4 Best Narcissism Therapists in the USA for 2026

You may want to better yourself, get over a toxic relationship or maybe figure out if your parents are acting narcissistically towards you.

These are all valid reasons to seek out therapy for narcissism. Narcissistic traits do not by themselves establish narcissistic personality disorder (NPD), and a difficult relationship does not diagnose another person.

Find a therapist who has experience with what your issue is and not just someone that talks about narcissism online.

This article covers some narcissism therapists in the United States and what each has to offer. Keep in mind that these may not be able to offer your specific therapy in your state.

In This Guide

• A quick therapist comparison

• Dr. Anthony Mazzella

• Wendy Behary

• Dr. Craig Malkin

• Dr. Taylor Damiani

• Questions to ask before starting

• The final verdict
  

A Quick Therapist Comparison

Narcissism Therapist	What They Offer	May Be Good For You If	Practice base or listed therapy states
Dr. Anthony Mazzella	Psychodynamic Psychotherapy & Psychoanalysis	You have narcissistic traits, are in a high conflict relationship or have a personality disorder	New York
Wendy Behary	Schema Therapy	You or your partner have narcissistic traits and want to better your relationship	New Jersey
Dr. Craig Malkin	Individualized Therapy Focused On Relationships	You want to understand your relationships better	Massachusetts
Dr. Taylor Damiani	Online Therapy	You grew up with a narcissistic, emotionally immature or neglectful parent	California, Florida, Texas

1. Dr. Anthony Mazzella: Best for In-Depth Psychodynamic Work

Dr. Anthony Mazzella is a Psychotherapist and Psychoanalyst based in New York. He works with individuals who suffer from narcissism, personality disorders, and those that have suffered from high conflict relationships.

His standout feature in this comparison is a sustained clinical focus on narcissistic personality dynamics and the relationships shaped by them.

On his website, he talks about narcissism and how it can cause you to experience vulnerability, shame, dependency, grandiosity and defensive reactions. Some of these may apply to you if you want to work on your narcissistic traits.

What stands out

• He focuses on narcissism and working with those that have personality disorders using psychodynamic psychotherapy and psychoanalysis.

• Can help you if you or your partner are suffering from high conflict relationships.

• Has taught and supervised at psychoanalytic institutes such as IPTAR.

• Started and hosts a podcast called The Narcissism Decoder that goes in depth about narcissism and what people may go through in relationships.

He was recently interviewed about narcissism in relationships on The Mental Health Today Show in December 2025. His work has also appeared in Digital Journal, New York Weekly and USA Today. 

Dr. Mazzella offers Telehealth to his clients for a private pay fee. Make sure to check if you qualify in your area.

If you want to learn more about narcissistic traits and relationships that may have caused you to have high conflict relationships, consider Dr Mazzella.

2. Wendy Behary: Best for Schema Therapy and Relationship Patterns

Wendy Behary is a therapist who specializes in narcissism, those that are in relationships with narcissists and couples who have struggled with relationships.

She uses Schema Therapy to help patients learn more about what triggers them and can help them understand what their needs are in a relationship.

You can learn more about Wendy and her credentials on the International Society of Schema Therapy profile.

If you are looking for Schema Therapy to help you with relationships and narcissism, she may be worth considering. Just keep in mind that she may not be able to see you in your state for online appointments.

3. Dr. Craig Malkin: Best for Relationship-Focused Psychology

Dr. Craig Malkin is a Psychologist based in Cambridge, MA. He works with individuals, couples and families that have relationship issues.

He has written the book Rethinking Narcissism and uses a more individualized approach to therapy that he believes is similar to relational psychoanalysis.

Dr. Malkin may be worth considering if you want to see a therapist that focuses on your relationships and can help you understand why you may be having issues in your relationship.

He offers in person appointments in Cambridge, MA and you can speak with him over the phone or web. Keep in mind that his website states that he can offer psychotherapy to those in Massachusetts. If you are not in Massachusetts he can offer coaching or consultation but not treat you for a mental illness.

Dr. Malkin may be worth considering if you are in Massachusetts and want to learn more about your relationship. If you are not in Massachusetts, you may be able to consult with him but keep in mind that he is not offering therapy.

4. Dr. Taylor Damiani: Best for Adult Children of Narcissistic Parents

Dr. Taylor Damiani is a Clinical Psychologist based in California. She started Sea Glass Therapy and focuses on those that have had narcissistic, emotionally immature or neglectful parents.

Some things that she can help you with are: Trauma, emotional abuse, being a people pleaser, feeling ashamed and not knowing how to set boundaries.

Maybe you say yes to everything that your family asks of you and feel bad when you say no to them. Dr. Damiani can help you understand why you may feel this way.

• Offers Online Therapy to her clients

• Currently sees clients in California, Florida and Texas (Make sure to confirm this and that they have an opening for you)

• Also offers a group therapy program for those who grew up with narcissistic parents
  

Dr. Taylor Damiani may be worth considering if you want to learn more about why you may have acted certain ways because of your parents and grow from there.

Questions to Ask Before Starting

When looking for a narcissism therapist here are some questions you should ask:

• What do they do in their sessions? Learn more about their approach and how that can benefit you and your goals.

• Are they offering therapy or coaching? Some may offer coaching if they are not able to offer therapy to you in your state.

• Can they see you in your state? Make sure to confirm that they are able to offer you therapy in your state if you are doing online sessions.

• How much will it cost? Always know how much a session will cost, how long your session will be and if they take insurance or are out of network.
  

The Final Verdict

There are many narcissism therapists that can help you with your needs. If you want to learn more about Schema Therapy, therapy that focuses on your relationships or if you grew up with a narcissistic parent, find someone that can offer you what you are looking for.

If you want to dig deeper into your narcissistic traits, learn more about personality disorders and relationships that may have caused you to act certain ways, consider Dr. Anthony Mazzella.