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Matthew Sexton, LCSW, NATC — Telehealth: New York · Maine · Delaware · Florida
Narcissistic abuse therapy, from a clinician credentialed for exactly this.
Recovery from narcissistic abuse is not about confirming a diagnosis. It is about undoing what sustained exposure to coercive control, gaslighting, and identity erosion did to your nervous system, your self-concept, and your ability to trust your own perception. Matthew Sexton, LCSW offers depth-oriented telehealth therapy for adults in New York, Maine, Delaware, and Florida.
What is narcissistic abuse recovery therapy?
It is structured clinical work targeting the specific aftermath of coercive and antagonistic relationships: reality-testing deficits, fawn-response patterns, identity reconstruction, and attachment repair. It is distinct from general trauma therapy because the mechanism of harm — deliberate reality distortion by another person — requires a different clinical approach.
What does treatment for gaslighting and coercive control look like?
Early sessions map the specific patterns that operated in the relationship. Clinical work then addresses somatic nervous-system regulation, rebuilding a reliable internal reality-checking function, and reconstructing a stable identity not organized around the perpetrator’s projections. Modalities include IFS, polyvagal-informed somatic work, and attachment-based repair.
Is telehealth effective for narcissistic abuse recovery?
Yes. Telehealth removes geographic barriers and allows clients to work from a space they control — which can itself support nervous-system regulation. Sessions are conducted via secure video. You must be physically located in New York, Maine, Delaware, or Florida at the time of each session.
Narcissistic abuse therapy, from a clinician credentialed for exactly this.
Recovery from narcissistic abuse is not about confirming a diagnosis on the person who hurt you. It is about undoing what sustained exposure to coercive control, gaslighting, and identity erosion did to your nervous system, your self-concept, and your ability to trust your own perception. This is a specific clinical problem with specific clinical solutions — and it responds well to targeted treatment.
Matthew Sexton, LCSW, NATC is a licensed clinical social worker in New York, Maine, Delaware, and Florida, and a credentialed Narcissistic Abuse Treatment Clinician. He has spent fourteen years in clinical practice and healthcare systems, and writes for the people who hold everyone else together.
In crisis right now? Call or text 988 — this page can wait.
What is narcissistic abuse recovery therapy?
Therapy that targets the specific aftermath of coercive, antagonistic, or psychologically abusive relationships — including gaslighting, reality distortion, trauma bonding, fawn response patterns, and identity erosion. It is distinct from general trauma therapy because the mechanisms of harm are specific.
What does treatment for narcissistic abuse actually involve?
Early sessions map the specific patterns — DARVO sequences, gaslighting cycles, coercive control structure, devaluation dynamics — using the DSM-5-TR Cluster B framework. The clinical task is reality-reconstruction before cognitive restructuring, then somatic nervous-system work to address hypervigilance and the fawn response, then identity repair.
Is telehealth effective for narcissistic abuse recovery?
Yes. The research on telehealth for trauma and PTSD shows outcomes equivalent to in-person therapy. Sessions are conducted via secure video. All clients must be physically located in New York, Maine, Delaware, or Florida at the time of each session.