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Does Couples Therapy Work with Narcissists?

Does Couples Therapy Work with Narcissists?

Written by Randi Fine, Narcissistic Abuse Expert

Narcissistic Abuse Guidance and Support with Randi Fine

All relationships have conflict. Every relationship has areas of difficulty. There will be some form of disagreement and hurt in every relationship. What determines a successful relationship is the willingness and commitment of each partner to find resolutions they can agree on.

Agreements often involve compromise. Compromise requires flexibility and options. It does not involve sacrifice. Sacrifice involves giving up an important aspect of the self to benefit someone else, and never getting it back. That depletes the one who is sacrificing and endows the other. The balance of the relationship is thrown off more and more with each sacrifice.

Trust in a relationship and commitment to its success can easily be destroyed when problems between couples are avoided or unaddressed, when one partner is dismissive, negative or uncooperative, and when problems persist too long without intervention. Problems that couples cannot work through on their own such as infidelity, shifting of goals, money issues, sex. boredom, etc. may arise. These types of unresolved challenges may influence the long-term success of a committed relationship and are best solved through couples therapy.

The couples therapist's goal is to help the couple gain greater insight into the patterns of behavior; how they relate to each other, interact with each other, and the way they communicate with each other. To achieve optimal results with couples therapy, both partners must be willing to participate in the process, do the work, and commit to changing their behaviors.

The American Association for Marriage and Family Therapy, reports that 98 percent of people who used marriage and family therapy services rated them as good or excellent. As a narcissistic abuse expert and coach who has worked with hundreds of narcissistic abuse sufferers and has talked to thousands more, I believe the reported percentage of satisfaction is over-inflated. I question the statistic because, not only does couples therapy not work for everyone, it doesn't work when one partner has narcissistic personality disorder. NPD is at epi