Why do narcissists reject you sexually? 7 shocking truths – this question represents one of the most painful and shameful experiences in narcissistic abuse, leaving survivors questioning their attractiveness, worth, and desirability in ways that can destroy their self-esteem for years. After working with thousands of survivors through NarcissismExposed.com as a Certified Narcissistic Abuse Specialist, I can tell you that understanding these shocking truths will either validate your deepest suspicions about their manipulation or completely transform how you view their rejection and your own worth.
The devastating reality is that narcissistic sexual rejection has nothing to do with your attractiveness, desirability, or worth as a partner, and everything to do with power, control, and psychological manipulation designed to keep you emotionally dependent and questioning your own value. This isn't about libido, sexual preference, or normal relationship dynamics – it's about weaponizing intimacy to maintain dominance over your emotions and self-perception.
What makes this particularly cruel is that sexual rejection strikes at the core of human needs for connection, validation, and intimacy, creating profound shame that survivors often carry long after the relationship ends. The confusion about why someone who supposedly loved you would consistently reject your attempts at intimacy creates self-doubt that can affect future relationships and personal confidence.
Understanding these seven shocking truths about narcissistic sexual rejection is crucial for your healing because it shifts the focus from your perceived inadequacies to their calculated manipulation tactics, helping you reclaim your sense of worth and desirability.
Understanding Sexual Rejection as Narcissistic Control
Before we explore the specific shocking truths about why narcissists reject you sexually, it's essential to understand how sexual rejection functions as a sophisticated form of psychological control that serves multiple purposes in the narcissist's manipulation arsenal.
Sexual rejection in narcissistic relationships isn't about natural fluctuations in desire or normal relationship challenges – it's a calculated tactic designed to maintain power, create insecurity, and establish the narcissist's position as the gatekeeper of intimacy and validation. This weaponization of sexuality creates profound psychological impacts that extend far beyond the bedroom.
The Psychology of Sexual Control
Research from the Journal of Sexual Medicine reveals that individuals with narcissistic traits often use sexual behavior as a means of control rather than genuine intimacy or connection. This approach to sexuality reflects their broader pattern of viewing relationships as opportunities for dominance rather than mutual sharing and vulnerability.
Sexual rejection serves multiple control functions:
- Power Assertion: Establishing themselves as the controller of when and how intimacy occurs
- Emotional Regulation: Using your sexual frustration to maintain your emotional investment and desperation
- Self-Esteem Destruction: Systematically undermining your confidence in your attractiveness and desirability
- Dependency Creation: Making you grateful for any sexual attention while constantly seeking their approval
- Punishment Delivery: Using rejection as retaliation for perceived slights or boundary-setting attempts
The neurological reality behind narcissistic sexual behavior involves:
- Reduced capacity for genuine emotional intimacy and vulnerability
- Heightened focus on dominance and control rather than mutual pleasure and connection
- Difficulty experiencing sex as genuine sharing rather than ego validation or manipulation tool
- Limited empathy for their partner's emotional and physical needs
- Tendency to view their partner's desire as weakness to be exploited rather than love to be cherished
This understanding helps explain why their sexual rejection feels so different from normal relationship challenges – because it's designed to harm rather than communicate legitimate needs or boundaries.
Truth #1: Why Do Narcissists Reject You Sexually? It's About Power, Not Attraction
The first shocking truth is that narcissistic sexual rejection has absolutely nothing to do with your physical attractiveness, sexual appeal, or desirability, and everything to do with their need to maintain psychological power and control over you. This revelation can be simultaneously liberating and devastating for survivors who have spent months or years questioning their own worth.
Sexual rejection serves as a power display that:
- Establishes their position as the dominant partner who controls intimacy
- Creates a dynamic where you must beg, plead, or earn sexual attention
- Maintains their sense of superiority and your sense of inadequacy
- Demonstrates their ability to withhold something you deeply desire
- Reinforces their role as the provider of validation and worth
The rejection typically involves:
- Consistently declining sexual advances regardless of your approach or timing
- Making you feel like you're being inappropriate or pushy for expressing normal sexual desires
- Acting as though your sexual interest is bothersome or unreasonable
- Treating intimacy as a favor they're granting rather than mutual sharing
- Showing interest in others while rejecting you to amplify your insecurity
Why this tactic is so effective:
- Sexual rejection strikes at fundamental human needs for connection and validation
- It creates shame that survivors rarely discuss with others, increasing isolation
- The intimate nature makes it feel deeply personal rather than recognizing it as systematic abuse
- It exploits your love and attraction to them as weapons against your self-esteem
- The private nature makes it difficult to seek support or validation from others
One survivor shared: “I spent two years thinking there was something wrong with me sexually. I tried everything – new lingerie, different approaches, being more or less aggressive. Nothing worked because it was never about me. It was about his need to control and reject me to feel powerful.”
Truth #2: Why Do Narcissists Reject You Sexually? They Use Sex as a Reward-Punishment System
The second devastating truth is that narcissists operate a sophisticated reward-punishment system where sexual intimacy is granted or withheld based entirely on your compliance with their needs rather than genuine desire or connection. This creates a psychological conditioning pattern that keeps you constantly trying to “earn” intimacy through perfect behavior.
