The ECG Blog

Claire Johnson, MA, LPCA Claire Johnson, MA, LPCA

The Psychological Toll of Being in a Narcissistic Relationship

The Psychological Toll of Being in a Narcissistic Relationship


Being in a relationship with a narcissist can be incredibly challenging and can take an emotional and psychological toll. If you find yourself in a relationship with a narcissist, you will likely experience some of the following. 

Gaslighting and Cognitive Dissonance


One of the most insidious tactics a narcissist uses is gaslighting. This is a form of psychological manipulation where the narcissist makes their partner question their own perceptions of reality. For example, the narcissist may deny things they said or did, creating confusion and doubt in the partner’s mind. Over time, the victim begins to doubt their own sanity or memory, which leaves them feeling unstable and insecure.

Narcissists can create a cognitive dissonance in their partners, where their actions contradict the words or promises they’ve made. For example, a narcissist may apologize and act loving one moment, then act cold and dismissive the next. This inconsistency can leave the victim confused and unable to reconcile the love they were shown with the hurt they experienced. This conflict between reality and the narcissist’s behavior creates intense emotional turmoil and keeps the partner trapped in the relationship.


Emotional and Psychological Exhaustion


Partners of narcissists often live in a state of hypervigilance, constantly walking on eggshells to avoid triggering the narcissist’s anger, jealousy, or defensiveness. Narcissists have volatile emotional reactions, and their partners often bear the brunt of these outbursts. This constant fear of making a mistake or upsetting the narcissist is emotionally and mentally draining.

 Narcissistic relationships are often characterized by extreme emotional highs and lows. In the beginning, there may be idealization, where the narcissist showers their partner with attention, affection, and praise (love-bombing). However, this is typically followed by devaluation, where the narcissist criticizes, belittles, or ignores their partner. This emotional whiplash leaves the victim feeling mentally and emotionally exhausted, unable to find stability in the relationship.


Isolation from Support Systems


Narcissists often isolate their partners from friends, family, or other support systems. They may undermine the partner’s relationships by sowing seeds of doubt about others, creating feelings of mistrust. Narcissists may insist on being the sole focus of their partner’s attention, leaving them socially isolated. Over time, the partner’s support system erodes, and they may find themselves alone, with few people to turn to for help or comfort.

The narcissist may also attempt to manipulate or control the partner’s relationships with others. This may include guilt-tripping the partner for spending time with loved ones or demanding that they choose the narcissist over their friends and family. This leads to further isolation, leaving the partner vulnerable to emotional abuse and less likely to seek outside help.


Loss of Autonomy and Personal Boundaries


Narcissists often aim to control every aspect of their partner’s life. They may invade their personal space, make decisions for them, and undermine their autonomy. Over time, the partner may feel as though they have no personal agency or control over their own life. The narcissist’s need for dominance can create a situation where the victim feels like they are living under constant surveillance and scrutiny.

Narcissists have little respect for personal boundaries. They may dismiss the partner’s emotional, physical, and mental needs in favor of their own desires. This leads the victim to feel exhausted, as they are unable to establish their own space or time for self-care. Their emotional and psychological needs are consistently overlooked or minimized.


The Trauma Bond


The intense emotional highs and lows, coupled with the narcissist’s manipulation, can create a trauma bond. This bond is a powerful attachment that forms when the victim becomes emotionally dependent on the narcissist. In this cycle, the victim experiences periods of extreme emotional abuse, followed by brief moments of affection or kindness. This unpredictability makes it difficult for the victim to break free, as they become emotionally addicted to the moments of validation and love, despite the abuse.

The trauma bond makes it difficult for the victim to leave, even when they recognize that the relationship is toxic. The narcissist may use tactics such as hoovering (trying to pull the victim back into the relationship after a breakup), promises of change, or guilt-tripping to maintain control. These cycles can create deep emotional confusion, where the victim feels torn between wanting to leave and staying for the hope of a better future.


Self-Doubt and Emotional Dependency


The narcissist’s constant undermining of the partner’s feelings, opinions, and sense of reality can lead to self-doubt. Over time, the victim may question whether they are being overly sensitive or irrational, especially if the narcissist convinces them that their emotional responses are wrong or invalid. This gaslighting can erode their confidence and ability to trust their own thoughts and feelings.

