Find a Therapist for Narcissism in La Crosse

Medically reviewed by Gabriela Asturias, MD on May 23, 2025
Written by the MiResource team

This guide helps La Crosse residents understand narcissism, what it looks like, and practical support options. You’ll learn what narcissism is, available resources, and how to connect with a nearby therapist, considering the compact city layout, limited bus service, and seasonal travel impacts.

  • Lori Pulkrabek, Certified Eating Disorder Specialist

    Lori Pulkrabek

    Certified Eating Disorder Specialist, Licensed Clinical Social Worker (LCSW)

    Remote only

    Lori Pulkrabek is a Certified Eating Disorder Specialist in undefined, undefined and has been in practice for 25 years. They treat Narcissism, Compulsive Exercise, Bipolar Disorder.

    I welcome clients who need help uncovering unresolved issues causing dysfunctional patterns that block one’s happiness.

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  • Alyssa Austern, Psychologist

    Alyssa Austern

    Psychologist

    Remote only

    Alyssa Austern is a Psychologist in Chatham, New Jersey and has been in practice for 16 years. They treat Narcissism, Persistent Depressive Disorder (Dysthymia), Major Depressive Disorders.

    Helping teens, young adults, adults, couples, and families navigate anxiety, relationships, identity development, and life transitions via teletherapy.

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  • Margaret Bester, Licensed Professional Counselor (LPC)

    Margaret Bester

    Licensed Professional Counselor (LPC), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT)

    7633 Ganser Way, Madison, Wisconsin 53719

    Margaret Bester is a Licensed Professional Counselor (LPC) in Madison, Wisconsin and has been in practice for 21 years. They treat Narcissism, Financial Concerns, Hoarding.

    Current availability, all identities welcome, experienced and passionate professionals working with a variety of diagnosis' and symptoms.

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  • Auran Piatigorsky, PhD, LP, CMPC, Sport Psychologist

    Auran Piatigorsky, PhD, LP, CMPC

    Sport Psychologist

    Remote only

    Auran Piatigorsky, PhD, LP, CMPC is a Sport Psychologist in undefined, undefined and has been in practice for 30 years. They treat Narcissism, Schizoaffective, Learning Disorder.

    Licensed Clinical Sport Psychologist — services for mental health care & performance enhancement

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  • Behavioral Health Clinic, Licensed Clinical Mental Health Counselor (LCMHC)

    Behavioral Health Clinic

    Licensed Clinical Mental Health Counselor (LCMHC), Certified Clinical Social Worker (CSW), Counselor, Psychologist, Licensed Clinical Social Worker (LCSW), Licensed Clinical Professional Counselor (LCPC), Academy of Certified Social Workers License (ACSW), Certified Addiction Counselor (CAC), Certified Eating Disorder Specialist, Certified Trauma Professional, Education Specialist (EdS), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Counselor (LPC), Licensed Social Worker (LSW), Psychiatric Nurse Practitioner, Speech-language Pathologist, Psychotherapist, Psychiatrist

    2417 Post Road, Stevens Point, Wisconsin 54481

    Behavioral Health Clinic is a Licensed Clinical Mental Health Counselor (LCMHC) in Stevens Point, Wisconsin. They treat Narcissism, Antisocial Personality, Bipolar Disorder.

    Behavioral Health Clinic provides individuals of all ages with a variety of comprehensive mental health services

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  • Denise Rosby, Certified Trauma Professional

    Denise Rosby

    Certified Trauma Professional, Certified Addiction Counselor (CAC), Licensed Professional Counselor (LPC)

    Remote only

    Denise Rosby is a Certified Trauma Professional in undefined, undefined. They treat Narcissism, Borderline Personality, Gambling Concerns.

    I empower my clients to engage in collaborative problem-solving so they can own their solutions and take pride in their ability to heal.

