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Table of Contents:
- Overview
- Signs of Narcissistic Abuse
- Examples of Narcissistic Abuse
- Understanding The Cycle of Narcissistic Abuse
- Effects of Narcissistic Abuse
- Taking Steps to Heal from Narcissistic Abuse
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Narcissistic Personality Disorder
Read Time: 6 Minutes
Written by:Elizabeth Keohan, LCSW-C, MSW
Published On: September 29, 2022
Medically reviewed by: Minkyung Chung, MS, LMHC
Reviewed On: September 29, 2022
Updated On: December 14, 2023
Overview
What is Narcissistic Abuse?
The term describes a type of emotional abuse that comes from a person with narcissistic personality disorder (NPD). People with NPD have low empathy and see others as beneath them, which can lead to harmful, toxic, abusive behaviors.
Narcissistic abuse can be incredibly difficult to endure. Someone with NPD may use insults, threats, and accusations to manipulate you into doing what they want. Learning more about narcissistic abuse and talking with anonline therapistor provider can help you cope. The sooner you have a better understanding, you can begin the healing after emotional abuse from someone withnarcissistic personality disorder(NPD).
Read on to learn about the signs of narcissistic abuse and to understand more about the damaging physical and mental health effects of being in a familial, platonic, or romantic relationship with someone who has NPD.
Signs of Narcissistic Abuse
One of the most common narcissistic traits of people with NPD is a constant need for admiration. Over time, narcissistic behavior can isolate a victim and damage their confidence. It’s tactics like these that allow someone with NPD to control their victim and gain more power in the abusive relationship.
“Abuse in any form is difficult to discern, but narcissistic abuse is particularly hard to notice, as the toxic relationship and the abuser can present perfect in the beginning. Oftentimes, narcissistic abusers can manipulate the truth or gaslight, which can in turn force you to question your own sanity, integrity, or truth.”
Expert Insight
Licensed Certified Social Worker-Clinical, (LCSW-C), LICSW, MSWElizabeth Keohan
Signs of narcissistic abuse include:
Love-bombing
It’s not unusual for a narcissistic partner, friend, or family member to shower you with compliments and affection. While this attention may seem positive at first, it’s actually a form of emotional manipulation. A love-bomber might give you expensive gifts or tell you what you want to hear. This is a way they can earn your trust and eventually control you.
Gaslighting
When called out, it’s not unusual for a narcissistic abuser to deny their hurtful and controlling behaviors towards you, pretend they don’t remember the events being described or accuse you of lying or not understanding the way things “really” happened.
This emotional manipulation tactic, known as narcissistic gaslighting, is designed to make you doubt yourself. These narcissistic tendencies can make you more vulnerable to future narcissistic behavior and psychological abuse.
Ignoring boundaries
It’s common for someone who’s a narcissist to test your boundaries or ignore them entirely. Someone with NPD might read through your text messages, follow you around, or do things that you’ve asked them not to do. Attempts to reinforce or set healthy boundaries may be met with arguments, anger, or accusations. If you are experiencing this, learn how to set boundaries with a narcissist.
Projecting
Instead of taking the blame for mistakes, a narcissistic partner or family member may project bad behaviors onto you. A common manipulation technique is DARVO, which stands for Deny, Attack, Reverse Victim, and Offender. By shifting blame onto their victim, narcissistic abusers can deny guilt and damage credibility.
Nitpicking
Some criticism is normal in a healthy relationship, but a narcissistic abuser can make you feel like everything you do is wrong. If you’re in a narcissistic relationship, your appearance, behavior, and even the sound of your voice might be criticized.
Shifting responsibility and blame
Narcissistic abusers often deflect responsibility for their actions by shifting blame onto the victim. They may accuse you of being the cause of their own abusive behavior or claim that you’re overreacting. This tactic not only absolves the abuser of guilt but also confuses and undermines the victim’s sense of reality.
Creating an atmosphere of constant uncertainty
Narcissists are known for creating an environment where the victim feels perpetually uncertain and off-balance. This might involve unpredictable reactions, sudden mood changes, or inconsistent treatment. You may be left constantly anxious and unsure, which makes them more susceptible to further manipulation and control.
