Dean Leav - Psychological Testing & Evaluations - Dr. Dean, PsyD, QME, Author, Psychologist
Psychological Testing & Evaluations - Dr. Dean
Psychologist, PsyD, QME, Author
Verified Verified
San Jose, CA 95113
I'm Dr. Dean Leav, licensed psychologist and qualified medical evaluator (QME). I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I provide Evaluation Services, including (and not limited to): diagnostics (ADHD, Autism, Learning Dis.), cognitive/neuropsychological evaluations, workers' compensation (QME/AME), immigration-related evaluations, pre-adoption psychological evaluations, parenting/bonding assessments, drug & alcohol evaluations, pre-employment evaluations, and legal/forensics/criminal evaluations. These evaluations may be used to meet eligibility for certain services or accommodations.
I'm Dr. Dean Leav, licensed psychologist and qualified medical evaluator (QME). I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I provide Evaluation Services, including (and not limited to): diagnostics (ADHD, Autism, Learning Dis.), cognitive/neuropsychological evaluations, workers' compensation (QME/AME), immigration-related evaluations, pre-adoption psychological evaluations, parenting/bonding assessments, drug & alcohol evaluations, pre-employment evaluations, and legal/forensics/criminal evaluations. These evaluations may be used to meet eligibility for certain services or accommodations.
(650) 719-1562 View (650) 719-1562
Photo of Madison Ledda- Simmons, MA, LMFT, Marriage & Family Therapist
Madison Ledda- Simmons
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Jose, CA 95125
Welcome! I specialize in working with children, teens, and young adults who are navigating through challenging life transitions, grappling with anxiety, or experiencing difficulties in their relationships. I believe in tailoring therapy to meet the unique needs of each client, utilizing techniques that resonate with their individual strengths and preferences. Whether it's transitioning to college, navigating a career change, or adjusting to a new family dynamic, I help clients develop coping skills and resilience to successfully navigate life's transitions.
Welcome! I specialize in working with children, teens, and young adults who are navigating through challenging life transitions, grappling with anxiety, or experiencing difficulties in their relationships. I believe in tailoring therapy to meet the unique needs of each client, utilizing techniques that resonate with their individual strengths and preferences. Whether it's transitioning to college, navigating a career change, or adjusting to a new family dynamic, I help clients develop coping skills and resilience to successfully navigate life's transitions.
(408) 542-0427 View (408) 542-0427
Photo of Milly R Thomas - Mindful Matters, MA, LMFT, Marriage & Family Therapist
Mindful Matters
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Jose, CA 95129
I want to commend you that in seeking help, you are taking the first step towards a healthier, happier life. If you are feeling isolated in your thoughts, and conflicted about sharing what you are going through with a stranger, I totally understand what you are feeling and want you to know that you are not alone. I am here to support and guide you in discovering how to move forward in your life and overcome the challenges you are currently facing. I provide a safe, supportive, and caring environment that will help facilitate the healing and restoration process. I accept Lyra and Cigna insurance.
I want to commend you that in seeking help, you are taking the first step towards a healthier, happier life. If you are feeling isolated in your thoughts, and conflicted about sharing what you are going through with a stranger, I totally understand what you are feeling and want you to know that you are not alone. I am here to support and guide you in discovering how to move forward in your life and overcome the challenges you are currently facing. I provide a safe, supportive, and caring environment that will help facilitate the healing and restoration process. I accept Lyra and Cigna insurance.
(510) 254-3473 View (510) 254-3473
Photo of Cristina M. Collada, MSW, LCSW, Clinical Social Work/Therapist
Cristina M. Collada
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
San Jose, CA 95117
My approach is supportive, direct, and problem-focused. I utilize evidenced-based approaches including EMDR, Cognitive-Behavioral Therapy, and Mindfulness-based techniques. With over 30 years of experience in the public and private sectors, I have extensive training and knowledge in the Assessment, Diagnosis and Treatment of a variety of mental health issues including Depression, Anxiety, Bipolar Disorder, Trauma, Addiction, Psychotic Disorders, Relationship Issues, Stress Management, Self-esteem Issues, Grief and Loss. I also have extensive experience responding to critical incidents including mass shootings and natural disasters.
