Specialized support without crossing town.

Finding a therapist who understands narcissistic and emotional abuse can take time, and the right fit is not always a short drive away. If you live in the Fan, commute across the James from Bon Air, or spend your days between Henrico and Chesterfield, adding a weekly office visit can be the thing that makes therapy fall off the calendar.

Jami Saperstein, LPC (Virginia #0701014656), LMHC (Florida #MH19185), offers online narcissistic abuse therapy for adults in Richmond and the surrounding counties. Sessions happen by video, so you can get focused, specialized care from a private room at home. Figuring out whether the person who hurt you fits the label of narcissist is not a requirement. If a relationship left you confused, anxious, or doubting yourself, that is a reasonable place to begin.

What brings people to this kind of therapy.

Narcissistic and emotional abuse can come from a partner, a former spouse, a parent, a sibling, or even a boss. It often builds slowly. Affection and approval may have arrived in bursts, followed by criticism, silent treatment, or blame that seemed to come out of nowhere. Over time, you may have started editing yourself, apologizing for things you did not do, and wondering whether you were the problem.

People often reach out when:

  • They have left a relationship but still hear the other person's voice in their head.
  • They are still in the relationship and want clarity before making any decisions.
  • They keep returning to someone who hurts them and do not understand why.
  • A parent's criticism still shapes how they see themselves at 30, 45, or 60.
  • They feel anxious, numb, or exhausted and cannot connect it to one clear cause.

Signs the relationship is still affecting you.

  • You replay conversations, trying to figure out what you "should" have said.
  • You find it hard to make simple choices without someone else's input.
  • You feel guilty for setting limits, even small ones.
  • You brace for anger when a text goes unanswered or plans change.
  • You have lost touch with friends, interests, or parts of yourself you used to enjoy.

These are common effects of a relationship where your reality was repeatedly questioned. They can change with the right support.

How Jami works.

Narcissistic and emotional abuse recovery is Jami's specialty, and she is a Certified Narcissistic Abuse Treatment Clinician. Her style is warm, direct, and collaborative, and you set the pace. Depending on what helps, sessions may draw on:

  • Trauma-informed therapy that makes room for your experience without judgment or pressure.
  • Cognitive behavioral therapy (CBT) to sort out the beliefs you absorbed about yourself from the ones you choose to keep.
  • Somatic approaches and grounding skills that help your body settle when old alarms go off.

Early sessions often focus on whatever feels most urgent, such as a recent breakup, a confusing conversation, or the urge to reach back out. Later, the work can turn toward rebuilding trust in your own perceptions and practicing boundaries in real situations.

What online sessions look like.

Sessions take place by video on Zoom. Bring a steady internet connection, a laptop, tablet, or phone with a working camera, and a room where you can speak freely. If you share a home with the person you are talking about, choose a time and place where they cannot overhear.

Each session requires you to be physically in Virginia while you meet. Jami has no Richmond office and no Virginia office, so all sessions are online.

Richmond-area communities served.

Jami works with adults across the Richmond area, including:

  • City of Richmond: the Fan and nearby city neighborhoods.
  • Henrico County: from the near West End to eastern Henrico. If you are in Short Pump, Glen Allen, or Goochland, the Short Pump and Goochland page speaks more directly to your area.
  • Chesterfield County: Midlothian, Bon Air, and surrounding communities south of the James.

She also works with adults in Charlottesville, Northern Virginia, and elsewhere in the state. For an overview, see online therapy in Virginia.

Related support in Virginia.

Fees, insurance, and cancellations.

  • Self-pay: $175 per session.
  • Insurance: Jami is in network with UnitedHealthcare, Cigna, and Aetna. Copays and coverage vary by plan, so check your behavioral health benefits with your insurer before your first session.
  • Out-of-network plans: a superbill is available so you can submit sessions to your insurer for possible reimbursement. What you get back depends on your plan.
  • Cancellations: please give at least 24 hours' notice to cancel or reschedule. Late cancellations and no-shows are charged the full session fee.