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

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 / TikTokMEET GUEST: Website / Instagram / FacebookPamela 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 Illnesshttps://www.thechronicillnesstherapist.com/workshops→ READ THE BLOG FOR THIS EPISODEASK DESTINY ANYTHING→ Submit your questions hereFOR YOU, OUR PODCAST LISTENERSJOIN 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.