Can You Get PTSD From Narcissistic Abuse? The Toxic Impact of the Narcissist

Narcissistic abuse is a deeply damaging form of emotional and psychological manipulation that can have long-lasting effects on an individual’s mental well-being. It involves being subjected to narcissistic behaviors such as gaslighting, demeaning criticism, and manipulation, which can leave victims feeling helpless, invalidated, and traumatized. In some cases, the trauma is so deep that victims develop Post-Traumatic Stress Disorder (PTSD) from narcissistic abuse.

In this post, we will delve into the complex relationship between narcissistic abuse and PTSD, exploring the signs, symptoms, and potential long-term effects of this insidious form of psychological trauma.

ptsd narcissistic abuse

What is PTSD?

Post-Traumatic Stress Disorder (PTSD) is a mental health condition that can develop after experiencing or witnessing a traumatic event.

The symptoms of PTSD can vary from person to person, but they generally fall into four main categories:

1. Re-experiencing the trauma

Re-experiencing the trauma is a key symptom of Post-Traumatic Stress Disorder (PTSD).

It involves the persistent reliving of the traumatic event, which can have a profound impact on an individual’s daily life. This symptom can manifest in several ways:

ptsd narcissistic abuse

Intrusive Memories:

People with PTSD often experience intrusive memories of the traumatic event.

These memories can appear suddenly and without warning, disrupting their thoughts and concentration.

They may be triggered by specific reminders or even arise seemingly out of nowhere.

These intrusive memories can be distressing and overwhelming, causing intense emotional and physical reactions.


Flashbacks are a specific type of re-experiencing symptom wherein individuals feel as if they are reliving the traumatic event.

During a flashback, the person may lose touch with their current surroundings and become fully immersed in the memory of the trauma.

This can be extremely disorienting and distressing, as the individual may struggle to differentiate between past and present.



Nightmares related to the traumatic event are common among individuals with PTSD.

These vivid and distressing dreams can occur frequently and disrupt sleep patterns. Nightmares can intensify the re-experiencing of the trauma, leading to fear, anxiety, and difficulty falling back asleep.

The content of these nightmares can closely mirror the actual traumatic event or feature symbolic representations of the trauma.

The re-experiencing symptoms of PTSD can be debilitating and significantly impact an individual’s overall well-being. They can disrupt daily activities, cause heightened stress and anxiety, and make it challenging to form and maintain healthy relationships.

re-experiencing the trauma

2. Avoiding reminders of the trauma

Avoiding reminders of the trauma is a coping mechanism that individuals with PTSD may employ to protect themselves from distressing memories and emotions associated with the traumatic event.

While avoidance can provide temporary relief, it can also perpetuate the symptoms and hinder the healing process.

Here are some ways in which avoidance manifests:

Trigger Avoidance:

Individuals with PTSD often go to great lengths to avoid triggers that remind them of the traumatic event.

This can involve avoiding specific locations, activities, or even people who are associated with the trauma.

For example, someone who experienced a car accident may avoid driving or being near busy roads. By avoiding triggers, individuals hope to minimize their exposure to distressing memories and emotions.

Narcissistic abuse is a deeply damaging form of emotional and psychological manipulation that can have long-lasting effects on an individual's mental well-being. It involves being subjected to narcissistic behaviors such as gaslighting, demeaning criticism, and manipulation, which can leave victims feeling helpless, invalidated, and traumatized. In some cases, the trauma is so deep that victims develop Post-Traumatic Stress Disorder (PTSD) from narcissistic abuse.

Emotional Numbing:

Avoidance can also manifest as emotional numbing, wherein individuals intentionally suppress or detach themselves from their emotions.

They may try to shut down their feelings as a way to protect themselves from the pain and anxiety associated with the trauma.

However, emotional numbing can lead to an overall sense of detachment, difficulty experiencing positive emotions, and strained relationships with others.

Social Isolation:

To avoid reminders of the trauma, individuals with PTSD may isolate themselves socially.

They may withdraw from friends, family, and social activities that could potentially trigger memories of the traumatic event.

Social isolation can further exacerbate feelings of loneliness, increase anxiety and depression, and hinder the individual’s ability to receive support and understanding from others.


3. Negative changes in mood and thinking

PTSD can have profound effects on an individual’s mood and thinking patterns.

These changes can significantly impact their overall mental well-being and quality of life.

Persistent Sadness and Hopelessness

One of the most common symptoms of PTSD is a persistent feeling of sadness and hopelessness.

The traumatic event or events that triggered PTSD can leave individuals with a lingering sense of despair that can be difficult to shake off.

