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Narcissistic abuse is a form of emotional and psychological abuse inflicted by someone with narcissistic traits or narcissistic personality disorder (NPD). This type of abuse can have profound and long-lasting effects on a victim’s mental and emotional well-being. Online therapy offers a convenient and effective way to support individuals recovering from narcissistic abuse. In this comprehensive guide, we will explore the nature of narcissistic abuse, its impact, and how online therapy can help in the healing process.

What is Narcissistic Abuse?

Definition and Characteristics

Narcissistic abuse involves manipulative, controlling, and often emotionally harmful behaviors by someone with narcissistic traits. This can include gaslighting, constant criticism, and manipulation, all designed to undermine the victim’s self-esteem and sense of reality.

Signs of Narcissistic Abuse

  • Gaslighting: Making the victim doubt their perceptions and reality.
  • Emotional Manipulation: Using guilt, fear, and other emotions to control the victim.
  • Isolation: Cutting the victim off from friends and family.
  • Verbal Abuse: Insults, belittling, and constant criticism.
  • Controlling Behavior: Dictating aspects of the victim’s life, such as finances, relationships, and personal choices.

The Impact of Narcissistic Abuse

Emotional and Psychological Effects

Narcissistic abuse can lead to a range of emotional and psychological issues, including:

  • Low Self-Esteem: Constant criticism and belittling can severely damage self-worth.
  • Anxiety and Depression: The chronic stress and emotional turmoil can lead to anxiety and depression.
  • Post-Traumatic Stress Disorder (PTSD): Some victims may develop PTSD symptoms due to the trauma.
  • Trust Issues: Victims often struggle to trust others after experiencing manipulation and betrayal.

Physical Health Effects

The stress and emotional pain caused by narcissistic abuse can also manifest physically, leading to:

  • Chronic Pain: Stress-related conditions such as headaches, back pain, and other chronic pain issues.
  • Sleep Disorders: Insomnia and other sleep disturbances due to anxiety and stress.
  • Gastrointestinal Problems: Stress can lead to digestive issues such as irritable bowel syndrome (IBS).
Woman having a video call at home on a laptop with a headset, engaging in online therapy for narcissistic abuse.

The Benefits of Online Therapy for Narcissistic Abuse

Accessibility and Convenience

Online therapy provides easy access to mental health support, particularly for those who may have difficulty attending in-person sessions due to location, mobility issues, or time constraints. This accessibility is crucial for victims of narcissistic abuse who may feel isolated or lack transportation.

Privacy and Anonymity

Online therapy offers a higher degree of privacy and anonymity, which can be particularly important for individuals dealing with the shame and stigma often associated with abuse. It allows clients to receive support from the comfort and safety of their own homes.


Online therapy offers flexible scheduling, making it easier for individuals to fit therapy into their busy lives. This flexibility can be beneficial for those juggling work, family responsibilities, or other commitments.

Types of Online Therapy for Narcissistic Abuse

1. Cognitive Behavioral Therapy (CBT)

What is CBT?

CBT is a widely used form of psychotherapy that helps individuals identify and change negative thought patterns and behaviors. It is particularly effective for addressing the cognitive distortions and emotional turmoil resulting from narcissistic abuse.

Benefits of CBT for Narcissistic Abuse

  • Challenging Negative Thoughts: Helps individuals recognize and counteract the negative beliefs instilled by the abuser.
  • Developing Coping Strategies: Teaches practical skills for managing anxiety, depression, and stress.
  • Improving Self-Esteem: Encourages the development of a healthier self-image and greater self-worth.

How CBT Works Online

Online CBT sessions typically involve structured exercises and discussions facilitated through video calls, messaging platforms, or dedicated therapy apps. Therapists may provide worksheets and assignments to help clients practice new skills between sessions.

2. Trauma-Focused Therapy

What is Trauma-Focused Therapy?

Trauma-focused therapy is designed to help individuals process and recover from traumatic experiences. It is particularly relevant for victims of narcissistic abuse, who often experience significant emotional trauma.

Benefits of Trauma-Focused Therapy for Narcissistic Abuse

  • Processing Trauma: Helps individuals make sense of their traumatic experiences and integrate them into their lives.
  • Reducing PTSD Symptoms: Addresses symptoms of PTSD, such as flashbacks, nightmares, and hypervigilance.
  • Building Resilience: Encourages the development of coping mechanisms and resilience.

How Trauma-Focused Therapy Works Online

Online trauma-focused therapy can involve various approaches, including Eye Movement Desensitization and Reprocessing (EMDR), Narrative Therapy, and Trauma-Focused CBT. These therapies are delivered via secure video calls or therapy platforms, ensuring client safety and confidentiality.