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Understanding Narcissism

Narcissism is a pattern of relating to oneself and others that centers on a strong need for admiration, a fragile or inflated self-image, and sensitivity to criticism. It can shape thoughts (how you see yourself and interpret others’ reactions), emotions (shame, anger, emptiness), body sensations (tension, restlessness, stress responses), and behavior (seeking praise, withdrawing, or reacting strongly to feedback). People may experience it on a spectrum, from mild tendencies that cause occasional friction to more disruptive patterns that affect daily life and relationships. It can also fluctuate over time and across situations. This is a recognized mental health concern, not a personal flaw.

Having a clear label can make it easier to find the right kind of support, compare options, and communicate your needs to clinicians and loved ones. In La Crosse, a specific term can also help you navigate practical issues like insurance-based availability that varies, limited provider supply, and waitlists that are common during the academic year. It can guide planning around a compact city layout, bus service that is limited outside the core, and winter weather that may impact travel to appointments or groups.

Common Signs and Symptoms

In La Crosse, recognizing narcissism means watching for a consistent pattern of grandiosity, need for admiration, and low empathy that shows up across settings, not just in one argument or bad day. Over weeks and months, you may see repeated entitlement, dismissiveness toward others’ needs, and strong reactions to even mild criticism.

  • Frequently redirects conversations back to themselves and minimizes others’ experiences or achievements
  • Reacts with irritation, sarcasm, or defensiveness when given gentle feedback, then may hold a grudge
  • Expects special treatment (skipping lines, rule exceptions) and becomes upset when treated like everyone else
  • Takes credit for group successes but externalizes blame when things go wrong
  • Shows little interest in others’ feelings unless it benefits them; may offer help only when it enhances their image
  • Pushes past boundaries (e.g., reading messages, making unilateral plans) and frames it as “just being efficient”
  • Publicly boasts or curates an ideal image (including on social media) while privately devaluing those close to them

Why This Happens

Genetics may influence tendencies linked to Narcissism, while inborn temperament and certain personality traits can shape how strongly these patterns show up. Support systems in La Crosse, such as caring relationships and constructive feedback, can buffer risk, whereas isolation, unstable environments, or stressful life events may make vulnerabilities more pronounced. Some factors increase risk and others foster resilience, and these influences often interact over time rather than determining outcomes. With treatment and practice, many people can strengthen empathy, coping skills, and healthy relationship patterns that build resilience.

How Treatment Works

Treatment is usually a blend of learning new skills, building supportive relationships, and, when needed, considering medication based on specific symptoms and goals. What works can vary over time, so plans are often adjusted to fit priorities and progress.

  • Individual therapy can help build self-awareness, empathy, and healthier relationship patterns; approaches like CBT, ACT, schema therapy, or trauma-informed therapy are common examples but not the only choices.
  • Skills-focused work (for example, DBT-style emotion regulation and distress tolerance) offers practical tools for managing reactivity, criticism sensitivity, and day-to-day stress; plan sessions with La Crosse’s compact city layout, limited bus service outside the core, and winter travel in mind.
  • Group therapy or peer support provides feedback, accountability, and perspective-taking in a safe setting, which can improve communication and boundaries; these options can also help if waitlists are common during the academic year.
  • Couples or family sessions can reduce conflict, improve listening, and set workable limits, supporting change at home while keeping the focus on shared goals rather than blame.
  • Practical supports—consistent sleep routines, stress management, and lifestyle habits—strengthen follow-through on therapy goals; review insurance-based availability and be flexible with scheduling given limited provider supply.

In La Crosse, focus on finding a provider experienced with narcissism who feels like a good fit for you.

Finding the right provider in La Crosse

What training and licensure do you have for treating Narcissism, and what specific approaches or modalities do you use? How much experience do you have working with Narcissism, and what outcomes have you seen with clients similar to me? Do you offer in-person, telehealth, or hybrid sessions, and how do you handle access considerations in La Crosse given the compact city layout, limited bus service outside the core, and winter weather impacts on travel? What is your current availability, how long are sessions, and what is the typical wait time, especially during the academic year? Do you accept my insurance, what out-of-pocket costs should I expect given limited provider supply and variable insurance-based availability, and what is your cancellation or rescheduling policy?