This deep sadness can affect all aspects of their life, making it challenging to find joy or happiness in everyday activities.

ptsd narcissistic abuse

Burdened with Guilt

Individuals with PTSD often carry a heavy burden of guilt. They may blame themselves for the traumatic experience or feel responsible for the outcome.

This overwhelming guilt can lead to self-blame, shame, and a constant sense of remorse. It can weigh heavily on their conscience, affecting their self-esteem and self-worth.

emotional numbness

Pervasive Negative Thoughts

Negative thoughts often become pervasive for individuals with PTSD.

They often develop a negative outlook on themselves, others, and the world around them.

These thoughts can be intrusive and repetitive, impacting their perception of reality and exacerbating their symptoms.

The constant barrage of negative thoughts can contribute to feelings of worthlessness, helplessness, and pessimism.

4. Changes in physical and emotional reactions

PTSD can have a profound impact on a person’s physical and emotional well-being.

The traumatic experiences associated with PTSD can lead to significant changes in how individuals react both physically and emotionally.

Heightened Anxiety and Restlessness

One common symptom of PTSD is heightened anxiety and restlessness.

Individuals may constantly feel on edge, experiencing a sense of impending danger or fear. This heightened state of alertness can make it challenging to relax or feel at ease, causing ongoing feelings of tension and unease.

ptsd anxiety

Irritability and Anger

PTSD can also cause irritability and anger in individuals. They become easily agitated or angry, even in situations that would not typically provoke such a strong emotional response.

This emotional volatility can strain relationships and make it difficult to effectively communicate or interact with others.

Insomnia and Sleep Disturbances

Sleep disturbances are prevalent among individuals with PTSD. They find it difficult to fall asleep or stay asleep.

The intrusive thoughts and nightmares associated with PTSD make it impossible for them to rest, further exacerbating other symptoms of PTSD and negatively impacting overall well-being.



Hypervigilance, or being constantly on high alert, is a characteristic symptom of PTSD.

Individuals may exhibit an increased sensitivity to potential threats in their environment.

This heightened state of vigilance can manifest as exaggerated startle responses, being jumpy, or having a constant sense of unease.

It can be exhausting and contribute to feelings of anxiety and stress.

ptsd narcissistic abuse

PTSD from Narcissistic Abuse

Narcissistic abuse is not a one-time event but rather a chronic and unrelenting cycle of psychological manipulation and control. This continuous torment wears down the survivor’s resilience, leaving them more vulnerable to developing post-traumatic stress disorder (PTSD).

Isolation Amplifies the Trauma

One of the key tactics employed by narcissistic abusers is isolation.

They strategically cut off their victims from their support systems, leaving them feeling alone and dependent on the abuser.

This isolation not only intensifies the trauma but also makes it incredibly difficult for survivors to seek help or escape the abusive relationship.

The lack of external validation and support magnifies the psychological impact of the narcissistic abuse, increasing the likelihood of developing PTSD.

Distorted Self-Perception and Identity Loss

Narcissistic abuse also takes a toll on a survivor’s self-worth and distorts their perception of reality.

The constant devaluation, gaslighting, and invalidation erode their sense of self, leaving them questioning their own worth and sanity.

As a result, survivors experience a profound loss of identity and a persistent feeling of emptiness. This shattering of one’s sense of self, combined with the trauma of the narcissistic abuse, further exacerbates the symptoms of PTSD.

post traumatic stress disorder

How Narcissistic Abuse Changes the Brain

Experiencing prolonged trauma, such as narcissistic abuse, can have profound effects on the brain. The impact of this type of abuse is not limited to emotional and psychological consequences, but extends to physical changes within the brain.

Changes in the Hippocampus

One area of the brain that is particularly affected by narcissistic abuse is the hippocampus.

The hippocampus plays a crucial role in memory and emotion regulation.

Studies have shown that chronic stress from ongoing trauma can lead to a decrease in the size of the hippocampus.

As a result, individuals who have experienced narcissistic abuse may struggle with memory problems, difficulty concentrating, and challenges in regulating their emotions.

One area of the brain that is particularly affected by narcissistic abuse is the hippocampus.

The detrimental effects on memory and concentration can manifest as difficulty forming new memories and maintaining focus on tasks.

Victims of narcissistic abuse may find themselves forgetting important details or struggling to stay engaged in activities that require sustained attention.

These cognitive impairments can significantly impact daily functioning and overall quality of life.

Changes in the Amygdala

Moreover, the changes in the brain caused by narcissistic abuse can also affect the amygdala, which is responsible for the fight-or-flight response.