Narcissists thrive on their partner’s emotional dependency. Over time, the victim may rely on the narcissist for validation, making them emotionally dependent on the narcissist’s approval. The partner may feel that they need the narcissist to feel worthy or valuable, creating a toxic dependency.


The psychological toll of being with a narcissist is far-reaching. By recognizing the signs of narcissistic abuse and understanding its consequences, individuals can begin to reclaim their sense of self, protect their emotional well-being, and work toward healing. The journey to recovery from a narcissistic relationship is challenging, but recognizing the harm is the first step toward rebuilding a healthy, independent life.

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Claire Johnson, MA, LPCA Claire Johnson, MA, LPCA

The Narcissistic Cycle of Abuse EXPLAINED By A Therapist

Narcissistic Cycle of Abuse Explained by a Therapist

The Stages of Narcissistic Abuse

The narcissistic cycle refers to the repeated pattern of behavior that individuals with Narcissistic Personality Disorder (NPD) or narcissistic traits often go through in their relationships and interactions with others. This cycle is characterized by a series of predictable phases where the narcissist manipulates others to fulfill their needs for admiration, validation, and control, often causing emotional harm to those around them. The cycle typically includes the following stages:

1 Idealization aka “Love Bombing”

In the early stages of a relationship (romantic, platonic, or professional), the narcissist often displays an idealized version of themselves. They may shower the other person with excessive admiration, affection, and attention. This stage can feel like "love bombing," where the narcissist makes the other person feel special, unique, and valued. The goal of this phase is to hook the person emotionally, gain their trust, and make them dependent on the narcissist's validation and approval.

2. Devaluation via “Gaslighting”

Over time, the narcissist begins to criticize, belittle, or undermine the person who was once idealized. This phase often involves manipulation, gaslighting, or emotional abuse, where the narcissist may shift blame, criticize flaws, and make the other person feel inadequate. The narcissist seeks to maintain control and superiority. The devaluation phase can be triggered by a perceived threat to their self-image or when the person no longer provides the constant admiration and validation they crave.

3. Discard or Withdraw

If the person being devalued fails to meet the narcissist’s emotional or validation needs, the narcissist may disengage, withdraw, or even abruptly end the relationship. The discard phase is characterized by the narcissist treating the other person as if they no longer matter, often without regard for their feelings. This phase allows the narcissist to feel in control and to "discard" someone who no longer serves their needs. They may also move on to new sources of admiration and attention.


4. Re-Engage viaHoovering”

After the discard, the narcissist may attempt to re-engage or "hoover" the person back into their orbit. This can happen if the narcissist feels lonely, bored, or if the person they discarded is still a valuable source of validation. Hoovering often involves messages or gestures designed to draw the person back in, such as promises of change, apologies, or temporary affection. The hoovering phase is an attempt to regain control and re-establish the narcissist's dominance over the relationship. It may happen multiple times in a cycle, particularly if the narcissist feels they can benefit from the person again.

4 Patterns To Watch For:

  1. Emotional Manipulation: Narcissists often manipulate others’ emotions to maintain control over the relationship, alternating between affection and hostility. This keeps the other person emotionally off-balance and dependent on the narcissist’s approval.

  2. Emotional Toll: The cycle is emotionally draining for the person being manipulated, as they experience extreme highs (idealization) followed by deep lows (devaluation and discard). Over time, this can erode their self-esteem and mental well-being.

  3. Repetitive Nature: The narcissistic cycle often repeats itself, with the narcissist alternating between idealization, devaluation, and discard, sometimes involving multiple hoovering attempts. This can be emotionally exhausting for those involved.

  4. Dependence and Control: Narcissists are often skilled at creating dependency in others, leading them to constantly seek the narcissist’s approval. This allows the narcissist to maintain control over the person and keep them engaged in the cycle.

The Narcissist’s Need For Control

The narcissistic cycle is a pattern of behavior where a narcissist alternates between idealizing and devaluing a person, discarding them when no longer useful, and then attempting to draw them back in. The cycle serves to reinforce the narcissist's need for admiration and control, often causing significant emotional harm to those involved.

