About Prabha Milstein

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So far Prabha Milstein has created 5 blog entries.
Oct 7 2025

How Narcissistic Parents Impact Our Mental Health

By |Childhood Trauma, Narcissism, Trauma Bonding|

Understanding the Impact of Narcissistic Parents on Mental Health

So many people come to me saying, “What’s wrong with me?” And what I want them to know right away is this: your pain isn’t proof of a flaw – it’s a reflection of how a caregiver saw you. If you had a narcissistic parent, you may have grown up believing you were too much, not enough, or only lovable when you met someone else’s needs.

That kind of parenting doesn’t just shape childhood. It follows you into adulthood, into your relationships, into your sense of self, into the way your nervous system reacts when you feel unseen or unloved.

How do narcissistic parents shape attachment styles?

Ninety-five percent of my clients had at least one narcissistic parent. Growing up in that kind of environment can often make love feel conditional. You may have learned that you had to perform, stay quiet, or take care of someone else’s feelings in order to be loved.

That leaves a mark on attachment. If you had to cling for love, you may have developed anxious attachment, always worried about being left. If you learned your needs weren’t safe, you may have become avoidant by pulling away, keeping your distance, not letting people in. Some people develop disorganized attachment, swinging between clinging and withdrawing because they never knew what to expect.

When people first come to me, they’re blaming themselves for their struggles in relationships. They think something is wrong with them. What I help them see is that their struggles are not flaws. They are patterns born from the survival strategies of childhood.

Why does childhood trauma create trauma bonding in adult relationships?

One of the most painful impacts of narcissistic parenting is the way it sets us up for trauma bonds. The nervous system looks for what is familiar, even if it’s painful. This often results in us being drawn to people who are emotionally unavailable, critical, or controlling.

This is why I so often see anxious and avoidant partners pairing up. The clingy partner is usually with the avoidant partner, and it’s the perfect storm of reactivity. One person pursues while terrified of abandonment and the other withdraws, terrified of being engulfed. Both are reacting from old wounds.

These relationships feel magnetic because they reflect the unfinished business of their childhood trauma. This push-pull feels familiar, even though it’s exhausting. Healing means recognizing that this is a pattern and learning to choose relationships that feel safe, not just familiar.

How does emotional reactivity show up in relationships after narcissistic parenting?

When you grow up with a narcissistic parent, your nervous system is constantly on alert. You find yourself waiting for criticism and bracing yourself for disapproval. That doesn’t just disappear when you become an adult.

So when your partner is silent, it might not just feel like a pause, but it might feel like abandonment. When they criticize, it can feel like years of being put down. This is what I mean when I say reactivity is when the nervous system gets activated and the past comes flooding into the present.

Your response isn’t about the one comment or the one moment. It’s about every moment you felt unseen, unloved, or unworthy. This doesn’t mean you’re broken. It means your body remembers. Therapy gives us tools to slow this down, to notice what’s happening, and to bring compassion to the younger parts of you that are still hurting.

How can we begin to heal from the impact of narcissistic parents?

For me, the most important thing I want for my clients is that they experience a deep sense of self-love – of real compassion for themselves. When you’ve grown up with a narcissistic parent, you often believe love has to be earned. You may think you have to prove your worth over and over. Healing means remembering that you were always worthy of love simply for being you.

That’s why I use EMDR in my work. EMDR creates a light trance where we can map memories and bring in safe figures. With bilateral stimulation, we revisit the moments that carry pain and reprocess them. We can bring in imagined figures who offer the love, protection, and care you needed but didn’t receive. Over time, this helps soften reactivity and shifts how you see yourself.

Healing isn’t about erasing the past. It’s about learning that you no longer have to live by the rules your parent imposed. You can meet yourself with compassion. You can choose relationships rooted in safety and love rather than survival and fear.

Healing from narcissistic parenting is not about perfection. It’s not about fixing what’s broken – it’s about reclaiming who you really are. The voices of shame and self-blame are not your truth. They are the echoes of your childhood. With compassion, you can quiet those voices and reconnect with your authentic self, the self that is deserving of love, safety, and belonging.