In individuals who have experienced narcissistic abuse, the amygdala can become hypersensitive. This heightened sensitivity can lead to increased startle responses, trouble sleeping, and a constant state of hypervigilance.

Additionally, the oversensitivity of the amygdala can result in difficulties in emotional regulation, leading to frequent outbursts of anger, crying spells, and general emotional instability.

ptsd brain amygdala

The Linen Cupboard Metaphor and PTSD

The Linen Cupboard Metaphor is a symbolic way to explain how traumatic memories are stored and accessed in individuals with Post-Traumatic Stress Disorder (PTSD).

In this metaphor, the linen cupboard represents the storage system of memories in the brain.

Typically, memories are organized and stored in the brain like neatly folded linens in a well-arranged cupboard.

They are categorized and tucked away in a way that allows easy retrieval when needed. However, in individuals with PTSD, traumatic memories are stored differently.

In the Linen Cupboard Metaphor, traumatic memories are compared to linens that are disorganized and haphazardly crammed into the cupboard.

Instead of being neatly folded and put away, they are kept close to the surface, as if they were ready to be accessed at any moment.

linen cupboard metaphor

This means that the traumatic memories associated with the individual’s traumatic experiences are not securely stored in the brain like other long-term memories.

They remain easily accessible and can be triggered by various stimuli or reminders related to the trauma.

Just as opening the door to a disorderly linen cupboard may cause linens to tumble out, individuals with PTSD can experience their traumatic memories flooding back through triggers or reminders.

These triggers can lead to intense emotional reactions, such as flashbacks, panic attacks, or heightened anxiety.

Understanding the Linen Cupboard Metaphor helps us comprehend why individuals with PTSD may struggle to manage their symptoms effectively.

The constant accessibility of traumatic memories makes it challenging to move forward without being overwhelmed by the distressing thoughts and emotions associated with the trauma.

In order to find peace, people suffering from PTSD need to find a way to rearrange and reorganize their traumatic memories, allowing for more effective management and recovery.

ptsd from narcissistic abuse

Overcoming PTSD from Narcissistic Abuse

Recovering from PTSD after experiencing narcissistic abuse can be a challenging and complex process. However, with dedication, support, and appropriate strategies, it is possible to find healing and reclaim your life.

Here are some tips that can help in the recovery journey:

Seek Professional Help

Seeking professional help is an important step in the recovery process for PTSD. The following are the types of therapy that are best suited to treat post-traumatic stress disorder.

The choice of therapy approach may vary depending on individual preferences, the severity of symptoms, and the therapist’s expertise.

Working with a qualified mental health professional can help determine the most appropriate therapy for addressing your specific needs and supporting your recovery journey

Cognitive-Behavioral Therapy (CBT):

CBT focuses on challenging and modifying negative thought patterns and behaviors associated with PTSD.

The therapist helps individuals identify and reframe distorted thoughts and beliefs related to the traumatic event.

Through various techniques such as exposure therapy and cognitive restructuring, CBT aims to reduce distress and improve coping strategies.

cognitive behavioral therapy

Eye Movement Desensitization and Reprocessing (EMDR):

EMDR is a specialized therapy approach that involves using bilateral stimulation (eye movements, taps, or sounds) to process traumatic memories.

The therapist guides the individual to focus on distressing memories while simultaneously engaging in bilateral stimulation, facilitating the reprocessing of traumatic experiences.

EMDR aims to desensitize the emotional charge associated with traumatic memories and promote adaptive processing.

Trauma-Focused Therapy:

Trauma-Focused Therapy is specifically designed to address the needs of individuals who have experienced trauma.

It often incorporates elements of CBT and may involve techniques such as narrative exposure therapy, sensory integration, or play therapy (for children).

This therapy approach provides a safe space for individuals to explore and process their traumatic experiences while developing coping skills and resilience.

ptsd from narcissistic abuse

Psychodynamic Therapy:

Psychodynamic therapy explores the underlying unconscious processes and unresolved conflicts related to the traumatic event.

The therapist helps individuals gain insight into how past experiences and relationships may contribute to their current symptoms.

By fostering self-awareness and understanding, psychodynamic therapy aims to alleviate distress and promote healing.

Group Therapy:

Group therapy involves participating in therapy sessions with other individuals who have experienced trauma.

It provides a supportive and validating environment where individuals can share their experiences, learn from others, and develop coping strategies together.

Group therapy offers a sense of community and connection, reducing feelings of isolation and promoting healing through shared experiences.

group therapy

Mindfulness-Based Therapies:

Mindfulness-based therapies, such as Mindfulness-Based Stress Reduction (MBSR), incorporate mindfulness practices into the treatment of PTSD.

