Lisa E. Scott

When a Therapist Fails to Diagnose Narcissistic Personality Disorder in the Extended Family

When a Therapist Fails to Diagnose Narcissistic Personality Disorder in the Extended Family

by Beth McHugh

It is not uncommon for many of my clients to have previously entered therapy for a range of conditions including depression and anxiety-related disorders and to be treated as what is known as the "Identified Patient" by their therapist and labeled with these disorders.

While they may be suffering from anxiety, depression and a range of other related emotional afflictions, these disorders are secondary to the principal problem in the person's life. And that is the presence of a narcissistic parent.

Having a parent, particularly a mother, who suffers from narcissistic personality disorder (NPD) is a particularly heavy burden for a child to carry and that burden is more often than not carried well into adulthood as the parent's condition remains undetected and unsuspected.

I have had clients tell me that they have been diagnosed with a "mother fixation" or have "failed to mature and successfully make the parent-child break" and lead a life of their own. Here, the therapist in question has completely missed the core problem of the adult child of a narcissist. It is the narcissist who has the mental illness, and the adult child, now in therapy, is displaying typical but completely normal symptoms in response to what is an abnormal situation.

To go on to label such an individual with a mental illness as per the above is both unethical and cruel. It also re-victimizes the adult child. While there are some cases where the abuse from the NPD parent has been so severe that there can be genuine mental illness in the offspring, these cases are relatively rare.

What is more common is that the adult child of the NPD parent is at a genuine loss as to what is going on, or they feel so out of control with anger and frustration that they cannot even converse with their parent anymore. Or they crave the love they never got from the parent to the extent that they make themselves sick and ruin other important relationships in their lives.

Most commonly, the adult child of a narcissist feels a deep sense of worthlessness, of invisibility, of not being "good enough". The end point is anxiety, rage, depression -- all perfectly normal end points for a person living for decades in such a situation.

Why many therapists have a problem in correctly diagnosing NPD in a client's parent is unknown. But there is a common theme that children blame their parents for everything and therapists, in the main, try to steer their clients towards self- responsibility and self-motivation. Perhaps that is why NPD is missed so often.

However, when one has an NPD mother, it is almost inescapable that the child and later the adult child in particular will become consumed by the actions of that parent. They are desperately trying to make sense of the often bizarre and cruel treatment of narcissistic parents, while at the same time forever hoping that one day their parent will suddenly snap out of this state and see their child for the wonderful caring person they truly are. It is this latter behavior that keeps the adult child stuck and in pain and which the therapist needs to work on, rather than continuing to label the client as "sick".

http://mental-health.families.com/blog/when-a-therapist-fails-to-diagnos...

Inner child emotional work

Just one month ago a sister 12.5 years my senior revealed information I had blocked. My situation with our mother I did recall as of age 13. Her daily use and abuse of me, the youngest by six years began when I was 8 years old. She was abusive yet not one person uses that word. When I was in 3rd grade our mother turned the heat up on me controlling I be the primary caretaker of her, two older sibs (6 and 8 years older), care for myself except for a paid job and writing checks. Mon. thru Fri. it was her abuse ritual to come home, go off on me finding failure, changing the rules, find fault and rage I did not perk her coffee just right. Her mantra stemmed from "For God's sake what the hell is wronsg with you..you can't even....! Aren't you lucky you have me for a mother...!
caretake the older sibs i.e. make their beds for them, pick up their clothing, clean the oven, do the dishes after school. It is significant in 3rd grade I acted as the adult asking for money, taking a folding shopping cart, and purchased the makings for Thangsgiving dinner and cooked all by myself. When the nightly abuse took place the older sibs stood behind our mother justifying her behavior and blaming me for her moods, rages 'all your fault". I was so good at cleaning those old gas ovens mother would loan me out to elderly ladies..like a pet trick monkey. She justified the inequity, exploitation of me giving the two sibs a 'pass" brainwashing me..they were important and had important stuff to do and she musst maintain the dynamics for I 'would only get into trouble"..so she's the best mother ever..it's for my own good..and all my fault. I am not overstsing nor exaggerating the degree of demands on me to do with one more exception..I did not run the washers and dryers in the laundry until later.
Some of us become targeted due to our capabilities and become more oompetent beyond our years to survive. Mother modeled to the sibs how to treat me and taught them they are entitled, superior. In sixth grade my brother a senior learned and he'd physically abuse me when he came home if I had not done "all" by the time he arrived..monkey see, monkey do.

