2026-08-20T00:00:00-04:00
Loading Events

Narcissistic and Antagonistic Relationship Therapy: A Structured Clinical Framework

January 30 – February 13, 2027
Morning Workshop Sessions: February 1-5 | 9:00 am – 12:30 pm daily
7-Night All-Inclusive Resort Stay + Workshop Registration
Packages starting at USD $3,555 per room — not per person

Presented by Ramani Durvasula

Clinical Psychologist and Leading Expert on Narcissism and Relationships

Ramani Durvasula - Narcissism

Workshop Details

About this workshop

Narcissistic and Antagonistic Relationship Therapy: Understanding & Working With Complex Relational Systems

Mental health clinicians increasingly encounter clients impacted by relationships with individuals who display narcissistic or antagonistic personality traits. While the term “narcissistic abuse” is widely used, many clinicians lack a structured framework for understanding the relational dynamics and clinical fallout.

Clients affected by these relationships often present with:

  • Emotional confusion and distress
  • Trauma-related symptoms
  • Diminished sense of self
  • Attachment disruptions
  • Safety and autonomy challenges

Narcissistic and Antagonistic Relationship Therapy requires more than symptom management. It demands a coherent lens for understanding personality style, relational behavior, and adaptive survival strategies.

This training led by Ramani Durvasula introduces the Antagonism Informed Model (AIM), a structured clinical framework designed to support therapists navigating these complex presentations.

Core Traits and Relational Dynamics

Participants explore narcissism and antagonism as personality styles that exist along a spectrum. These traits may be expressed through a range of relational behaviors rather than as isolated diagnostic labels.

The training examines common relational patterns such as:

  • Intermittent reinforcement
  • Cognitive dissonance
  • Trauma bonding
  • Betrayal blindness
  • Coercive control

Attention is given to the adaptive behaviors clients develop to remain safe, attached, or emotionally regulated within these systems. Structural awareness and intersectional considerations are integrated to illuminate how power, access to resources, and systemic forces shape client experience.

Assessment, Stabilization, and Ethical Practice

The Antagonism Informed Model integrates several core clinical domains, including assessment, safety, psychoeducation, grief, and the development of agency.

Clinicians will learn how to:

  • Conduct ongoing risk assessment
  • Support emotional stabilization
  • Center the client’s lived experience
  • Foster individuation and autonomy
  • Navigate documentation and confidentiality concerns

Legal and ethical considerations are addressed directly. Clinician wellbeing is also emphasized, given the complexity of this work.

AIM is not presented as a standalone modality. It is a flexible guiding framework that can be integrated across theoretical orientations.

Integrating Narcissistic and Antagonistic Relationship Therapy into Clinical Practice

Effective Narcissistic and Antagonistic Relationship Therapy requires clarity, precision, and structural awareness. By adopting an antagonism-informed lens, clinicians strengthen case conceptualization and enhance therapeutic safety.

Participants leave with practical strategies to:

  • Improve client engagement
  • Reduce confusion and ambivalence
  • Support agency and decision-making
  • Navigate complex relational systems with confidence

This training equips clinicians with a structured, adaptable approach to Narcissistic and Antagonistic Relationship Therapy that enhances clinical confidence and depth.

Invitation from Ramani Durvasula

Learning Objectives

  • Describe narcissism and antagonism as personality styles, including characteristic traits, motivations, and presentations, and differentiate categorical and dimensional formulations of narcissistic personality pathology (including NPD).

  • Identify common behaviors, tactics, and relational patterns observed in relationships with individuals with narcissistic and antagonistic personalities.

  • Explain the concepts of trauma bonding, cognitive dissonance, and betrayal blindness as they apply to narcissistic and antagonistic relational dynamics.

  • Recognize common behavioral responses and adaptive strategies used by individuals in these relationships, including patterns related to attachment and safety.

  • Identify the most frequently observed symptom presentations and psychological fallout experienced by clients impacted by narcissistic and antagonistic relationships.

  • Apply the key principles of the Antagonism Informed Model (AIM) to clinical case conceptualization and treatment planning.

  • Describe ongoing assessment considerations when working with clients affected by narcissistic and antagonistic relational dynamics.

  • Implement strategies to support safety, emotional stabilization, trust, and therapeutic rapport with affected clients.

  • Apply interventions that foster agency, autonomy, and individuation to support client decision-making and recovery.

  • Explain the role of structural awareness and intersectionality when working with clients impacted by narcissistic and antagonistic relationships.

  • Identify key legal and ethical considerations relevant to clinical work with clients involved in narcissistic and antagonistic relational systems.