Exploiting emotional vulnerabilities
A narcissistic abuser often exploits the emotional vulnerabilities of their victim. They may use intimate knowledge or sensitive information shared in trust to manipulate or emotionally wound you. This exploitation can deepen your sense of dependency and weaken your ability to resist their control.
Examples of Narcissistic Abuse
Narcissistic abuse can take many forms. This type of psychological abuse can come from a narcissistic parent or other family members, a romantic partner, a friend, or even a boss or co-worker.
Some common examples of narcissistic abuse include:
- Withholding: People who are narcissists may withhold money, affection, or even communication in an attempt to punish their abuse victims. The silent treatment is a frequently-seen form of withholding.
- Emotional blackmail: In a toxic relationship, your own emotions can be used against you. When you don’t do what an abuser wants, they may try to make you feel guilty or fearful.
- Insults: Verbal abuse like name-calling, harsh criticism, and other insults are ways for those with narcissistic personality disorder to chip away at a victim’s self-esteem. Abusers will often try to disguise their abusive behavior as sarcasm or jokes.
- Malicious gossip: Someone with NPD may deliberately spread lies about you or your behavior. Slander, lies, and damage to your reputation can all be ways to intentionally isolate you from others.
- Sabotage: Narcissism may cause someone to take steps to sabotage your career, relationships, or any other aspect of your life. This can be a way to keep you under their thumb and strengthen their power over you.
- Accusations: When you’re in a romantic relationship with a narcissistic person, you may be accused of lying, stealing, cheating, or other negative behaviors. Being wrongfully accused can put you on the defensive, which can help deflect from the behaviors and actions of someone with NPD.
Understanding The Cycle of Narcissistic Abuse
Narcissistic abuse follows a distinct and cyclical pattern consisting of three key phases: idealization, devaluation, and discarding, which can occur repeatedly, trapping the victim in a continuous loop of emotional turmoil.
#1 Idealization Phase
This initial stage is characterized by excessive admiration and attention – the ‘love bombing stage.’ The narcissist projects an idealized image of themselves, showcasing charm, empathy, and affection to lure the victim into the relationship. During this phase, the victim often experiences a heightened sense of emotional connection and well-being, unaware of the manipulative undercurrents.
#2 Devaluation Phase
As the relationship progresses, the narcissist gradually shifts from adoration to criticism. This phase is marked by emotional withdrawal, gaslighting, and demeaning behaviors. The abuser undermines the victim’s self-esteem and reality, leading to confusion and self-doubt. The inconsistency between the initial idealization and subsequent devaluation creates a psychological dependence, leaving the victim yearning for the return of the ‘ideal’ partner they first encountered.
#3 Discarding Phase
In this final stage, the narcissist may abruptly end the relationship or gradually become more distant. This phase can involve emotional, psychological, or even physical abandonment. The victim, already eroded by constant devaluation, is left feeling worthless and devastated. However, this discarding is often not permanent. Narcissists may return to previous victims, restarting the cycle with a renewed phase of idealization.
Understanding this cycle is crucial for recognizing the signs of narcissistic abuse when it’s happening. Victims often feel trapped in the cycle due to a complex mix of emotional dependency, diminished self-esteem, and the intermittent reinforcement of affection and attention. Breaking free requires awareness, support, and often professional guidance to navigate the deeply ingrained psychological impacts of such abuse.
Effects of Narcissistic Abuse
Narcissistic abuse has a negative impact on both your physical and your emotional well-being. Being in an abusive relationship with someone who has narcissistic tendencies often can have lasting effects, even if the narcissistic abuser is no longer in your life.
“Narcissistic abusers can make you question your worth. It’s important to get support in order to learn how to own the truth, your truth, again, as narcissists manipulate and control swiftly. If you’re struggling, connect with a support group or a professional who can help you identify your boundaries while helping you rebuild your values, integrity, and self-esteem.”