Take the First Step

Schedule a free 30-minute consultation to explore whether this approach feels right for you.

Request an appointment by clicking below:

Sep 14 2025

How Childhood Trauma Shapes Adult Relationships

By |Childhood Trauma, EMDR|

3 Ways That Childhood Dynamics Impact Relationships in Adulthood and How EMDR Can Help

In my work, I see every day how the wounds of childhood echo into adulthood. My approach is attachment oriented, and that means that one’s earliest experiences in childhood, in infancy and childhood, really form a template for how that person attaches later in life. Those early imprints shape how we bond, how we react in moments of conflict, and how safe or unsafe love feels.

In this article, we’ll explore how unresolved childhood trauma influences adult relationships. We’ll look at the role of attachment styles, how trauma bonding can keep people stuck in painful dynamics, and why emotional reactivity in relationships is often a signal of much earlier wounds. I’ll also share how approaches like EMDR can help untangle these patterns and create space for more secure, compassionate connection.

How Attachment Styles are Formed Early On

Attachment theory suggests that the ways we learn to connect with caregivers as children become internal blueprints for how we connect with others as adults. When a caregiver is consistently responsive- soothing, attentive, and emotionally available – the child usually develops a secure attachment. They learn that relationships are safe and that needs will be met.

But when care is inconsistent or overwhelming, different attachment styles emerge. Some children adapt by becoming anxious: they cling, protest, or grow hyper-alert to any signs of abandonment because love feels uncertain. Others adapt by becoming avoidant: they shut down, withdraw, or rely only on themselves because closeness feels risky. Still others fall into a disorganized pattern, caught between reaching for connection and fearing it at the same time.

The different attachment styles we learn in childhood tend to influence how we connect in our adult relationships. And when we combine two different people with different upbringings, the dynamics can be completely unique in almost every relationship.

For example, I once worked with a young pair where the girlfriend longed for closeness and reassurance, while the boyfriend seemed to retreat whenever emotions got intense. She described her attachment style as clinging while his was avoidant – always wanting to run when a serious conversation needed to happen.

This dynamic is a textbook example of how anxious and avoidant attachment styles can collide: one partner grasps for security, while the other pulls away in order to feel safe.

We often keep recreating what happened in our own childhood and bringing it into our present relationships. We reenact the same patterns, and until we become conscious of them, take a deep look into why they exist, and seek to understand them, we will continue to encounter similar problems in different relationships.

So, what feels like a “relationship problem” in the present is often a reflection of early imprints being replayed. In my sessions, I help people notice these dynamics, understand where they come from, and gradually practice new ways of relating that allow for greater safety and connection.

How Trauma Can Create Unhealthy Feelings of What Love Is

I often see how people mistake intensity for intimacy. When a child grows up in an environment where love is tied up with fear, neglect, or unpredictability, they may learn that relationships are supposed to be unstable or painful. This is what we call trauma bonding: the nervous system becomes wired to associate closeness with conflict, abandonment, or volatility. As adults, this can show up as staying in relationships that hurt, because the chaos feels strangely familiar.

Secure love is different. It grows out of experiences where care was consistent, needs were met, and emotions were allowed. In secure relationships, partners can disagree or face stress without threatening the bond. Love feels steady rather than explosive, safe rather than consuming.

Part of my work is helping clients begin to notice the difference. Through EMDR and attachment-focused therapy, those old survival bonds start to loosen. The memories remain, but the emotional charge that once pulled someone back into the same painful dynamics fades. In that space, people can begin to choose relationships that feel safe, supportive, and truly loving.

How Unresolved Trauma Impacts How We React

Emotional reactivity happens when present-day situations trigger outsized responses that are really rooted in past wounds. A partner coming home late, forgetting a small detail, or withdrawing in an argument can ignite feelings of abandonment, rejection, or fear that are disproportionate to the moment.

This is because the nervous system is not only reacting to the partner in front of us, but also to unresolved experiences from childhood where needs were not met.