Daily Workshop Agenda

This workshop is approved for 16.25 CE hours by Praxis Continuing Education and Training.

Time Frame Content (Topics)
DAY 1
9:00 am – 10:15 am Narcissism Beyond DSM Diagnostic Criteria

  • Understanding antagonism as a higher-order personality trait
  • Origins and developmental pathways of narcissism
  • Spectrum of narcissistic severity
  • Subtypes of narcissism
  • Assessment considerations
  • Common comorbidities and diagnostic overlap

Objectives: 1, 7

10:15 am – 10:30 am Morning break*
10:30 am – 12:30 pm Narcissistic Behavior in Relationships

  • Intrapersonal and relational motivations
  •  Thoughts, emotions, and behavioral patterns in narcissism
  • Shame, vulnerability, and protective defenses
  • Common narcissistic behaviors and relational tactics
  • Neurodivergence vs. other mental health conditions vs. antagonism
  • Importance of an antagonism-informed clinical lens

Objectives: 2, 5, 6

DAY 2
9:00 am – 10:15 am Dynamics of Narcissistic and Antagonistic Relationships

  • Intermittent reinforcement and relational inconsistency
  • Social perceptions of narcissistic individuals
  • Cognitive dissonance and relational entrapment
  • Trauma bonding and attachment dynamics
  • The narcissistic relationship cycle
  • Attachment, connection, and safety within antagonistic relationships
  • DARVO and betrayal blindness

Objectives: 2, 3, 4

10:15 am – 10:30 am Morning break*
10:30 am – 12:30 pm Client Responses and Psychological Fallout

  • Common responses to narcissistic and antagonistic behavior
  • Strategies clients use to maintain safety and attachment
  • Impact of diminished social power on relational responses
  • Self-abandonment and adaptive survival strategies
  • Emotional, cognitive, and behavioral fallout of narcissistic and antagonistic relational dynamics

Objectives: 4, 5, 8

DAY 3
9:00 am – 10:15 am An Antagonism-Informed Approach to Clinical Work

  • Overview of the Antagonism Informed Model (AIM)
  • Core phases of treatment when working with narcissistic/antagonistic relational systems
  • Integrating antagonism-informed and trauma-informed care
  • Creating a treatment map using AIM principles
  • Common clinical pitfalls and what traditional approaches may miss
  • Working with client ambivalence: “Do I stay or do I go?”

Objectives: 6, 7, 8

10:15 am – 10:30 am Morning break*
10:30 am – 12:30 pm Best Practices for Treatment and Intervention

  • Fostering safety and emotional stabilization
  • Primary areas of ongoing assessment
  • Managing severe symptom presentation
  • Preparing clients for psychoeducation while minimizing harm
  • Fostering grief, acceptance, and meaning-making
  • Supporting agency, individuation, and autonomy

Objectives: 6, 8, 9

DAY 4
9:00 am – 10:15 am Application of Antagonism Informed Model (AIM) Principles

  • Review of key AIM concepts and clinical phases
  • Introduction of clinical case material
  • Small-group case review and preparation
  • Identifying primary clinical concerns and treatment priorities
  • Preparing to apply AIM principles to real-world cases

Objectives: 6, 7, 8

10:15 am – 10:30 am Morning break*
10:30 am – 12:30 pm Case Discussion and Clinical Integration

  • Group presentations of case conceptualizations
  • Collaborative development of treatment plans using AIM
  • Identification of areas of clinical complexity or concern
  • Facilitated discussion on application challenges
  • Integration of assessment, safety, and intervention strategies

Objectives: 6, 8, 9

DAY 5
9:00 am – 10:15 am Cultural, Intersectional, and Structural Considerations in Antagonistic Relational Systems

  • Intrapersonal, interpersonal, and contextual influences on client experience
  • Cultural, social, and systemic factors shaping narcissistic and antagonistic relationships
  • Structural power, access to resources, and mental health inequities
  • Understanding client experiences beyond an individual pathology model
  • Cultural humility, flexibility, and clinician positionality
  • Navigating power dynamics within the therapeutic relationship

Objectives: 10, 6

10:15 am – 10:30 am Morning break
10:30 am – 12:30 pm Legal, Ethical, and Professional Considerations

  • Documentation and access to clinical records
  • Working with collateral contacts and other professionals
  • Confidentiality and informed consent challenges
  • Risk assessment, including domestic violence, coercive control, suicidality, and dangerousness
  • Consultation, clinician support, and protecting client identity
  • Impact on clinicians: preventing burnout, helplessness, and secondary trauma

Objectives: 11, 8, 9

*Breaks not applicable for CEs.

