NICABM – Expert Strategies For Treating Narcissism

Targeting the Defenses That Sustain Narcissism

Strategies to Help You Approach a Client’s Grandiosity, Entitlement, and Lack of Self Awareness

Treating narcissism can be complex and multi-faceted. That’s because many of the hallmark behaviors of narcissism are the very ones that create enormous barriers to change.

Creating a therapeutic alliance in the face of defensiveness, denial, and a lack of self-awareness can sometimes feel like a hopeless cause. It can also seem uniquely challenging to execute even the gentlest intervention without activating the client’s defenses.

So to help clients release the grip of this toxic cycle, we need to:

• Understand the neurobiological components that are often at the root of narcissistic or grandiose behaviors
• Implement approaches that help us work with the attachment wounds (and underlying shame) that can lead to narcissism
• Integrate strategies that can dissolve narcissistic defenses and foster the vulnerability that is often so central to healing
• Resource ourselves to manage our own reactivity – especially when we begin to feel activated in session

We consulted 22 of the top experts in the field to share practical strategies for working with clients who struggle with narcissism and grandiosity. The result is this brand new course.

Expert Strategies for Treating Narcissism

The Link Between Trauma, Attachment, and Narcissism (and How to Work with It)
Janina Fisher, PhD   Peter Levine, PhD   Jennifer Sweeton, PsyD
Ron Siegel, PsyD   Lynn Lyons, LICSW   Russell Kolts, PhD
Zindel Segal, PhD   Shelly Harrell, PhD

• Three Specific Ways Narcissism Can Take Root In Childhood
• A Four-Step Approach to Work with Narcissism That Stems from Trauma
• Two Distinct Strategies to Build Rapport with Clients with Narcissistic Tendencies
• How to Revisit Past Wounds Without Agitating a Client’s Sense of Grandiosity
• One Critical Skill to Help Clients Build When Working with Narcissism

Strategies to Manage Countertransference When Working with Narcissism
Bessel van der Kolk, MD   Peter Levine, PhD   Chris Irons, PhD
Zindel Segal, PhD   Shelly Harrell, PhD   Chris Willard, PsyD
Christine Padesky, PhD   Ron Siegel, PsyD

• How to Respond to Hurtful Comments That Activate Your Threat Response
• Three Techniques To Help You Stay Regulated When Working with Narcissism
• An Expert Strategy to Resource Yourself BEFORE a Session with a Challenging Client
• A Simple Reframe That Can Help You View Challenging Clients Through a More Compassionate Lens
• An Imagery Exercise That Can Help Clients Express Their Need to Challenge in a Healthy Way

How to Recognize and Work with Narcissistic Abuse
Usha Tummala-Narra, PhD   Thema Bryant, PhD

• How to Distinguish Narcissistic Abuse from General Abuse
• Specific Steps to Take BEFORE Confronting a Client About Narcissistic Abuse
• One Practical Exercise to Help Clients Understand How They Engage in Narcissistic Abuse
• Specific Areas of Exploration That Can Help Clients Shift Their Attention Toward Change

Shame & Grandiosity: Helping Clients Navigate Two Key Components of Narcissism
Terry Real, MSW, LICSW   Peter Levine, PhD
Ron Siegel, PsyD   Christine Padesky, PhD

• How to Help Clients Become More Attuned to Their Shifting States of Shame and Grandiosity
• Strategies to Help Guide Clients Down from a Grandiose State
• Specific Questions That Can Help You Address a Client’s Grandiosity
• How to Help Clients Who Are Mired in Self-Centered Shame
• One Key Factor That Can Help Clients Find Balance Between Shame and Grandiosity

Strategies to Halt Multigenerational Patterns of Narcissism
Lynn Lyons, LICSW   Thema Bryant, PhD   Russell Kolts, PhD

• Specific Language to Help Clients Buy Into the Work of Dismantling Cycles of Narcissism
• What NOT To Say When Helping Families Overcome Intergenerational Patterns of Narcissism
• Two Strategies to Help Shine a Light on Unconscious Narcissistic Patterns
• One Way to Address a Client’s Narcissism When It Threatens to Derail a Session

How to Recognize Narcissism (Even When It’s Subtle)
Joan Borysenko, PhD   Shelly Harrell, PhD
Zindel Segal, PhD   Ron Siegel, PsyD   Pat Ogden, PhD

• Key Signs That Your Client Has Narcissistic Traits
• How to Identify and Work with More Covert Forms of Narcissism
• One Counterintuitive Indicator of Narcissism
• Using Your Own Internal Cues to Help You Track a Client’s Narcissism
• How Narcissism Can Present In a Client’s Posture and Movements

How to Work with Narcissism at the Level of the Nervous System
Stephen Porges, PhD   Usha Tummala-Narra, PhD   Chris Willard, PsyD

• Neural Exercises That Can Help Clients Self-Regulate and Ease Narcissistic Patterns
• A Powerful Metaphor That Can Help Clients Better Attune to the State of Their Nervous System
• How to Foster a Sense of Safety in the Nervous System When a Client’s Narcissism Is Inflamed

Working with Narcissism’s Impact on a Client’s Relationships
Ellyn Bader, PhD   Stan Tatkin, PsyD, MFT
Jennifer Sweeton, PsyD   Christine Padesky, PhD

• A Two-Step Strategy to Work with Clients Who Don’t Think They Need Therapy
• Two Practical Exercises to Help Clients Become More Aware of Their Problematic Behaviors
• How to Work with Narcissism In the Context of Couples Therapy
• An Exercise to Help Clients Build Empathy for Their Partner

Key Missteps to Avoid When Working with Narcissism
Russell Kolts, PhD   Chris Willard, PsyD   Christine Padesky, PhD
Bessel van der Kolk, MD   Deany Laliotis, LICSW   Shelly Harrell, PhD

• The “Cardinal Rule” of Working with Narcissism
• One Effective Way to Respond to Clients Who Try to Dominate Your Session
• How to Skillfully Balance Between Validation and Collusion
• One Aspect of Treating Narcissism That Is Often Overlooked

More courses from the same author: NICABM

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