Working with Narcissism

3 days 9:00am – 12:00pm 9 CPD hours

Course Brief


This is a three part course with Paul Grantham that will address the various aspects of Narcissism and working/living with narcissistic individuals. Part 1 will focus on recognising and diagnosing Narcissism. Part 2 – on working with narcissistic clients and/or colleagues. Part 3 – on Living with Narcissism as applied to clients or yourself.


Narcissism is one of the most misunderstood yet also challenging states to understand and work with. This three-part course provides the practical basics for understanding it, successfully working with it therapeutically as well as managing its effects on you and others in everyday life.

Issues addressed include:

  • Narcissism vs Narcissistic Personality Disorder
  • Why all narcissists don’t behave like Donald Trump (Extravert, Introvert and Communal Narcissism)
  • The motivation issue or how narcissists never come for help with their “Narcissism”
  • Early signs of narcissism in the therapy room and in relationships – 5 key indicators
  • The dangers of echoistic and narcissistic co-dependency – who’s your client?
  • The research on how narcissism is changeable and its practical implications for therapy work

Key strategies for change:

  • What's the therapeutic goal?
  • Empathy prompts, connection contracts and establishing hurt boundaries
  • Establishing cognitive boundaries for responsibility and self blame
  • Helping victims of narcissism- including escaping excitement and rescuing traps

Part 1: Recognising and Diagnosing Narcissism.

  • Narcissism vs Narcissistic Personality Disorder (DSM V) vs Personality slur
  • The demographics of narcissism – age, gender, ethnicity and work
  • Assessment: Narcissistic Personality Inventory (NPI)
  • Why all narcissists don’t behave like Donald Trump - Extravert, Introvert and Communal Narcissism
  • Narcissism as a spectrum – from healthy high self esteem to pathological or abusive Narcissism

Part 2: Working with Narcissistic Clients and/or colleagues.

  • Principles For the Foundations Of Therapy
  • Why “narcissism” is rarely a client’s presenting problem and how easy it is to miss
  • The challenges of engagement and motivation and boundary setting
  • The therapeutic relationship and client attitudes as a focus for the content of therapeutic work
  • The need for a different therapeutic style – or the dangers of empathy
  • A CBT Approach to Narcissism
  • Narcissism as a cognitive and behavioural reaction to threat perception Nook et al (2022) CBT Model of Narcissism
  • A programme of therapeutic intervention
  • Additional therapeutic targets: Sensitivity to negative perceptions of self (feeling blamed or treated unfairly) and poor affect tolerance (anger and anxiety)
  • Common Challenges: premature drop out, therapy shopping, therapist pleasing and secondary gain

Part 3: Living with Narcissism as applied to clients or yourself.

  • Echoism and narcissism as a co-dependency problem
  • Addressing echoistic beliefs and behaviours
  • Gaslighting and manipulation – recognition and management
  • Limits to working with – rather than exiting relationships with narcissists
  • The above issues plus others whilst working as a therapist


This Course is now available as a full recording with an online test via SDS Online Video Training (OVT)

Title: Working with Narcissism

CPD Hours Attached: 9 CPD Hours


This course comes with 9 CPD Hours

This course is suitable for all practitioners who come across the issues covered in their client work.

This course counts as a follow up training for all SDS Students who have obtained SDS Accreditation in CBT - Level 1, 2, 3 and 4. You accreditation extends accordingly after this training.

It also stands as a stand-alone CPD training.

Course Tutor

Paul Grantham
Consultant Clinical Psychologist, Founder and Director of SDS Seminars

Paul Grantham, Chartered Clinical Psychologist, a Senior Associate of The Royal Society of Medicine, Accredited CBT Therapist. He is the Founder and Director of SDS Ltd and one of the most popular and inspirational tutors in the field of psychological skills training.