The Chronic Illness Therapists

Ep 92: Narcissistic Abuse When It Intersects with Chronic Pain - Insights from Pamela Madsen


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Episode summary:

In this episode, therapist Pamela Madsen, MS, LPC, explores the often-overlooked connection between narcissistic abuse and chronic pain conditions. Pamela breaks down the four types of narcissistic parents (grandiose, covert, malignant, and communal) and explains how growing up with narcissistic caregivers creates hypervigilance that extends beyond scanning the environment to scanning the body internally, amplifying pain perception and contributing to conditions like fibromyalgia, IBS, and migraines. She discusses why many high-achieving adults don't recognize their childhood experiences as traumatic, how complex PTSD manifests in successful people who come to therapy for seemingly unrelated issues, and why addressing the underlying trauma through therapy can significantly improve both emotional well-being and physical pain symptoms. Pamela emphasizes that healing begins with repairing the relationship with oneself and recognizing that you deserve care and are worthy of good things, rather than existing solely to benefit others.

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Pamela is the owner of Sea Change Therapy, where there is a variety of specialties in the office with accessible building and easy parking access. Pamela also provide supervision and clinical consultation to other professionals.

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Disclaimer: Everything we talk about here is just meant to be general education and information. It's not intended as personal mental health or medical advice. If you have any questions related to your unique circumstances, please contact a licensed therapist or medical professional in your state of residence.


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The Chronic Illness TherapistsBy Destiny Davis LPC CRC

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