3. Mindfulness-Based Therapies

What are Mindfulness-Based Therapies?

Mindfulness-based therapies, such as Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT), incorporate mindfulness practices to help individuals manage stress and stay present.

Benefits of Mindfulness-Based Therapies for Narcissistic Abuse

  • Stress Reduction: Helps reduce the stress and anxiety associated with trauma.
  • Emotional Regulation: Enhances the ability to manage intense emotions.
  • Increased Self-Awareness: Encourages a greater awareness of thoughts and feelings, promoting healthier responses.

How Mindfulness-Based Therapies Work Online


Online mindfulness-based therapies involve guided meditation, mindfulness exercises, and discussions facilitated through video calls or therapy apps. Clients can access recordings and resources to practice mindfulness between sessions.

4. Support Groups and Peer Support

What are Support Groups?

Support groups provide a platform for individuals with similar experiences to share their stories, offer mutual support, and learn from one another. For victims of narcissistic abuse, these groups can offer a sense of community and understanding.

Benefits of Support Groups for Narcissistic Abuse

  • Shared Experience: Provides validation and support from others who have experienced similar abuse.
  • Mutual Support: Encourages the sharing of coping strategies and resources.
  • Reduced Isolation: Helps combat the feelings of isolation often experienced by abuse victims.

How Support Groups Work Online

Online support groups can be conducted via video conferencing platforms, forums, or dedicated support group apps. These groups are often moderated by a therapist or trained facilitator to ensure a safe and supportive environment.

Close-up of a patient holding a tablet, accessing group online therapy for narcissistic abuse

Choosing the Right Online Therapy for Narcissistic Abuse

Factors to Consider

When selecting the appropriate online therapy for narcissistic abuse, consider the following factors:


  • Therapist Expertise: Ensure the therapist has experience and training in dealing with narcissistic abuse and trauma.
  • Therapeutic Approach: Choose a therapy that aligns with your personal preferences and needs.
  • Platform Security: Ensure the online platform used for therapy is secure and HIPAA-compliant to protect your privacy.
  • Accessibility: Consider the accessibility of the therapy, including session scheduling and the ease of use of the online platform.

Positive Reset’s Approach to Online Therapy for Narcissistic Abuse

Comprehensive and Personalized Care

At Positive Reset, we offer comprehensive and personalized online therapy services tailored to the unique needs of individuals recovering from narcissistic abuse. Our experienced therapists are trained in various therapeutic approaches, ensuring that you receive the most effective care possible.

Multidisciplinary Team

Our multidisciplinary team includes licensed therapists, counselors, and support staff who work collaboratively to provide holistic care. We understand the complexities of narcissistic abuse and are dedicated to supporting you every step of the way.

Innovative and Secure Online Platforms

We utilize innovative and secure online platforms to deliver therapy, ensuring your privacy and confidentiality. Our user-friendly platforms make it easy to access therapy from the comfort and safety of your own home.

Ongoing Support and Resources

In addition to therapy sessions, we provide ongoing support and resources to help you in your recovery journey. This includes access to educational materials, self-help tools, and community resources.


Narcissistic abuse can have a profound and lasting impact on an individual’s mental and emotional well-being. However, with the right support and therapeutic approach, recovery is possible.

Online therapy offers a convenient, flexible, and effective way to receive the help you need. At Positive Reset, we are committed to providing compassionate and comprehensive care to help you heal from narcissistic abuse. If you or a loved one is struggling with the effects of narcissistic abuse, contact Positive Reset today to learn more about our online therapy services and start your journey toward recovery.



What is narcissistic abuse?

Narcissistic abuse is a form of emotional and psychological manipulation inflicted by someone with narcissistic traits or narcissistic personality disorder. It includes behaviors such as gaslighting, verbal abuse, and controlling actions.


How can online therapy help with narcissistic abuse?

Online therapy provides accessible, flexible, and confidential support to help individuals process their experiences, develop coping strategies, and heal from the trauma of narcissistic abuse.


What types of therapy are effective for narcissistic abuse?

Effective therapies include Cognitive Behavioral Therapy (CBT), Trauma-Focused Therapy, Mindfulness-Based Therapies, and support groups.


How do I choose the right online therapist for narcissistic abuse?

Look for a therapist with experience and training in narcissistic abuse and trauma. Ensure the online platform used is secure and HIPAA-compliant.


Can online therapy be as effective as in-person therapy?

Yes, online therapy can be just as effective as in-person therapy, especially when delivered through secure and user-friendly platforms.

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