The Mental and Physical Toll of Working with a Narcissist

Have you ever left a job feeling like a shell of yourself—anxious, exhausted, second-guessing everything, and unsure how it got so bad?

In this episode of Narcissism at Work, Leyya and Clinical Psychologist Dr. Daksha Hirani explore the deep, often invisible toll that narcissistic abuse takes on the body and mind. From chronic stress and anxiety to adrenal fatigue and disconnection from self, this conversation unpacks the nuanced psychological and physical fallout of being in close proximity to narcissists.

You’ll hear why these symptoms often go unnoticed or are misdiagnosed, how survivors become stuck in fight, flight and freeze responses, and how trauma-informed tools like ACT therapy can help people reclaim their power and rebuild trust in their own bodies. The episode also offers practical first steps for anyone currently trapped in a toxic job or relationship dynamic

References and Frameworks Mentioned

• WHO (World Health Organisation)
• Polyvagal Theory (Stephen Porges)
• ACT Therapy (Acceptance and Commitment Therapy
• Internal Family Systems (IFS)
• EMDR Therapy (Eye Movement Desensitisation and Reprocessing) for trauma release
• The “STUF” Framework from ACT(Sensations, Thoughts, Urges, Feelings)

Quote Highlights

“They will feed your fears and position themselves as the only person who can help you get what you need.” – Dr. Daksha Hirani

“I’ve always seen myself as a strong, brave, competent person. I couldn’t understand how I let it get so bad. But now I realise it’s not about weakness, it’s about how expertly these people play on our C.R.A.P. and target people for their strengths, NOT weaknesses.” – Leyya Sattar

Why it matters:

Far too many people endure chronic stress and trauma at work without naming it for what it truly is: abuse. When the harm is coming from someone charismatic, successful, or in a position of power, it often gets minimised or normalised leaving targets anxious, burned out, and disconnected from their sense of reality and self.

This episode breaks that silence. It gives language, context, and validation to what many have wrongly dismissed as “just work stress.” It reframes healing not as a return to who you were, but as a reclamation of agency…one that starts in the body, rewires the nervous system, and reconnects you to your core values.

For anyone stuck in a toxic workplace, questioning their gut, or simply feeling “off,” this episode offers both clarity and direction. It’s a map back to yourself.

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