In therapy, I often help people make these connections. A present-day conflict becomes a window into earlier memories where similar emotions first formed. Through EMDR, we work on reducing the intensity of those memories so they no longer hijack the present. Clients often notice that situations which once felt overwhelming become more manageable, allowing them to stay grounded rather than spiral into fight, flight, or freeze.

How I Use EMDR to Reprocess Your Trauma

In EMDR, we reprocess our experiences by talking about our trauma. Part of the EMDR protocol is to take a history, especially of the painful negative experiences that continue to echo into the present. I often ask clients to identify the worst, most painful memory, because that single memory is often connected to many others. By working through it, we begin to loosen the whole network of stored experiences.

During reprocessing, I ask questions like, What did that little child need at the time? We do this to return to the moment when the nervous system encoded a belief such as I am unlovable or I am unsafe. A child doesn’t have the resources to question those beliefs or to recognize that the failure belonged to the parent, not to them. By asking what the child needed, we can introduce a new experience of what they needed in that moment. Instead of a harsh voice, maybe they needed a soft voice, or if they felt fear they needed to be consoled or held.

This process allows clients to access a new narrative. Instead of carrying the burden of something being wrong with them, they begin to recognize their parents were unable to give them what they needed – while still learning to accept that they were still worthy.

Over time, the emotional intensity of those memories changes. Clients report that situations which once brought overwhelming pain feel lighter, less charged, even neutral. At that point, the memory still exists, but it no longer dictates how they see themselves or how they respond in relationships.

What Happens After EMDR

One of the most powerful shifts that clients experience through EMDR is the emergence of self-compassion. Many clients tell me that, maybe for the first time, they can look at themselves with kindness instead of blame. They begin to relate to themselves the way a good parent would, such as being able to offer comfort when they make mistakes, rather than harsh judgment.

Another change is how people think about trust. Rather than focusing only on whether others can be trusted, clients start to recognize that trust is really about believing in their own ability to handle whatever life brings. This shift gives them more confidence and resilience in their relationships. At the core of all this work, the goal is that clients experience a deep sense of self-love and true self-acceptance.

I also see clients become more integrated in their sense of self. When trauma blocks development, people can get stuck in earlier stages of growth. Processing those wounds allows them to move through milestones they may have missed, creating a stronger foundation for adulthood. With this integration often comes less emotional reactivity, clearer boundaries, and more freedom in choosing how to relate to others.

For some, the transformation is profound. I’ve worked with people who, after EMDR, could finally imagine themselves as nurturing partners or parents. One client put it simply: I never would have thought of myself as being a good parent until now.

Remembering That Your Pain Counts

People often minimize their pain, comparing it to others’ suffering. I always remind them: If it was traumatic to you that is all that matters.

Healing is not about comparison. It is about honoring your own story, bringing compassion to the parts that hurt, and creating space for new ways of relating to yourself and others.

Take the First Step

Schedule a free 30-minute consultation to explore whether this approach feels right for you.

Request an appointment by clicking below:

Aug 28 2019

SCAMMED

By |Scam|

I was the survivor of a scam on August 16, and would like to use this platform to tell the story and utilize this as a cautionary tale.

On August 16, 2019, I received a voicemail from someone claiming to be a Sheriff Todd Hughes from San Mateo County. The voicemail sounded urgent and genuine. I called back at 4 pm when I was finished with my clients that day. The man stated that a certified letter had been delivered to my office on June 11, at which time someone signed for it. Apparently, the letter stated I was to appear as a witness for a grand jury the morning of August 16, and because I did not show the judge issued a bench warrant for my arrest.

He stated I was to go to San Francisco City Hall Sheriff’s Department, and deliver a writing sample to prove I was not the person who signed for the letter. I asked him why, if the case where I was expected to be a witness was in San Mateo, would I have to report to San Francisco City Hall. He said that was where I needed to go. And that was my first red flag. I also asked the name of the case. He said he would reveal that when I came to City Hall. Second red flag.