These therapies focus on cultivating present-moment awareness, acceptance, and non-judgmental observation of thoughts and emotions.

By developing mindfulness skills, individuals can better manage distressing symptoms and enhance overall well-being.

Learn Coping Strategies

Learning effective coping strategies is crucial for managing distressing symptoms and triggers associated with PTSD.

Here are some commonly used coping techniques that can be helpful:

Grounding Exercises:

Grounding exercises help individuals reconnect with the present moment and their immediate surroundings.

Examples include focusing on sensory experiences, such as feeling the texture of an object, listening to specific sounds, or describing the details of your environment.

Grounding techniques can effectively reduce anxiety, dissociation, and intrusive thoughts by shifting attention away from distressing memories.

grounding meditation


Visualization involves creating mental images that promote relaxation and a sense of safety.

Guided imagery, a form of visualization, uses vivid and calming visuals to guide individuals through imagined peaceful scenarios or positive experiences.

By engaging the imagination, visualization techniques can help reduce anxiety, improve mood, and create a mental escape from distressing thoughts.

Progressive Muscle Relaxation (PMR):

PMR involves systematically tensing and releasing different muscle groups in the body, promoting physical and mental relaxation.

By focusing on the sensations of tension and release, individuals can develop a heightened awareness of physical tension and learn to consciously relax muscles.

PMR can help reduce muscle tension, anxiety, and promote overall relaxation, providing relief during moments of distress.

Guided Imagery:

Guided imagery is a technique that utilizes auditory guidance to evoke calming mental images and sensations.

Listening to pre-recorded or live instructions, individuals are guided through an imagined scenario, such as a peaceful natural setting or a favorite place.

This technique promotes relaxation, reduces anxiety, and helps redirect attention away from distressing thoughts and triggers.

breathing techniques

Breathing Techniques:

Breathing exercises, such as deep diaphragmatic breathing or box breathing, focus on slow, controlled breaths to calm the nervous system.

By consciously regulating the breath, individuals can decrease heart rate, lower blood pressure, and induce a state of relaxation.

These techniques can be practiced anywhere and anytime, providing immediate relief during moments of stress or triggering situations.

Self-Care Activities:

Engaging in self-care activities is essential for managing PTSD symptoms and promoting overall well-being.

Examples include engaging in regular exercise, maintaining a healthy diet, getting enough sleep, practicing mindfulness, and engaging in hobbies or activities that bring joy and relaxation.

Prioritizing self-care helps reduce stress, enhances resilience, and provides a sense of control and self-nurturing during the recovery process.

Remember, coping strategies may vary from person to person, and it’s important to explore different techniques to find what works best for you. It may be helpful to consult with a therapist or participate in support groups to acquire additional coping skills and guidance tailored to your specific needs

Final Thoughts on PTSD from Narcissistic Abuse

Recovering from PTSD caused by narcissistic abuse is a challenging but entirely possible journey.

By seeking professional help, individuals can receive an accurate diagnosis and personalized treatment plan that suits their specific needs.

It’s important to remember that recovery from PTSD takes time and patience.

Celebrating small victories along the way and acknowledging progress is crucial. Each person’s healing journey is unique, and it’s essential to be kind to oneself and allow for healing at one’s own pace.

By taking these steps and with the right support, individuals can reclaim their lives, find healing, and move forward from the effects of narcissistic abuse.

Frequently Asked Questions about Narcissism

Frequently Asked Questions About PTSD From Narcissistic Abuse

What is PTSD?

PTSD stands for Post-Traumatic Stress Disorder. It is a mental health condition that can develop after experiencing or witnessing a traumatic event, such as narcissistic abuse.

What are the common symptoms of PTSD from narcissistic abuse?

Symptoms can vary from person to person, but common ones include intrusive thoughts or memories, flashbacks, nightmares, hypervigilance, avoidance of triggers, emotional numbness, irritability, anxiety, and depression.

What treatment options are available for PTSD from narcissistic abuse?

Therapy approaches such as Cognitive-Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), Trauma-Focused Therapy, psychodynamic therapy, group therapy, and mindfulness-based therapies can be effective in addressing PTSD symptoms.

How long does it take to recover from PTSD from narcissistic abuse?

Recovery time can vary depending on the individual and the severity of the trauma. It is important to remember that healing is a gradual process, and it may take months or even years to fully recover.

Is medication necessary for treating PTSD from narcissistic abuse?

Medication may be prescribed by a psychiatrist to manage specific symptoms such as anxiety or depression. However, it is often used in combination with therapy to provide comprehensive treatment.

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