Mending the Split: What Therapy Can Help With After Narcissistic Abuse

therapy after narcissistic abuse

Imagine a child who’s three years old and is exquisitely conscious of the child’s smallness and needfulness. At times he feels a continuity of that dependency with someone upon whom he can depend. A bigger person who seems to be there and take delight in the child. When he’s on the swings at the playground this bigger person pushes the child. The child’s belly gets full of tingles and he laughs uncontrollably. This makes the bigger person laugh too. They share something. The child feels like part of an “us”.

But sometimes, this bigger person changes. Sometimes this person isn’t so friendly. Sometimes this person gets mad and makes the child feel bad. Bad. The child isn’t sure what makes the person so mad at the child. The child is scared. He also misses the good bigger person that was just there. That person seems gone for good and the child is in a world of hurt. But he can’t get near this fear and pain he feels because there’s no one to tell. Instead, the child knows two things about the bigger person at the same time: #1 that he doesn’t want to lose the good bigger person, and #2 that he’s scared of the bad bigger person and wants to hide from them. Both are true. How can that be?

Today I am going to talk about what attachment trauma can feel like for the child of a narcissistic parent. Like the child in the example I just talked about, the child is tasked with knowing two negative things about the child’s parent. And the only way to do this is for the child to dissociate one part of the child’s mind that knows #1 from the part that knows #2. This can leave the child and later the adult in disarray on the inside, like the child’s center is frayed and even empty. Good therapy after narcissistic abuse can involve developing a relationship with a good enough therapist who helps you track, know and eventually feel the feelings that had to be shunned earlier in all their contradictory glory. Therapy that goes on long enough can result in finally feeling safe enough to re-access the feelings that had nowhere to go if you were in that child’s position yourself in the presence of someone you can trust. This can help you mend the split that often occurs for the child gets relationally traumatized by a narcissistically abusive parent.

This post is geared toward survivors of narcissistic abuse and therapists of survivors. Most blogs I post here speak to survivors. Still, suppose you are a therapist or survivor who’s curious about the process of therapy to help people recover from narcissistic abuse. In that case, you might be interested in my free ebook on this topic. It’s called ‘A treatment for narcissistic abuse that works: The basics of Control-Mastery Theory’.

Where does therapy pick up for the survivor of narcissistic abuse?

where does therapy pick up for the survivor of narcissistic abuse

I’m talking today about survivors whose early experience matches, to a degree, the child in the example above. Let’s assume the child I described earlier has matured and grown into an adult in their early twenties. He has found a way to manage the feelings evoked and left unresolved by the child’s narcissistic parent, but life has felt full of tension, dis-ease, and vague fear. He lives life more moment-to-moment than having a sense of continuity between themselves and others in the client’s life. Although he knows he matters a great deal to his trusted friends and partner in his head, he finds this fact to be utterly dubious in the rest of his experience. He feels estranged from his own life. He also feels vibrant, connected to others, and optimistic. Both are true.

This client’s psyche had to organize around the constant cycle of a parent seeming good to turn on the child – over and over and over. It felt beyond catastrophic when he lost the good bigger person to the bad and scary bigger person. On top of this, there was no one to tell. The person he might have told – the bigger person – had already gone away for being so mean to the client. So, this trauma of losing the person or the world he so desperately needed to continue had to be survived completely on the client’s own. This is the type of loss that no child’s mind is equipped to be able to process.

Nonetheless, he had to go on, and he did. As he developed an inner blueprint for what to expect in relationships with others, he was met with the horrible bouts of loss of the good bigger person and the equally disturbing problem of what to do about the now-present bad bigger person. So, the child’s blueprint for what life felt like got suffused with this cycle. Sometimes he would feel good with other people, but then he would feel bad. The good didn’t last,, and the bad never went away.

He felt like a guy swimming in Loch Ness lake…sometimes he’d have to wrestle with the Loch Ness monster and he’d be able to be friendly with other swimmers in the water. But even in those times, the Loch Ness monster still lurked beneath the surface. It just wasn’t as visible in the present moment.

What can therapy do for the relationally traumatized child?


All of this gets brought into therapy. Therapy has looked like the client feels connected to his therapist in session while struggling outside therapy to have a firm sense of existence. This gets brought up when the client’s therapist has to cancel a session at the last minute unexpectedly. The client tells his therapist how frustrated and disappointed he is with the therapist. He finds such last-minute cancellations really upsetting and not something he wants to put up with. The client’s therapist listens and gets the child’s experience. Now the client has a new experience. The client’s therapist is usually like the good bigger person, but when the therapist canceled at the last minute and let the client down then, he was suddenly faced with the bad bigger person again.

This time, however, the therapist didn’t attack the client but was there. And wanted to know how the client felt about having to see the bad bigger person as a result of canceling last minute. The client found the therapist to have been a bad person but quickly became a good person to the child again. It almost seemed like the therapist also didn’t want the client to lose the good therapist. This made losing the good therapist feel way less catastrophic than it used to with the client’s parent. The client’s therapist wasn’t always going to be good but when he was bad, it would be brief, it wouldn’t be intentional, and the client’s therapist would be there for the client. Now the client got to experience his therapist as mostly good, sometimes bad but always trying to be good to the client. And he began to experience other people in his life this way too. Eventually, he grew to experience himself in this way. The separateness of the client’s experience began to fade, and things seemed to feel more continuous. He felt more real.


It’s hard enough for a child with a well-adjusted parent to trust that when the parent fails to be there for the child in the way the child needs, the child can still trust that parent the next time. The well-meaning parent has to demonstrate accountability, concern for the child’s feelings, and an earnest effort to be there the next time for the child. Luckily kids aren’t designed to require perfection. So long as the child feels in synch with the parent roughly a third of the time, he or she will have a good shot at healthy development. When a parent acts like the parent of the child above, the child faces inner devastation at the parent’s failures and loses hope that the parent can or will be there for them the next time. In this story of therapy, the child’s feelings of loss were mended in the therapist-client relationship, where they got to be much briefer and resolvable in contrast to what he’d experienced with the child’s parent. The child learned that he didn’t need to resort to dissociation to manage the overwhelming feelings of loss when the child’s parent would go from nice to mean to the child.

Some therapists may call this from split object relations to whole object relations. Others may talk about dissociative enactments brought into the therapy and result in a new organization of self and others. I believe that survivors of narcissistic abuse from childhood onward may often experience something like what the child went through. I hope this explanation of that experience and how therapy can help with it might be useful.

If you survived this form of abuse and want to read more about what it was like and how you can heal, check out my free ebook on the subject. It’s called Surviving Narcissistic Abuse as the Scapegoat. It goes into other important aspects of what it’s like to be in the shoes of the scapegoat child or partner of the narcissistic abuser. From self-limiting beliefs about yourself that you must adopt to survive to why the narcissistic personality is so geared to put those closest to them down. This ebook can help you realize how none of this abuse was your fault but the product of the narcissist’s psychological and emotional problems.

Jay Reid is a Licensed Professional Clinical Counselor (LPCC). If you are considering therapy for overcoming a childhood with one or more narcissistic parents, please contact me for a free 15-minute phone consultation.

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