Andrea Lynn Piazza

Therapy for adult children of narcissistic and abusive parents.

You will not have to spend therapy proving that what happened at home was harmful. We can start from there.

Book a free 15-minute consultFees and insurance
A hand mirror resting on fabric

What it can look like now

  • You can read a room in seconds and still have no idea what you want
  • Holidays and phone calls with family take days to recover from
  • You apologize first, over-explain, and feel guilty for having needs
  • You are high-achieving and still feel one mistake away from being found out
  • You keep ending up in relationships that feel familiar in the wrong way
  • You are trying to decide what kind of relationship, if any, you want with your parent

How I work with it

We look at what you learned to survive and what it is costing you now. That usually means some trauma processing, often with EMDR or trauma narrative work, plus parts work for the side of you that still defends your parent or blames yourself.

We also work on the practical side: boundaries you can actually hold, scripts for hard conversations, and deciding about contact on your terms rather than out of guilt. Many clients are sorting out a relationship with one parent while the more harmful parent is still in the picture, or no longer is.

Who I see

Mostly women in their late twenties and thirties, often the oldest daughter, often high-achieving, sometimes with ADHD. I also see men and LGBTQ+ clients. You do not need to know whether your parent was a narcissist. If the relationship left you anxious, small or responsible for everyone, that is enough.

Questions

Do I need my parent to have a diagnosis?

No. We focus on what happened and how it affects you now, not on diagnosing someone who is not in the room.

Will you push me to cut off my family?

No. Some clients go no-contact, some go low-contact, some stay close with new boundaries. The decision is yours.

Is this complex PTSD?

It might be. Long-term emotional abuse in childhood is a common cause of C-PTSD. We can look at that together.

Can we work on this alongside ADHD?

Yes, and often we should. ADHD and childhood trauma affect each other, and I treat them together.

You do not have to explain it all at once.

A free 15-minute consult is enough to see whether we are a good fit.

Book a free consult