Narcissistic Personality (NPD)

Relationships and self-image can feel distressing when negative patterns keep repeating. Sis Therapy/Already Done LLC, a telehealth psychology practice based in Virginia Beach, Virginia, offers therapy for those affected by narcissistic personality disorder (NPD) and narcissistic traits. Paula Williams, LCSW, provides compassionate support through secure virtual therapy. Call Sis Therapy/Already Done LLC to book an appointment or request a telehealth consultation online today.

What is narcissistic personality (NPD)?

NPD is a mental health condition that affects how you see yourself, relate to others, and respond to criticism, rejection, or disappointment.

It often involves a strong need for admiration, difficulty recognizing others’ feelings, and intense discomfort when your self-image feels threatened. Many people struggle with defensiveness, control, low empathy, or relationship conflict at certain times.

Not everyone with narcissistic traits has NPD. Therapy helps you understand whether these patterns point to deeper emotional concerns and how they affect your life.

What are the signs of a narcissistic personality?

NPD looks different from person to person. Some people seem confident on the outside but feel deeply insecure, ashamed, or easily wounded on the inside.

Common signs may include:

• Needing frequent praise or validation
• Feeling superior to others
• Struggling to accept responsibility
• Reacting strongly to criticism
• Having trouble understanding others’ emotions
• Expecting special treatment
• Feeling jealous or competitive
• Using control, blame, or withdrawal during conflict
• Having unstable or strained relationships

If you love someone with narcissistic traits, you may feel confused, blamed, emotionally drained, or unsure how to set boundaries.

What causes NPD?

NPD usually develops from a mix of: 

• Early experiences 
• Personality traits 
• Family dynamics 
• Emotional coping patterns

Some people grow up with excessive criticism, neglect, trauma, inconsistent praise, or pressure to appear perfect. Over time, narcissistic patterns may develop as a way to protect against shame, fear, or emotional vulnerability.

These patterns might help you feel safer in the short term, but they often damage trust, communication, and closeness in relationships.

How does therapy help with NPD?

Therapy helps you build insight into your emotions, reactions, and relationship patterns. Paula provides a supportive space where you can explore difficult feelings without judgment while still working toward honest change. Your therapy may focus on:

• Emotional regulation
• Self-awareness
• Accountability
• Empathy
• Communication
• Healthier coping skills

If you’ve experienced emotional harm from someone with narcissistic traits, therapy can help you rebuild confidence, set boundaries, and understand what healthy relationships look like.

Telehealth offers a private and convenient way to work on narcissistic traits, relationships, and emotional stress. You can meet with Paula from home or another secure location, which makes therapy easier to fit around school, work, or family responsibilities.

To better understand NPD and build healthier connections, schedule a telehealth appointment at Sis Therapy/Already Done LLC by phone or request one online today.