My approach is supportive, direct, and problem-focused. I utilize evidenced-based approaches including EMDR, Cognitive-Behavioral Therapy, and Mindfulness-based techniques. With over 30 years of experience in the public and private sectors, I have extensive training and knowledge in the Assessment, Diagnosis and Treatment of a variety of mental health issues including Depression, Anxiety, Bipolar Disorder, Trauma, Addiction, Psychotic Disorders, Relationship Issues, Stress Management, Self-esteem Issues, Grief and Loss. I also have extensive experience responding to critical incidents including mass shootings and natural disasters.
(408) 499-9533 View (408) 499-9533
Photo of Janelle Bull, MA, LMFT, EMBA, PHD Stu, Marriage & Family Therapist
Janelle Bull
Marriage & Family Therapist, MA, LMFT, EMBA, PHD Stu
Verified Verified
San Jose, CA 95125
Are you hurting? At some point in our lives, we all hurt. Everyone hits obstacles in life from time to time and sometimes those problems seem unsolvable. Here is the good news, there is help. I specialize in couples, families and individuals who are either in the midst of a major change, or in need of one! I work with: high-conflict couples, couples making a serious commitment or dissolving a long-term relationship, new parents, families in conflict, people with anxiety, depression, fears, low self-esteem as well as grief and bereavement related issues. I am a straightforward therapist and like to help to get issues resolved.
Are you hurting? At some point in our lives, we all hurt. Everyone hits obstacles in life from time to time and sometimes those problems seem unsolvable. Here is the good news, there is help. I specialize in couples, families and individuals who are either in the midst of a major change, or in need of one! I work with: high-conflict couples, couples making a serious commitment or dissolving a long-term relationship, new parents, families in conflict, people with anxiety, depression, fears, low self-esteem as well as grief and bereavement related issues. I am a straightforward therapist and like to help to get issues resolved.
(408) 840-2899 View (408) 840-2899
Photo of Gregory Bendau, AMFT, Marriage & Family Therapist Associate
Gregory Bendau
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Jose, CA 95125
Do you struggle with feelings of anxiety, depression, guilt or low self-esteem? Do you find yourself avoiding social engagements or so preoccupied with excessive worrying? Finding ways to navigate these difficult feelings can help you get back on track. I use a psychodynamic approach and CBT that focuses on uncovering patterns of behavior and ways of relating to ourselves and others that are often outside of our awareness. I also consider how our past impacts who we are today. Through acceptance and empathy, we will establish a trusting therapeutic relationship and work together toward your personal growth and self-discovery.
Do you struggle with feelings of anxiety, depression, guilt or low self-esteem? Do you find yourself avoiding social engagements or so preoccupied with excessive worrying? Finding ways to navigate these difficult feelings can help you get back on track. I use a psychodynamic approach and CBT that focuses on uncovering patterns of behavior and ways of relating to ourselves and others that are often outside of our awareness. I also consider how our past impacts who we are today. Through acceptance and empathy, we will establish a trusting therapeutic relationship and work together toward your personal growth and self-discovery.
(408) 351-0562 View (408) 351-0562
Photo of T Joshua Tan, LCSW, Clinical Social Work/Therapist
T Joshua Tan
Clinical Social Work/Therapist, LCSW
Verified Verified
San Jose, CA 95125
Is anxiety, depression, or trauma holding you back from being your true self? Do you feel stuck in managing difficult life transitions? Now, every little thing becomes super overwhelming. Those negative experiences reopen old wounds and cause new ones. You tried burying your pain hoping it would go away. You feel lonely and tormented. You feel exhausted, stressed, and angry all the time. You wonder how much more you can take. You are unsure of who or where to turn for help. In the midst of this painful journey, you do not have to go through it alone.
Is anxiety, depression, or trauma holding you back from being your true self? Do you feel stuck in managing difficult life transitions? Now, every little thing becomes super overwhelming. Those negative experiences reopen old wounds and cause new ones. You tried burying your pain hoping it would go away. You feel lonely and tormented. You feel exhausted, stressed, and angry all the time. You wonder how much more you can take. You are unsure of who or where to turn for help. In the midst of this painful journey, you do not have to go through it alone.
(408) 351-0884 View (408) 351-0884
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.