Working with Clients Experiencing Narcissistic Abuse: Addressing the impact of antagonistic personality styles on mental health

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Presented by Ramani Durvasula, Ph.D.

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Please click the course video below to watch the course presentation, and then complete the Post-Test in order to obtain your CE certificate.


Narcissism is the word of our time, yet there remains a lack of understanding, especially the way this personality pattern impacts the people who are in relationships with people who have antagonistic personality styles such as narcissism. The dearth of training on high-conflict personality styles, coupled with a reticence to “label” people who are close to the client but “not in the room”, has meant that many clients suffering from “narcissistic abuse” in familial, intimate, or workplace relationships don’t get the help they need, which can often foster self-blame for clients in these relationships. This workshop will offer an overview on antagonistic personality styles, and provide a practical roadmap and actionable framework for working with clients with patterns of narcissistic abuse.

Learning Objectives

Attendees will be able to:

  • Apply a holistic view of the dynamics of narcissism and narcissistic personality disorder, and “narcissism-adjacent” personality styles.
  • Describe the phenomenon of narcissistic abuse/antagonistic relational stress.
  • Explain the dynamics of narcissistic and other antagonistic relationships
  • Utilize an actionable framework for working with clients experiencing narcissistic abuse.
  • Identify the specific challenges in working with individuals with antagonistic personality styles and/or those who are experiencing antagonistic relational stress


Presented by Ramani Durvasula, Ph.D.

Dr. Ramani Durvasula is a licensed clinical psychologist in Los Angeles, CA and the Founder and CEO of LUNA Education, Training & Consulting, a company that offers a range of programs focused on educating survivors, clinicians, and businesses on the impacts of narcissism on health, wellness and functioning. She has written two books on the impact of narcissism on relationships: Don’t You Know Who I Am? How to Stay Sane in the Era of Narcissism, Entitlement and Incivility and Should I Stay or Should I Go:  Surviving a Relationship With a Narcissist. Her work has been featured at TEDx, on media platforms including Red Table Talk, and she is a featured expert on the digital media mental health platform MedCircle. Dr. Durvasula’s research on personality disorders has been funded by the National Institutes of Health and she is a Consulting Editor of the scientific journal Behavioral Medicine.