Self worth, shame and relationships
Online Therapy for Narcissistic Personality Disorder
Therapy for people whose confidence can collapse into shame, defensiveness or distance when they feel criticised, overlooked or dependent on someone else.
Psy. Moustafa Kamel, Psychotherapist
Registered with the Romanian Psychologists Association, registration number A-7729.
Specialised training in personality patterns, attachment, shame and long term relational psychotherapy.
Online sessions in English and Arabic.
Why can confidence and vulnerability feel impossible to hold together?
A small correction can feel like humiliation. Admiration may bring temporary steadiness, while being ignored, challenged or needing another person can trigger anger, withdrawal or a private collapse that nobody sees.
Some people arrive after a relationship crisis. Others are tired of protecting an image of competence while feeling empty, envious or easily exposed underneath. Therapy does not begin by reducing a person to the word narcissistic.
How are narcissistic patterns assessed without shaming you?
Assessment looks at self-esteem regulation, empathy, entitlement, shame, attachment, work and relationship patterns, and what happens when you feel criticised or dependent. It also considers depression, trauma, anxiety and other explanations.
A diagnosis is not assumed from online descriptions or another person's accusation. The aim is a careful formulation of the pattern, its function and its cost.
What does therapy for narcissistic personality patterns involve?
Schema therapy and relational work can identify the protective modes that appear around shame, failure and closeness. Mentalization-based work supports the ability to hold your own perspective and another person's perspective at the same time.
The therapeutic relationship becomes a place to notice idealisation, disappointment, competition or withdrawal as they happen, without using confrontation as punishment or reassurance as a substitute for change.
What can realistic progress look like?
Progress may mean tolerating feedback without retaliation or collapse, recognising another person's experience without losing your own, asking directly for reassurance, and recovering from shame with less secrecy. These changes develop gradually and are reviewed honestly.
Online sessions are available in English or Arabic, subject to the professional and legal requirements that apply where you live.
Online therapy is planned care, not emergency support. Current risk, stability and access to local support are considered during assessment.
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Specific questions
Questions people ask before starting
Start with a careful assessment, not a label
You can book an initial session or write first. We will consider what is happening, what support is appropriate and whether online therapy is a suitable setting.