Association for NPD/Psychopathy Survivor
Treatment, Research & Education

The International Associational Body for
the Narcissistic Abuse Counseling Field

Therapist Directory

Information for Survivor Access

March 1, 2024  |  Sandra Brown, M.A.


Dear Survivor;

Your need for an effective recovery from pathological relationships (often called narcissistic abuse) has been at the forefront of why The Association formed. 

The Association was formed by Sandra L. Brown, MA (The Institute for Relational Harm Reduction) to bring her work and studies to the task of creating effective care taken from her 30+ years of experience in this field. Sandra’s earlier books (How to Spot a Dangerous Man and Women Who Love Psychopaths/Sociopaths/Narcissists) are credited with starting the field of narcissistic abuse. 

More importantly, she spent 20 years studying the differences in this type of relational abuse and the unique features of this type of survivor, to create a model of care specific to their experiences and needs. Her model of care has been used to train therapists and create highly specialized training for them that leads to either a certificate or certification in narcissistic abuse treatment. 

Therapists who have taken extra specialization training and extra certifications in both trauma and narcissistic abuse, are listed on this site. This was important because many of the services have been supplied by survivors. While they do have a ‘victimizational personal experience’ with this type of relational abuse, our studies showed widespread recovery failure for survivors in long-term sustained symptom reduction because survivor-helpers are not mental health professionals who can also help with other co-occurring problems that are created in these relationships and for which they need mental health treatment, not merely ‘coaching,’ support groups, or validation without treatment.

Most survivors have complex trauma from these relationships which correspondingly, is a complex treatment issue. We spent the last 10 years studying the types of ‘help’ provided by non-clinical professionals on the internet and the poor outcomes of that help. While survivors felt ‘validated’ by these services, follow-up with these survivors showed no lasting improvement in consistently reducing their trauma symptoms months or years after they discontinued ‘validation’ type services. Many times, these symptoms returned, or worsened. 

It took many years to use evidence-based studies to create the right kind of care, methods, and approaches for this population that provided long-term consistent symptom reduction. We studied many of the things touted as helpful, that turned out to be not helpful over the long haul—

  • Simply going ‘no contact’
  • Simply ‘breaking a trauma bond’
  • Work on codependency (when 63% of survivors did not have codependency, they had something else)
  • Repetitious telling of the storyline without trauma processing.
  • Validation without treatment

To create a stronger recovery approach, we tested and retested using methods that proved successful. 

What To Know About the Therapists Who Are Listed

21st century care taken from decades of study to get an effective treatment method, is now available through mental health professionals who:

  • Hold a master’s degree or higher in a psychology/psychology-related discipline.
  • Licensed in their state/country.
  • Trauma Skill-Trained and Certified (not merely ‘Trauma-Informed’)
  • Specialization Training and either a Certificate or Certification in Narcissistic Abuse Treatment
  • Many are also survivors themselves.

Training in the Model of Care Approach

Therapists listed in our database have the credentials listed above. Beyond their psychology degree and licensure, they have gone on to get training in trauma disorders and in narcissistic abuse. Their training in narcissistic abuse consisted of at least 40 hours+ (and some are higher hours) of:

  • Psychopathology and understanding the disorders of the partner.
  • Relational dynamics
  • Personality Science
  • The survivor profile beyond codependency
  • Trauma in survivors
  • How to reduce cognitive dissonance
  • Intake/Assessment
  • Trauma assessment
  • Atypical trauma
  • Stabilization, Intervention, Harm Reduction
  • Survivor Super Traits of Personality and Personality Risk Factors, Relapse Prevention
  • Contraindications of Care (Wrong Care) and Trauma Worsening
  • Survivor Self-Care
  • Treatment techniques and methods

To get started finding a specialist for your recovery, we have given some information and tips for you to follow.

How to Use the Database

(Please scroll up to read all related information about therapists and the database, if you haven’t read it.)

The database provides therapists who meet the qualifications listed above. They are broken out by country, and also city/state for your ability to search by those parameters.

Therapists are professionals who charge for their services. These are not pro-bono providers. Prices vary so check with the therapist. Contact a therapist you are interested in for more specific information from them. Other than the information listed in the database, we do not have other additional information, so contact the therapist directly, not us.

Since information can change on therapists, try googling them if information like contact information  has changed. 

Differences in a ‘Certificate’ and ‘Certification’

The Certificate and Certification courses offer the same content with one main difference: The Certificate course was created for therapists who already had attained Trauma Certification in the past. The Certification course was created for therapists who needed to acquire Trauma Certification, so it was added to the course.

Also listed in the database, is any additional advanced skills or training or consultation a therapist might have. While they all meet the qualifications to be listed in this database, some therapists have additional skills, training, other certifications you might be seeking—such as certification in EMDR, or somatic therapies, or other methods that might be helpful in treatment. 

The Use of The Treatment Model

Therapists that are using the model of care as intended and taught, survivors can expect:

  • A detailed intake process/packet
  • Trauma assessment and other assessments as warranted for any other co-occurring symptoms.
  • A Stabilization Phase of treatment that helps you learn specific skills to regulate trauma reactions, teaches trauma education, evaluates any behaviors that might be unknowingly worsening your trauma and intervention on those behaviors, the establishment of trauma-informed resources for you to use, the establishment of a daily clinical self-care protocol, and other symptom management skills you need. Stabilization precedes narrative ‘processing.’
  • Trauma Treatment Phase, once you have skills to regulate your symptoms, works with the traumatic history through trauma processing approaches. Therapists have different methods for this. If you prefer processes like EMDR or Somatic Therapies, choose a therapist that lists these as additional skills.
  • Cognitive Dissonance (Atypical trauma) work helps to reduce the neuro-cognitive impact most survivors have that is conflicting perceptions of the partner/disorder, the relationship, and oneself. It is experienced as loving/loathing, wanting/not-wanting, trusting/not-trusting and causes the mind to be overworked in these competing rehashing of feelings and memories. Trauma and CD have worsened a survivor’s functionality.
  • Differentiation Between Codependency and Super Traits of Personality helps to work with survivors with the correct type of treatment for their unique history. Some survivors do have codependency, but many have a personality type that warrants different work than codependency. This work helps in the future prevention of pathological relationships and relapse.
  • Continued support and Follow Up Care 


The Therapist Directory is just that: a directory, a list of therapists who have completed our training.

While the therapists have been trained in materials to help prepare them for this work, The Association has no way of knowing if those methods are being used, or used as taught.

The Association has no role of supervision, oversight, or control over these therapists.

Therefore, before using the Directory to search for a therapist, survivors are required to acknowledge The Association’s limited role and accept its Terms. 

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