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narcissistic personality disorder Claire Johnson, MA, LPCA narcissistic personality disorder Claire Johnson, MA, LPCA

Signs You Are Dating a NARCISSIST

Recognizing the Narcissist

Narcissistic Personality Disorder (NPD) is a disorder found in the Diagnostic and Statistical Manual of Mental Health Disorders (DSM). It is characterized by having an overinflated sense of self-importance, a need for admiration from others, a weak sense of self-worth, and difficulty empathizing with others. It can be challenging, though not impossible, to maintain relationships with someone with NPD. Whether it is a coworker, family member, friend, or romantic partner, it can be helpful to recognize the signs and traits of NPD in order to navigate the relationship. Below are some other common signs to look for:

Nine Traits of Narcissism

  1. Possess an inflated view of their own importance and crave constant, excessive admiration. 

  2. Believe they are entitled to special treatment and privileges. Demand special treatment and expect others to follow their wishes without question.  

  3. Expect to be seen as exceptional, even without concrete achievements. Over exaggerate their abilities and successes 

  4. Become absorbed in fantasies of wealth, power, intelligence, physical appearance, or having the perfect partner. 

  5. They consider themselves to be better than others, only associating with those they deem equally special. Look down on and criticize people they perceive as less significant. 

  6. Manipulate others to fulfill their own desires. Show little to no concern for the needs or emotions of others

  7. Feel jealous of others and believe others are envious of them

  8. Act arrogantly, frequently bragging, and often appearing self-absorbed. 

  9. Insist on having only the best, whether it’s a fancy car, a prestigious career, or a glamorous lifestyle.

Traits vs Disorder: 6 Differences

It is important to remember that just because someone possesses narcissistic traits, it does not necessarily mean they have Narcissistic Personality Disorder. The differences are associated with the frequency, consistency, intensity, and negative impact of these traits and behaviors. More specifically, it is key to note how much the behaviors negatively impact the individual’s relationships, as this is one of the areas most impacted by the disorder. Below is a more in-depth explanation of how to differentiate between the two. 

1 Intensity and Pervasiveness:

Many people may display narcissistic traits occasionally, such as a need for admiration or a sense of entitlement, but these traits are not dominant or persistent in their personality. Narcissistic traits in NPD are pervasive, affecting most aspects of a person’s life. The individual consistently exhibits behaviors related to grandiosity, a lack of empathy, and an overwhelming need for admiration, often to the point that it interferes with their relationships and daily functioning.

2. Self-awareness:

People with narcissistic traits may recognize their behavior is excessive or problematic and may be open to changing their actions. Their traits are not always destructive or enduring. Whereas individuals with NPD typically lack self-awareness and may not see their behaviors as problematic. They often fail to recognize how their actions affect others and may resist or refuse to acknowledge their need for change. They are less likely to seek therapy or attempt to change their behaviors. 

3. Impact on Relationships:

People who have narcissistic traits may experience some difficulty in relationships, but they can usually maintain functional connections with others, even if imperfect. NPD often leads to significant relationship problems, as individuals with the disorder may consistently manipulate, exploit, or belittle others, making it hard for them to maintain meaningful connections.

4. Emotional Regulation:

Those with narcissistic traits may experience occasional mood swings or frustration when their needs for admiration or validation aren't met, but they generally have more stable emotional regulation. In NPD, emotional instability is common. Individuals may experience intense feelings of shame, anger, or envy when their self-esteem is threatened, and they often react with explosive or defensive behavior.

5. Self-Esteem:

Narcissistic traits may cause an inflated sense of self-worth, but the individual may still maintain some degree of humility. However, people with NPD have an excessive, often unrealistic sense of superiority, with fragile self-esteem that is highly dependent on external validation. Their self-esteem is often easily threatened and may lead to extreme reactions.

6. Functional Impact:

Narcissistic traits do not typically interfere significantly with a person’s work, social life, or day-to-day functioning. The traits of NPD cause significant distress or impairment in functioning, often affecting career, social life, and personal well-being. People with NPD may struggle to maintain jobs or friendships due to their behavior.

Educating Yourself

In summary, while narcissistic traits can be present in anyone to some degree, NPD is a more severe, enduring condition that significantly impairs a person's relationships and daily life. Educating yourself about this disorder is an important first step in recognizing traits and managing relationships with narcissistic individuals. 

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Ethredge Counseling Group provides individual counseling, trauma therapy, and couples therapy at their offices on James Island in Charleston, SC. Our therapist also serve Johns Island, downtown Charleston, West Ashley, Mount Pleasant, and Folly Beach, as well as virtually in Tennessee and Arkansas.