He asserted that I had to remain on the phone with him throughout this ordeal. Once I got to my car, he asked me to state my name, time, and date, and each time I made a transaction I was to repeat my name, time and date. He advised me that I needed to withdraw $1496.00 from my bank account. I was then told to find either a Safeway or CVS and buy, in cash, three Reloadit cards (which are very much like a Visa or Mastercard gift card) for the total of $1496.00.

I was told by this alleged sheriff to give him the numbers on the backs of each Reloadit card, along with the receipts from Safeway for said cards and mail it to an address in San Mateo, to the attention of Captain Holloway. I did not have postage, but deposited the cards and the three receipts in a postal box because he said it would still be sent to the appropriate address. He assured me that I would be reimbursed once I got to City Hall.

Once I got back in the car, again stating my name, time and date, he stated that the court hearing would begin while I was on the phone. He said he had to speak to the judge and would call me back. Meanwhile I drove down to City Hall, went upstairs to the third floor and the Sheriff’s office was closed. It wasn’t until that moment that it dawned on me this was a scam.

There were two sheriffs seated in the lobby of City Hall. I broke down. One of the folks summoned the chief deputy. He ushered me down to their security office. It was there that I filed a report, giving all the information I had at the time. The deputy tried to call the telephone number “Tod Hughes” gave, and the phone was disconnected – probably a burner phone.

Two weeks later a sheriff with the crime investigation division called to say he would be following up. The letter I mailed is still in the possession of the post office, and requires a federal agent to retrieve. Here is what I learned. This guy was good; he was very authoritative sounding and somewhat threatening. I went into fight mode, with a large dose of panic. I learned that I need to calm down first, if I ever get a call like that again. Then perhaps call my husband, or an attorney I know, to test the legitimacy of the claim, or report it to the police.

This was a hard lesson. I am more than anything outraged at having been duped, but recognizing that I am now properly armed. I wonder why someone who was clearly intelligent and quite sophisticated chooses to rob people rather than seeking lawful work, who could actually provide some kind of service.

My hope is that this provides some usefulness to others. A dear friend said to me to think of this as tuition. Very wise.

Dec 3 2018

NARCISSISM SEEMS RAMPANT

By |Ego, Narcissism, Narcissistic Personality Disorder, NPD|

Quite a number of people were revolted watching the manner in which Brett Kavanaugh so self-righteously behaved as though victimized by having to defend himself against allegations made by Christine Blasey-Ford. From all accounts, he went to a prestigious prep school, and seemed groomed to live and work within the upper echelons of society. How outrageous, thought he, that he was placed under scrutiny by the FBI and the Senate Judiciary Committee. How dare he be questioned at all? And then there was the Stanford athlete, Brock Turner, who had been accused of sexual assault on Stanford’s campus. Turner was convicted of three charges of felony sexual assault. Santa Clara County Superior Court Judge Aaron Persky sentenced Turner to six months confinement (of which he served half) and three years probation. Seeing his father so affronted on the news at the prospect of his son being punished was pretty striking.

How is it that a man accused of sexual assault turns into a victim? What is it that allows that process to happen? These are two examples of people who feel very entitled to be given whatever they want, because they seem to have grown up believing they deserve it, and nothing should stand in their way.

Here is an abridged definition of narcissism, as defined by the Diagnostic & Statistical Manual Fifth Edition (DSM V):

Individuals with NPD (Narcissistic Personality Disorder) have a grandiose sense of self-importance. They routinely over- estimate their abilities and inflate their accomplishments, appearing boastful and pretentious. They often underestimate the contributions of others. They are often preoccupied with fantasies of unlimited success, power, brilliance, beauty or ideal love. Individuals with NPD believe they are superior, special or unique, and expect others to recognize them as such. Their own self-esteem is enhanced by the idealized value they assign to those with whom they associate. They require excessive admiration; their self-esteem is almost invariably very fragile. A sense of entitlement is evident in these individuals’ unreasonable expectation of especially favorable treatment. They expect to be catered to and are puzzled or furious when this does not happen. Individuals with NPD generally have a lack of empathy and have difficulty recognizing the desires, subjective experiences, and feelings of others. They are often contemptuous and impatient with others who talk about their own problems or concerns. Arrogant, haughty behaviors characterize these individuals: they often display snobbish, disdainful, or patronizing attitudes. Although they may not show it outwardly, criticism may haunt these individuals and may leave them humiliated, degraded, hollow, and empty. They may react with disdain, rage, or defiant counterattack.

