Therapy With Clinicians Who Understand Narcissistic Abuse — Washington
Narcissistic abuse can leave you questioning your memory, your instincts, your relationships, and your sense of self. The Narcissistic Abuse Recovery Center provides specialized online therapy for adults in Washington recovering from narcissistic, controlling, coercive, and emotionally harmful relationships.
Our Clinicians Licensed in Washington
The following clinicians on our team are licensed to provide online therapy to clients physically located in Washington:
- Paula Perez, LMHC
Licensure is clinician-specific and subject to change. Availability varies by clinician’s caseload, and each client is matched with a clinician who is authorized to practice where the client is physically located. See full bios and license numbers on our About Us page.
Therapy May Help With
- Gaslighting and chronic self-doubt
- Trauma bonding and difficulty leaving or staying away
- Anxiety, depression, grief, and shame
- Hypervigilance and nervous-system dysregulation
- Loss of identity and confidence
- Boundary difficulties and people-pleasing
- Narcissistic parents and family relationships
- High-conflict divorce and post-separation abuse
- Co-parenting with a controlling or manipulative former partner
- Difficulty trusting yourself or others after abuse
Our Approach
Our work is trauma-informed and paced around each client’s readiness, safety, and goals. Depending on the clinician and the client’s needs, therapy may include approaches such as EMDR, parts work, somatic awareness, attachment-focused therapy, and trauma-informed therapy.
What to Expect
Therapy begins with an assessment of your concerns, history, current circumstances, and goals. Your clinician will work with you to develop an individualized treatment plan and decide which approaches are appropriate for your needs.
Sessions are provided online through a secure video platform. Appointment availability, insurance participation, and private-pay options vary by clinician.
Therapy, Coaching, Groups, and Classes
Therapy includes clinical assessment and treatment of mental-health symptoms and is available only when the client is physically located in Washington.
Recovery coaching, support groups, and educational classes are separate services and may be available more broadly, including internationally.
Request Therapy InformationExplore Programs Available Worldwide
Frequently Asked Questions
Can I receive therapy if I live in Washington?
Possibly. Eligibility depends on your physical location within Washington, clinician availability, clinical needs, and insurance or payment arrangements.
What if I live outside Washington?
Therapy through this page is only available if you are physically located in Washington. If you live in one of our other licensed states, see our full list of licensed states. If not, private recovery coaching, support groups, and educational classes may still be available — visit our Programs Available Worldwide page or contact us for guidance.
Is therapy provided online?
Yes. Therapy services described on this page are provided through secure online video sessions.
Do you accept insurance?
Insurance participation varies by clinician and plan. Contact our team with your insurance information so we can review current options.
You Do Not Have to Explain This From the Beginning to Someone Who Does Not Understand
Our clinicians understand the confusion, attachment, grief, fear, and self-doubt that can follow narcissistic abuse. Contact us to ask about therapy availability in Washington.