Local Care Logistics in La Crosse

To get started addressing narcissism in La Crosse, consider contacting La Crosse County Human Services for guidance on local options and eligibility. Coulee Region Mental Health Center and Gundersen Health System Mental Health Services offer outpatient support and can clarify current waitlists and insurance-based availability. NAMI La Crosse County can provide education and referrals to local providers. With limited provider supply and semester peaks, ask about wait times and insurance details early.

For ongoing support, NAMI La Crosse County offers peer and family education that can help with relationship impacts and coping skills. Students can begin with services at University of Wisconsin–La Crosse or Viterbo University Counseling Services for counseling and campus-based workshops. Community wellness time in Riverside Park, Myrick Park, or Hixon Forest can complement therapy goals. Access is easiest in the compact city core around Downtown and Historic Old Main, but bus service is limited outside the core and winter weather can affect travel.

Taking Care of Your Mental Health in La Crosse

  • Once a day, do a 5-minute “credit share” check-in: note one place you shared recognition or let someone else lead; plan one small acknowledgment to make tomorrow.
  • In one conversation daily, practice active listening: ask one clarifying question, then briefly summarize what you heard before offering your view.
  • Take a weekly perspective walk at Riverside Park or Hixon Forest; list three specific ways others contributed to a recent outcome, then send one brief appreciation message. If winter weather is rough, do this as an indoor lap and note session.
  • Set a social media/attention boundary: one self-focused post or story max per day, paired with one curious question to someone else. During bus delays or tight schedules, use your notes app to reframe one self-enhancing thought into a balanced one.

When to Seek Immediate Help

If someone with narcissism has thoughts of harming themselves or others, is severely agitated, or cannot care for themselves, seek immediate help. Call 988 Suicide & Crisis Lifeline or 911 right away. In La Crosse, you can also contact La Crosse County Crisis Line (608-791-6400) or La Crosse County Mobile Crisis Emergency Services – face‑to‑face or telephone crisis response (24/7). For in-person emergency care, go to Gundersen Lutheran Medical Center or Mayo Clinic Health System – La Crosse; consider winter weather and limited bus service outside the core when planning travel.

Common Questions About Narcissism

Q: How do I know if I need a therapist for the condition? A: Consider therapy if traits linked to narcissism are straining your relationships, work, or sense of self, or if feedback from others feels confusing or upsetting. You might notice intense reactions to criticism, recurring conflicts, or feeling empty when admiration fades. A therapist can help you explore patterns without judgment and build more flexible, respectful ways of relating.

Q: What if I don’t feel a connection with my therapist? A: It’s okay to bring this up directly; fit is a normal part of the process. Share what feels off and what you need more of, like clearer feedback or a different pace. If it still doesn’t click, you can switch therapists; in La Crosse, limited provider supply and waitlists can make this slower, so you might explore teletherapy to widen options.

Q: Is online therapy as effective as in-person therapy for the condition? A: Many people working on narcissism benefit from online therapy, especially for practicing reflection and communication skills. It can be as helpful as in-person when you have privacy, a stable connection, and a therapist experienced with personality dynamics. In La Crosse, winter weather and limited bus service outside the core can make online sessions a practical choice.

Q: What should I ask a potential therapist for the condition? A: Ask about their experience with narcissism and how they approach traits like sensitivity to criticism, empathy, and boundaries. Clarify what progress might look like, how they handle ruptures in the therapy relationship, and how often you’ll meet. In La Crosse, discuss scheduling, waitlists, insurance, and whether they offer telehealth when travel is difficult.

Q: Does therapy for the condition really work? A: Therapy can help you understand underlying needs, reduce rigid patterns, and improve how you relate to others. Progress often comes from consistent work on self-awareness, accountability, and empathy, supported by a trusting therapeutic relationship. Choosing a format you can maintain—whether in-person or online—matters, especially in La Crosse where access and weather can affect appointments.

Local Resources in La Crosse

MiResource can help you search for clinicians in La Crosse, WI who treat Narcissism. You can filter by insurance, specialty, and availability to find someone who fits your needs.

Find care for you

Recovery is possible. With early intervention, a supportive community, and the right professional care, you can overcome challenges and build a fulfilling life. We’re here to help you find the support you need.

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