The Chronic Illness Therapists

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


Listen Later

JOIN DESTINY’S MEMBERSHIP - for folks with chronic pain & illness

→ ⁠Join Welcome To The Waiting Room⁠ (ongoing support for staying regulated while living with chronic illness - This does not replace therapy, but it’s a great addition to your regular therapy appointments)

**

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.

MEET DESTINY: Website / Instagram / BlueSky / YouTube / TikTok

MEET GUEST: Website / Instagram / Facebook

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.

SIGN UP FOR DESTINY'S NEXT LIVE WORKSHOP

→ Beyond the Behavior: Understanding hair pulling, skin picking, nail biting, or other body-focused repetitive behaviors (BFRBs) in Chronic Illness

https://www.thechronicillnesstherapist.com/workshops

READ THE BLOG FOR THIS EPISODE

ASK DESTINY ANYTHING

→ Submit your questions here

FOR YOU, OUR PODCAST LISTENERS

JOIN DESTINY’S MEMBERSHIP - for folks with chronic pain & illness

→ ⁠Join Welcome To The Waiting Room⁠ (ongoing support for staying regulated while living with chronic illness - This does not replace therapy, but it’s a great addition to your regular therapy appointments)

FOR MEDICAL PROFESSIONALS

🏢 WE’RE HOSTING A CONFERENCE! WOOO! It’ll be an IN-PERSON event in Atlanta, GA, in the Spring or Fall of 2026! Sign up for the waitlist here!

🛋️ Join The Mastermind! (monthly business and clinical consultation calls for medical professionals specializing in working with patients with chronic illnesses)

🧭 Get Your Client Roadmap For Navigating Complex Trauma and Chronic Illness (specifically for mental health therapists) (COMING SOON- sign up for the waitlist)

**

SAY THANKS - Reviews tell the app, “hey, people like this! Show it in the algorithm to more people!” :)

💜 Leave a review on Apple Podcasts

🟢 Leave a rating on Spotify

**

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.


...more
View all episodesView all episodes
Download on the App Store

The Chronic Illness TherapistsBy Destiny Davis LPC CRC

  • 5
  • 5
  • 5
  • 5
  • 5

5

23 ratings


More shows like The Chronic Illness Therapists

View all
Good Life Project by Jonathan Fields / Acast

Good Life Project

3,316 Listeners

Hidden Brain by Hidden Brain, Shankar Vedantam

Hidden Brain

43,871 Listeners

The Terri Cole Show by Terri Cole

The Terri Cole Show

1,380 Listeners

10% Happier with Dan Harris by 10% Happier

10% Happier with Dan Harris

12,624 Listeners

Being Well with Forrest Hanson and Dr. Rick Hanson by Rick Hanson, Ph.D., Forrest Hanson

Being Well with Forrest Hanson and Dr. Rick Hanson

2,472 Listeners

Light Up The Couch by Clearly Clinical

Light Up The Couch

324 Listeners

The Anxious Achiever by Morra Aarons-Mele

The Anxious Achiever

563 Listeners

Bendy Bodies with Dr. Linda Bluestein by Dr. Linda Bluestein

Bendy Bodies with Dr. Linda Bluestein

200 Listeners

Maintenance Phase by Aubrey Gordon & Michael Hobbes

Maintenance Phase

16,450 Listeners

Good Inside with Dr. Becky by Dr. Becky Kennedy

Good Inside with Dr. Becky

4,468 Listeners

A Slight Change of Plans by Pushkin Industries

A Slight Change of Plans

2,043 Listeners

We Can Do Hard Things by Glennon Doyle and Audacy

We Can Do Hard Things

41,489 Listeners

The Mel Robbins Podcast by Mel Robbins

The Mel Robbins Podcast

19,793 Listeners

Handsome by Headgum

Handsome

12,737 Listeners