In the present I am coping, processing why I needed or one needs blame that "if" you got it "right", or it is all your fault..if you did this, that, this way, no, that way, sooner, later, faster, the abuser would cease their abuse. It's got to me of an abuser, that nothing you did mattered i.e. the abuse still took place.. harder to accept the sickness to cling to false hope..lying words targeting some insane wrong via changing the rules/demands no one could meet in an impossible situation.

This is a huge transition for me: I am important, I do matter..I am only one person, I am only responsible for whwat I say, I do, I think, I am not only the flaw or not perfect coffee perked nor any other thing that can be used to batter me deleting everything else about me, nor am I the extreme opposite of what any pathalogical person claims all and only for self. I did not ever want to "be" like any of them nor treat a child, do what they did.

My therapist hit the nail on the head that no one did anything about this abuse and victimization of me due to isolation. It is true for mother was pretentious, lied and it was rare anyone saw her in action. When they did they did speak to me and confronted her.

It must really suck for those I don't take their 'stuff' shit, false blame, exclusive flaw finding, degradation to batter me down and I hold them accountable. It's perverted for the more competent, capable, loving, caring, good character, accountable...the abuse escalates to control the grandiosity gap. Growing up no one was to have or get any attention to their real self. I conscientiously and resourcefully worked hard to not be an abuser, to break the cycle. I work harder to not be a victim.

It gets easier to disengage, walk away from poisonous, malignant or toxic people.
I did not have "chores". I was do what a housewife does and

great article

Thanks Barbara, good info. on the dynamics of the parent/child relationship as it relates to narcissim. I stopped trying to please the unpleasable a while ago!

peace, that's incredible! Isn't it amazing how we bury some painful memories?? How sickening it is to read about how badly she mistreated you and your siblings. Talk about exploitation..oh my...just so sad to read, I'm so sorry.

This was my oldest sister in some ways, our mom used to make her do all the ironing when she was young...for hours...she definitely had it the worst as far as the abuse went. Funny though, I had some typical chores but nothing too heavy. I think because my mom was a HUGE neat fanantic and didn't trust us to 'do it right'. Plus, having "soooo much housework" was an excuse for her to completely ignore us.

Funny though, now that I'm a mom, I think, 'what's the big friggin deal!? Love your kids...EASY.
It takes more work to mistreat kids than to love them! I mean, seriously...

You know, I couldn't wait to be an adult, and now that I am an adult, as much as I have an issue with aging (ha), I would never want to go back to feeling like a helpless child ever again. And yes, when you're an adult, you are no longer forced to participate in the madness.

NarcMother

Before she passed my NarcMother tried hard to influence my parenting... DIDN'T work.

I've talked about my NarcMother here before so I won't rehash. Suffice it to say her mantras to me were:

"You're a FREAK!"
"You live your whole life just to hurt ME"
"You were a hateful baby, a hateful child and now a hateful adult."

Don't worry I am NOTHING like that.

I strongly recommend this group for discussing your NarcParent: http://health.groups.yahoo.com/group/Adult-ChildrenOFNarcissits/

~~~~~~~~~
The world is a dangerous place, not only because of those who do evil, but because of those who look on and do nothing. - Albert Einstein

Visit My Info. Website for Abuse Victims

I totally understand

as,me and my sister had to do all of my mothers housework except for the cooking,and,wifely duty(sex).And even then-my dad when i was 8 years old rubbed me up and down the front of his groin.So sic.