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Get startedNarcissism refers to a pattern of thinking, behaviour and emotion characterised by a strong focus on the self. It can exist as a trait in the general population or present more severely as Narcissistic Personality Disorder. At its core, narcissism often involves a fragile self-esteem hidden beneath a surface of confidence, entitlement or superiority.
Reviewed by Phillipa Brown, AHPRA-registered Psychologist
Narcissism refers to a pattern of thinking, behaviour and emotion characterised by a strong focus on the self. It can exist as a trait in the general population or present more severely as Narcissistic Personality Disorder. At its core, narcissism often involves a fragile self-esteem hidden beneath a surface of confidence, entitlement or superiority.
In Australia, mental health professionals are seeing increasing awareness around narcissistic traits, particularly in relationships, workplaces and therapeutic settings. Understanding narcissism is important for both those who experience these traits and those affected by them.
Narcissism exists on a spectrum. Many people display narcissistic traits at times, such as wanting recognition or feeling important in certain contexts. However, when these traits are persistent, pervasive and interfere with relationships or functioning, it may reflect a more significant issue.
Narcissistic Personality Disorder is diagnosed when the traits lead to consistent difficulties in:
These behaviours are not simply about confidence. They often mask deep insecurity, shame or fear of being seen as inadequate.

Narcissistic traits may include:
Not everyone with narcissistic traits has a personality disorder. Diagnosis is made carefully and only by qualified mental health professionals, often after long-term patterns have been observed.
There is no single cause. Narcissism may develop due to a combination of:
Myth: Narcissists love themselves too much
Truth: Narcissism often reflects a deep lack of stable self-worth. The outward confidence may be a defence against inner insecurity.
Myth: Narcissism is untreatable
Truth: While change can be difficult, people with narcissistic traits can benefit from therapy, especially when motivated to improve relationships or reduce distress.
Myth: All difficult people are narcissists
Truth: Not every person who is self-centred or demanding has narcissistic traits. Diagnosis requires a thorough assessment of personality functioning over time.
Living with narcissistic traits or being in a relationship with someone who displays them can be emotionally draining and confusing. Therapy can help:
We provide a non-judgemental, professional space for both individuals with narcissistic traits and those affected by them. Our psychologists offer:

Daniel, 34, sought therapy after multiple failed relationships. He was often accused of being controlling or emotionally distant but felt misunderstood. Through therapy at MeHelp, Daniel began to explore the emotional defences he had built as a child and how they affected his adult relationships. He worked on developing empathy, tolerating feedback and managing his need for validation. Over time, he reported more meaningful connections and a stronger sense of self.
Can narcissism be treated in therapy?
Yes. While change may be gradual, therapy can increase insight and help develop healthier ways of relating to others and managing emotions.
Is narcissism always a personality disorder?
No. Many people display traits without meeting the criteria for a disorder. Diagnosis requires a consistent, long-term pattern that impairs functioning.
How do I know if someone in my life is narcissistic?
Watch for patterns of entitlement, lack of empathy, manipulation or emotional harm over time. A psychologist can help you understand what is happening and how to protect your wellbeing.
Do narcissistic individuals know they are narcissistic?
Often they do not. They may see themselves as misunderstood or unfairly criticised. Therapy can help build self-awareness and personal responsibility.
Understanding narcissism is the first step toward healthier relationships and a more authentic self. Whether you are seeking change for yourself or support in navigating a difficult relationship, MeHelp Psychology is here to help.
Book a confidential session today and begin the journey toward insight, clarity and connection.
There's rarely one single cause. Most of the time, narcissism develops from a mix of life experiences, biology, and the environment a person grew up in. Stressful events, family history, and how someone learned to cope with big feelings as a child all play a part.
Understanding the "why" doesn't make the experience smaller — but it can take some of the self-blame out of it. What you're going through makes sense, given everything that came before it.
A psychologist can help you join the dots between what's happened in your life and what you're feeling now — and start to shift the patterns gently.
Watching someone you care about struggle with narcissism is hard. You might feel helpless, worried, or unsure of what to say. That's normal.
You can help by:
If you're the one supporting them, you're allowed to seek your own therapy too — it doesn't take anything away from them.
The feelings below are common with narcissism. They're not signs that something is wrong with you — they're signs of what you've been carrying.
Anxiety and feeling on edge. Always scanning for the next thing to go wrong. Hard to switch off.
Self-doubt. Second-guessing your decisions, memory, or read of the situation.
Low mood and tiredness. Tasks that used to feel easy take far more effort than they used to.
Shame. A sense that other people are coping better than you are. Shame eases in the right company.
Numbness or distance. Feeling foggy, disconnected, or like you're watching life from a step back.
Sleep changes. Trouble falling asleep, waking at 3am, or sleeping far more than usual.
You don't need a formal diagnosis to take what you're feeling seriously. The impact is real.
Healing from narcissism is rarely a straight line. It moves in waves — clear one week, harder the next, then quieter again. That isn't a setback. That's the shape of healing.
Good therapy won't push you faster than you're ready to go. Pacing — not pressure — is how this work moves. Small, steady steps add up.
You might consider seeing a psychologist if you notice any of the following:
If you're in crisis right now
Call 000 if you or someone else is in danger. Lifeline on 13 11 14 is open 24/7. For family or domestic abuse, 1800RESPECT on 1800 737 732.
The most evidence-based help for narcissism is talk therapy. Different approaches suit different goals — your psychologist will tailor things to you.
Works with the thoughts and behaviours keeping things stuck. Strong evidence across many conditions.
Helps you make room for hard feelings while still moving toward what matters to you.
EMDR, schema therapy, and IFS help process past experiences gently, without re-traumatising.
Builds the ability to notice what's going on inside without getting swept up in it.
Works with longer-standing patterns from early life that show up in adult relationships.
Sometimes prescribed by your GP alongside therapy. Always your choice.
Every MeHelp psychologist is AHPRA-registered and Australian-trained. Sessions are online, bulk billed under Medicare where eligible, and available evenings and weekends.
AHPRA-registered
Every psychologist is Australian-trained and regulated.
Bulk billing available
Under Medicare with a Mental Health Treatment Plan.
Same-week appointments
Not three months on a public waiting list.
Evenings and weekends
Sessions fit around your schedule, online from home.
Most clients use a Mental Health Treatment Plan and signed referral so sessions can be bulk-billed under Medicare. NDIS, DVA, and private options are also available.
Ask your GP for a mental health consultation. A longer appointment is best so there's time to talk through what's going on.
What do I do at the GP?Your GP can prepare a Mental Health Treatment Plan and signed referral letter. MeHelp needs both before bulk-billed sessions can begin.
See documents requiredUpload your documents to our secure folder, email them, or ask your GP to fax them. We'll match you with a psychologist.
Send my planSame-week appointments. Bulk billing available. Online across Australia.
Both get you to the same place — an AHPRA-registered psychologist, online. The difference is cost and a GP visit.
Bulk billed — nothing to pay.
Pay privately — no GP required.