Expert Insight
Licensed Certified Social Worker-Clinical, (LCSW-C), LICSW, MSWElizabeth Keohan
The damaging effects of this abuse may include:
Anxiety and depression
Abusive behaviors don’t have the same effects on everyone, but after experiencing abuse from a narcissistic person, victims may struggle with fear, depression, or anxiety, even when they’re in ordinary, everyday situations.
Narcissists frequently isolate their abuse victims, and that social isolation can increase the risk of depression. For many people who suffer at the hands of someone with NPD, it can be hard not to believe their narcissistic abuser’s negative comments, which can lead to feelings of worthlessness.
Post traumatic stress disorder
The trauma of narcissistic abusecan causea person to develop post traumatic stress disorder (PTSD). People with PTSD may have a heightened anxiety response, always feeling like they’re on-guard. It’s common for them to have flashbacks of the abuse they’ve experienced and struggle with intense feelings of guilt and shame.
Cognitive issues
When you experience trauma, your brain releases stress hormones. Over time, this can have an impact on brain function. People who’ve experienced emotional abusemay developmemory issues or struggle to concentrate on tasks.
Health symptoms
Not only can narcissistic abuse take a toll on your emotional well-being, it can also impact your physical health. The prolonged stress from abuse can cause minor physical symptoms, such as headaches and nausea, but it also mightincrease your riskfor serious health issues like ulcers, neurological disorders, and heart disease.
Taking Steps to Heal from Narcissistic Abuse
Even though abusers don’t always harm victims in the same way, living through abuse can seriously affect you. Thankfully, even though a narcissistic relationship can be intensely damaging, an abuse survivor can heal.
A narcissistic abuser might shatter your sense of self-worth, but you can work to rebuild your confidence and heal from the narcissism and consequent trauma you’ve experienced. It’s important to point out that if you’ve been abused and mistreated, you must remember that it’s not your fault. If your abuser is still in your life, you’ll have to set clear boundaries to protect yourself from harm in the future.
A mental health professional can help you to process what you’ve experienced and start the path towards narcissistic abuse recovery. With the help of a therapist, you can learn to forgive yourself and find ways to cope with the negative effects of the abuse you endured. Although it will take time, starting therapy can help you lead a healthy and confident life, and most importantly feeling free from narcissistic abuse.
See References
Lack of empathy in patients with narcissistic personality disorder
Ritter, Kathrin et al. Psychiatry research vol. 187,1-2 (2011): 241-7. doi:10.1016/j.psychres.2010.09.013. Accessed July 18, 2022.
The Influence of Deny, Attack, Reverse Victim and Offender and Insincere Apologies on Perceptions of Sexual Assault
Harsey, Sarah J, and Jennifer J Freyd. Journal of interpersonal violence vol. 38,17-18 (2023): 9985-10008. doi:10.1177/08862605231169751. Accessed July 18, 2022.
The Impact of Different Types of Abuse on Depression
Radell, Milen L et al. Depression research and treatment vol. 2021 6654503. 13 Apr. 2021, doi:10.1155/2021/6654503. Accessed July 18, 2022.
Posttraumatic stress disorder and the nature of trauma
van der Kolk, B. Dialogues in clinical neuroscience vol. 2,1 (2000): 7-22. doi:10.31887/DCNS.2000.2.1/bvdkolk. Accessed July 18, 2022.
Traumatic stress: effects on the brain
Bremner, J Douglas. Dialogues in clinical neuroscience vol. 8,4 (2006): 445-61. doi:10.31887/DCNS.2006.8.4/jbremner. Accessed July 18, 2022.
Prolonged Stress Leads to Serious Health Problems: Preventive Approaches
Rasheed, Naila. International journal of health sciences vol. 10,1 (2016): V-VI. Accessed July 18, 2022.
Licensed Talkspace Therapist, Elizabeth Keohan has enjoyed working with clients in communities from Washington DC through rural Maine over the course of her career. While she has worked extensively with those experiencing anxiety and depression, she embodies a unique comfort working with the bereaved. Elizabeth combines a compassionate, holistic approach with Cognitive Behavioral Theory (CBT), to help clients counter their somatic response to stress, anxiety, mood, grief and loss.
Effective and affordable mental health treatment
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