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First, by asking questions to determine what is going on in their environment.

Health care professionals already know the effect that stress has on so many of us, but the added stress of living with a narcissist is rarely understood or recognized by the victims themselves.

When the narcissist is the victim's mother, it's a difficult spot to be in, as most children (even grown children) find it almost impossible to leave the relationship. However, when the narcissist is your patient's boss, coworker, or friend, it may be wise to counsel the victim to seek a new situation elsewhere to best avoid an emotional roller coaster ride that could lead to extreme health issues down the road.

How can you help those with Narcissism Victim Syndrome?

Do you see a preponderance of middle aged women in your practices with no particular physical disease process, yet a variety of physical and/or emotional complaints, including: insomnia, weight loss or gain, depression, anxiety, phobias, broken bones, lacerations, or bruises?

He probably is president of the Rotary, volunteers at a food bank, and contributes regularly to charity - all to attain the image of being the admired Superman of his community.

Who else could possible want such a worthless woman as she?

With that belief, she will never leave him for good, although she makes many brief attempts to do so. The brainwashing that continues day after day is emotionally exhausting, draining, and vastly unhealthy.

The two go on to live happily ever after - or so she thinks - until the "real" partner surfaces. The change can be quick and powerful or slow and insidious.

We are all way too familiar with overt narcissists: those abusive husbands who send thousands of battered women to the emergency room each year.

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