Additional Workshop Details

Target Audience:
Marriage and Family Therapists, Clinical and Counseling Psychologists, Psychiatric Social Workers, Pastoral Counselors, Psychotherapists, Psychiatrists, Physicians, Nurse Practitioners, Occupational Therapists, Counselors, Graduate Students in Accredited Programs in these fields

What level of knowledge should the attendee have in this topic?
Intermediate/Advanced

Pricing & Accommodations

Choose Your Retreat Package

Your Retreat Experience Includes:

  • 7 nights all-inclusive accommodations (Saturday, January 30 – Saturday, February 6, 2027) at Dreams Jade Resort & Spa.*
  • One workshop registration with Ramani Durvasula
  • Daily training (9:00 am – 12:30 pm)
  • Access to resort amenities
  • All meals, drinks, and snacks included

Each package includes a 7-night all-inclusive resort stay and one workshop registration. Workshop participants must book through the official Leading Edge Cancun registration process.

Retreat Package Pricing (7 Nights + 1 Workshop)

Early Bird Rates — valid to September 30, 2026

Junior Suite Tropical View Junior Suite Ocean View Preferred Club Ocean View (18+)
Single Occupancy (1 adult) USD$3,555 USD$3,985 USD$4,885
Double Occupancy (2 adults sharing) USD$4,035 USD$4,485 USD$4,885
Triple Occupancy (3 adults sharing) USD$5,435 USD$6,135 USD$6,705
Child Rate (3 to 12 year) when sharing with adult USD$616 USD$616 N/A

Important Information

  • Rates are shown in USD unless otherwise specified.
  • If you prefer to pay in CAD, you can select this option at checkout and pricing will automatically update.
  • Rates are per room, per week based on occupancy and include one workshop registration.
  • Additional workshop registrations can be added during registration.
  • Stay duration is 7 nights, Saturday to Saturday.
  • Children aged 0–2 stay free.
  • Child rates apply to children aged 3–12.
  • Guests aged 13+ are charged at the adult rate.
  • King bed rooms accommodate a maximum of 2 guests.
  • Rooms with 2 double beds accommodate a maximum of 4 guests.
  • Maximum room occupancy is up to 2 adults + 2 children, or 3 adults + 1 child, where room type allows.
  • Preferred Club accommodations are adults-only, 18+.

Room Options

junior suite tropical view
Junior Suite Tropical View

A comfortable and cost-effective option with tropical surroundings.

junior suite ocean view
Junior Suite Ocean View

An upgraded experience with beautiful partial ocean views.

prefered club ocean view
Preferred Club Ocean View (18+ only)

Premium accommodations with enhanced amenities and exclusive privilege

Which Option is Right for You?

Single Occupancy

Ideal if you prefer your own private space during the retreat. This package includes a private room for one guest, 7 nights of all-inclusive accommodations, and one workshop registration built into the price.

Pricing is per room, with one guest in the room.

Double Occupancy

Perfect for colleagues, friends, partners, or guests sharing a room. Your roommate does not need to attend the training.

Pricing is per room, not per person, and includes one workshop registration.
If your roommate is also attending the workshop, please add an additional workshop registration at checkout.

Triple Occupancy

A great option for families, colleagues, friends, or small groups sharing a room. Your roommates do not need to attend the training.

Pricing is per room, not per person, and includes one workshop registration.
If additional guests in the room are also attending the workshop, please add their workshop registrations at checkout.

Travel & Resort Info

About the Resort

Located along the Caribbean coastline just outside Cancun, Dreams Jade Resort & Spa offers a beautiful beachfront setting for both learning and relaxation. This all-inclusive resort provides the perfect balance of professional development and rejuvenation including:

  • Beachfront location with stunning ocean views
  • Multiple pools and private beach access
  • All-inclusive dining, drinks, and snacks
  • On-site restaurants, cafés, and bars
  • Fitness center and wellness facilities
  • Spa services available (additional cost)

Getting There

  • Airfare is not included in your retreat package.
  • Please plan to fly into Cancun International Airport (CUN) on Saturday, January 30, 2027
  • The resort is approximately 20–25 minutes from the airport.

Airport Transfers

  • Airfare is not included in your retreat package and must be arranged separately.
  • Private transfers and taxis are easily arranged at the airport
  • We will provide recommended transfer options prior to your arrival

Extending Your Stay

Interested in arriving early or staying longer?

We’re happy to assist with extended stay arrangements — please contact us for details.

About the Location

Located in Puerto Morelos, just south of Cancun, this quieter coastal area offers a more relaxed atmosphere while still being close to the airport and major attractions.

Share This Event!

Go to Top