It’s essential that clinicians understand not just the phenomenon of narcissistic abuse/antagonistic relational stress (NA/ARS) but the fallout from it. In this workshop, you’ll discover the core characteristics of NA/ARS relationships and take a deeper look at the unique dynamics that appear in familial, romantic, occupational, and social relationships. You’ll explore these relational patterns using case examples and see the true impact they have on real-life clients. In the workshop, you’ll also discover how to:
Help your clients recognize how their subjective experiences relate to the patterns occurring in their relationship
Differentiate between NA/ARS and other mental health concerns such as PTSD, anxiety disorders, and other mental health issues.
Develop a treatment plan that includes a framework for guiding your clients from awareness of their experiences to readiness for change
All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.
NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.
Continuing Education Information: Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your licensing board's rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval.
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.
Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.
For Planning Committee disclosures, please see the statement above. For speaker disclosures, please see the faculty biography.
Earn up to 6.25 CE hours. Please see below, for more details, as credit amounts vary by jurisdiction and profession.
PESI, Inc. is approved by the Canadian Counselling and Psychotherapy Association to offer continuing education for counsellors and psychotherapists. PESI, Inc. maintains responsibility for the program. This self-study activity is approved for 6.0 credit hours.
PESI, Inc. is approved by the Canadian Psychological Association to offer continuing education for psychologists. PESI, Inc. maintains responsibility for the program. This program is approved for 6.0 self-study continuing education hours. Full credit statement at: www.pesi.com/cpa-statement

PESI, Inc., #1062, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: January 27, 2023 - January 27, 2026. Social workers completing this course receive 6.25 Clinical continuing education credits.
Course Level: Intermediate Format: Recorded asynchronous distance. Full attendance is required; no partial credits will be offered for partial attendance.
Canadian Social Workers: Canadian provinces may accept activities approved by the ASWB for ongoing professional development.
This self-study activity qualifies for 6.25 continuing education clock hours as required by many national and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.

This self-study course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #77553. PESI, Inc. is responsible for all aspects of their programming.
This self-study course offers 6.0 continuing education contact hours in the Counseling Skills skill group. Full attendance is required; no partial credit will be awarded for partial attendance.

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 6.25 contact hours. Expires: 02/06/2027.
| File type | File name | Number of pages | |
|---|---|---|---|
| Manual - Narcissistic Abuse In-Depth Workshop (7.6 MB) | 142 Pages | Available after Purchase | |
| Manual - Narcissistic Abuse In-Depth Workshop (7.6 MB) | 142 Pages | Available after Purchase | |
| Manual - Narcissistic Abuse In-Depth Workshop - French (7.6 MB) | 142 Pages | Available after Purchase | |
| Manual - Narcissistic Abuse In-Depth Workshop - French (7.6 MB) | 142 Pages | Available after Purchase | |
| Manual - Narcissistic Abuse In-Depth Workshop - Italian (7.6 MB) | 142 Pages | Available after Purchase | |
| Manual - Narcissistic Abuse In-Depth Workshop - Italian (7.6 MB) | 142 Pages | Available after Purchase | |
| Manual - Narcissistic Abuse In-Depth Workshop - German (7.6 MB) | 142 Pages | Available after Purchase | |
| Manual - Narcissistic Abuse In-Depth Workshop - German (7.6 MB) | 142 Pages | Available after Purchase | |
| Manual - Narcissistic Abuse In-Depth Workshop - Spanish (7.6 MB) | 142 Pages | Available after Purchase | |
| Manual - Narcissistic Abuse In-Depth Workshop - Spanish (7.6 MB) | 142 Pages | Available after Purchase |
Ramani Durvasula, PhD is a psychologist in California, the founder and CEO of LUNA Education, Training and Consulting, and professor emerita of psychology at California State University Los Angeles. She is The New York Times bestselling author of It’s Not You: Identifying and Healing from Narcissistic People. She is also the author of multiple other books including ”Don’t You Know Who I Am”: How to Stay Sane in the Era of Narcissism, Entitlement and Incivility and Should I Stay or Should I Go: Surviving a Relationship with a Narcissist. She has lectured and trained therapists around the world on best practices on working with clients experiencing narcissistic abuse and has developed a 36 hour virtual training and certification program in conjunction with PESI to train clinicians on how to use an antagonism-informed approach with clients experiencing narcissistic relationships.
Dr. Durvasula hosts a popular YouTube channel with over 2 million subscribers, maintains a program offering support and education to thousands of survivors, and is a featured expert on the digital media platform MedCircle. She also maintains an engaged online network called the Dr. Ramani Network. She has also been widely involved in the governance of the American Psychological Association, including the APA Leadership Institute for Women in Psychology and the APA Minority Fellowship Program. Dr. Durvasula received her MA and PhD degrees in clinical psychology from UCLA and completed her internship and post-doctoral training at the UCLA Department of Psychiatry. She completed her Bachelor of Science degree in psychology, with a minor in sociology in 1988 at the University of Connecticut. She resides in Los Angeles, CA.
Speaker Disclosures:
Financial: Ramani Durvasula is the founder and CEO of LUNA Education, Training, and Consulting and has an employment relationship with the University of Johannesburg. Ramani Durvasula receives royalties as a published author. She receives a speaking honorarium and recording royalties from Psychotherapy Networker and PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Ramani Durvasula is an associate editor for Behavioral Medicine. She is a member of the American Psychological Association, the Association for Psychological Science Society for Behavioral Medicine, and the International Association of Applied Psychology.
Access never expires for this product.
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Recognizing the patterns and dynamics of Narcissistic Abuse/Antagonistic Relational Stress (NA/ARS)
Key differences between childhood, adult and combined onset of narcissistic abuse
Beyond families and partners: Recognizing NA/ARS patterns in social and occupational relationships
The seven types of fallout from NA/ARS and how to recognize them in your client
How to differentiate between NA and other mental health conditions
Making the connection: Helping your client connect their subjective experience to the unhealthy patterns in their relationship
The most common pitfalls in working with clients experiencing NA/ARS and how to respond effectively
Developing a treatment plan for your clients in NA/ARS relationships
Limits of the current research and potential risks
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