It is interesting to note that those who live and work with them often feel exhausted, exploited, as though they must walk on eggshells, and never authentically connecting.

We know of at least one very obvious example, though I won’t mention his name. He speaks to others in an offensive tone, often blaming someone else, and when confronted with his words, deflects what is asked of him and then retaliates.

According to Freud, it is thought that all human infants pass through a phase of primary narcissism, in which they assume they are the center of the universe. This phase ends when the baby is forced by the realities of life to recognize that it does not control its parents or other caregivers but is in fact entirely dependent on them. Normally, the baby (at between 15-22 months) gives up its fantasy of being all powerful and becomes emotionally attached to its parents rather than itself. What happens for the NPD patient is that the fantasy persists that the world is his oyster and revolves around him. In order to protect this illusion, he must seal off those perceptions of reality that do not fit or resonate with this grandiose self.

The psychiatrist Kernberg views narcissism as a child’s defense against a cold and unempathic parent. Emotionally hungry and angry at the depriving parents, the child withdraws into a part of the self that the parents’ value, whether looks, intellectual ability, or some other skill or talent. This part of the self becomes hyper-inflated or grandiose. Any perceived weaknesses are split off into a hidden part of the self. Splitting gives rise to a lifelong tendency to swing between extremes of grandiosity and feelings of emptiness and worthlessness.

Additionally, a person with NPD frequently externalizes what s/he cannot allow themselves to feel.

Oct 23 2018

ON THE CURRENT POLITICAL ATMOSPHERE

By |Cognitive Dissonance, Me Too Movement, Politics|

As a therapist, I am both curious and disturbed by national politics, as well as how it has impacted my psychotherapy practice. The past two years have had clients reeling from all the high drama coming from the White House. I include myself in that group.

This blog is not meant to persuade or criticize those on the right or left. Nor is it meant to judge. This is to be a place where there is no vitriol, no attacks.

Ever since the 2016 election, many of my clients have been deeply troubled by the political ethos. In fact, the day after the election, my office felt like a morgue. People were left shocked, scared, and rendered helpless, similar to how a person feels after a traumatic incident, where the memory feels frozen in time.

Nowhere is this truer than for the ‘Me Too’ movement. After the Kavanaugh hearings in the Senate, many women were again activated. Seeing Christine Blasey Ford appear in front of the judiciary committee, with a look of what I would describe as terror, and based on the committee’s actions not believed, brought into sharp focus what women live with all the time. She came forward because she believed she had to, and the Senate voted that they believed she had been assaulted, but not by Kavanaugh. In fact, Susan Collins remarked that she KNEW it wasn’t Kavanaugh who assaulted her. That astounded me.

A client recently asserted that we as women have been rendered powerless. I don’t believe that. What I see is male bastions being challenged, and in their effort to do so, clamping down on a movement that simply will not be thwarted. In fact, I see many of these folks as quite weak and scared beneath the loud bravado. They feel deeply threatened. But there will be no going back.

But how do we take care of ourselves? I admit that I get caught up reading and listening to the press, and then being anxious and upset. I have had friends and colleagues suggest taking a break from the news. I think we need to find ways to take special care of ourselves. This can include massages, time with good friends, meditation, and exercise. It can also include becoming an active citizen.

We are living in a psychological state of cognitive dissonance. Cognitive dissonance is defined as the mental discomfort experienced by a person who simultaneously holds two or more contradictory beliefs, ideas or values. This discomfort is triggered by a situation in which a belief of a person clashes with new evidence perceived by that person. For example, Ms. Blasey Ford’s testimony was believed by the Republican members of the judiciary committee, yet they chose to forward Kavanaugh’s nomination anyway.

This is a time when truth is not held by the culture as a high value and it is deeply troubling.