Association for NPD/Psychopathy Survivor
Treatment, Research & Education

The International Associational Body for
the Narcissistic Abuse Counseling Field

Standards of Care and Clinical Practice Guidelines

This association as your field-body, has provided for you a copy of both the Standards of Care and also Clinical Practice Guidelines for the field of pathological relationships (known as narcissistic/psychopathic abuse) in one document/manual. Please feel free to download the pdf and share with other clinicians in the field or send them to this page.

The APA states, “Standards of care are usually defined as the degree of watchfulness, attention, caution, and prudence that a reasonable person in the circumstances would exercise. If a person’s actions do not meet this standard of care, then his/her acts fail to meet the duty of care and may be deemed as negligent.

Standards of Care in general, whether medical or psychological, are often developed by a society, or organization, specializing in the treatment of the condition, who establish a standard. That particular standard will follow qualification standards that align with the psychology field minimum educational requirements.

A standard of care and qualifications for that standard of care are generally accepted in the therapeutic community for the treatment of a specific or specialty condition. In this standard of care, it is applicable for clinicians treating survivors of pathological love relationships (PLRs).

  1. The standard for this field genre has been developed by a board of The Association.
  2. These standards closely follow standards set in other mental health disciplines.
  3. These guidelines allow access by healthcare providers to stay current on what the standard of care is for this population.


Clinical practice guidelines (CPGs) make recommendations for the treatment of specific disorders or conditions, based primarily on systematic reviews that summarize research evidence of treatment efficacy. The current professional practice guidelines (CPGs) were developed in recognition that clinical guidelines emphasize research, particularly treatment efficacy, which outlines the most current recognized methods, models, and plans of treatment, noted by a specialty board.

These clinical practice guidelines(CPGs) are for the treatment of survivors of pathological relationships, and identify specific treatment aspects that are unique to this population, or were identified as significant and deficient, in The Finding Competent Care Study.

These clinical practice guidelines are a general overview of best practices established by The Association for NPD/Psychopathy Survivor Treatment, Research & Education. These guidelines as an overview, do not constitute training to treat or convey the depth of needed education about each practice.

  1. For that, The Association provides indepth training on the topics of the practices listed, which prepares a therapist for the usage of these best practices, and best identified methods.
  2. Therefore, this overview serves as a guide to check one’s knowledge, training, and methodologies against the clinical practice guidelines (CPGs) that reflect an evidence-based and standardized model of care approach, and then, for one to seek more training, if it is warranted

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