The reward-punishment system operates through:
- Providing sexual attention when you're completely compliant and ego-stroking
- Withholding intimacy when you've displayed independence or set boundaries
- Using your sexual frustration to motivate desired behaviors and attitudes
- Creating unpredictable patterns that keep you constantly guessing and trying harder
- Making sexual connection contingent on your emotional labor and ego management
Signs of the sexual reward-punishment system:
- Sexual availability correlates directly with your level of compliance and praise-giving
- Intimacy disappears immediately after conflicts or boundary-setting attempts
- They show sexual interest primarily when you're emotionally distant or considering leaving
- Sexual rejection increases when you're focused on your own goals or relationships
- Intimacy returns temporarily when they need something significant from you
The psychological conditioning creates:
- Constant self-monitoring of your behavior to avoid triggering rejection
- Association of sexual connection with perfect compliance rather than mutual attraction
- Fear of expressing needs or boundaries that might result in sexual withdrawal
- Confusion about whether their interest is based on love or manipulation
- Erosion of your natural sexual confidence and spontaneity
Why this system is particularly damaging:
- It trains you to associate your worth with their sexual interest
- Creates learned helplessness about your own desirability and sexual agency
- Makes you responsible for managing their moods to receive basic intimacy
- Destroys your ability to trust sexual interest as genuine rather than manipulative
- Creates trauma bonds where intermittent sexual reward becomes addictive
The neurological impact includes:
- Activation of reward and punishment centers that create addiction-like responses to their sexual attention
- Increased anxiety and hypervigilance around sexual interactions
- Difficulty experiencing sexuality as pleasurable rather than performance-based
- Association of sexual rejection with personal failure rather than their manipulation
Truth #3: Why Do Narcissists Reject You Sexually? Your Desire Threatens Their Control
The third shocking revelation is that your genuine sexual desire and attraction to them actually threatens their psychological control because it represents authentic emotion they cannot fully manipulate or manufacture. This explains why they often seem to punish you most severely when you're most genuinely attracted and loving toward them.
Your authentic desire threatens them because:
- It represents genuine emotion they cannot fully control or manufacture in you
- It demonstrates your independent capacity for attraction that doesn't depend on their manipulation
- It creates vulnerability in them that conflicts with their need for dominance
- It reminds them of their own inability to experience genuine sexual connection
- It shifts focus from their control tactics to mutual pleasure and connection
How they manage this threat:
- Rejecting you precisely when you're most genuinely attracted and open
- Making you feel ashamed or inappropriate for expressing natural sexual interest
- Treating your desire as weakness or neediness rather than love and attraction
- Using your vulnerability against you by rejecting you when you're most open
- Creating situations where you learn to hide or suppress your genuine sexual feelings
The psychological mechanism involves:
- Their discomfort with genuine intimacy and emotional vulnerability
- Fear that your authentic attraction might expect reciprocal genuine emotion from them
- Need to maintain emotional distance to preserve their manipulative control
- Inability to process or reciprocate authentic sexual and emotional connection
- Using rejection to regain control when they feel threatened by genuine intimacy
This explains patterns like:
- Increased rejection during periods when you're most loving and attentive
- Sexual interest primarily when you're emotionally distant or threatening to leave
- Treating your sexual advances as annoying rather than desirable
- Making you feel guilty or inappropriate for having normal sexual needs
- Showing interest in others precisely when you're most vulnerable and open
The impact on survivors includes:
- Learning to suppress or hide genuine sexual feelings and attraction
- Associating vulnerability with rejection and punishment
- Difficulty trusting their own sexual instincts and desires in future relationships
- Confusion about whether authentic attraction is appropriate or healthy
- Development of sexual shame around their own natural desires and needs
Truth #4: Why Do Narcissists Reject You Sexually? They Cannot Handle Genuine Intimacy
The fourth devastating truth is that narcissists fundamentally cannot tolerate the genuine emotional intimacy that healthy sexual connection requires, making consistent rejection inevitable regardless of your attractiveness or approach. This neurological and psychological limitation means the problem was never fixable through your efforts.
Genuine sexual intimacy requires capacities narcissists fundamentally lack:
- Emotional vulnerability and authentic connection with another person
- Empathy for their partner's needs and pleasure rather than self-focused performance
- Ability to be genuinely seen and known rather than maintaining a false image
- Capacity for mutual giving and receiving rather than purely transactional interactions
- Tolerance for the loss of control that comes with genuine sexual surrender
How their intimacy deficits manifest sexually:
- Treating sex as performance or conquest rather than connection
- Inability to be emotionally present during intimate moments
- Focus on their own validation rather than mutual pleasure and bonding
- Discomfort with the vulnerability required for authentic sexual expression
- Using sexual encounters to maintain image rather than express genuine feeling
The rejection patterns reflect:
- Their discomfort with the emotional intimacy you're seeking through sexual connection
- Inability to reciprocate the emotional vulnerability that healthy sexuality requires
- Fear of being truly seen or known beyond their carefully constructed persona
- Preference for maintaining emotional distance to preserve their sense of control
- Rejection of authentic connection in favor of transactional or manipulative interactions
Why this understanding is liberating:
- It reveals that rejection was never about your adequacy or attractiveness
- Shows that no amount of effort or change on your part could have fixed their limitation
- Validates that your desire for genuine intimacy was healthy and normal
- Explains why their sexual behavior felt hollow or performative when it occurred
- Helps you understand that their capacity, not your worth, was the limiting factor
Research from the Journal of Personality shows that narcissistic individuals have significant deficits in:
- Emotional intimacy and authentic vulnerability in relationships
- Empathetic response to their partner's emotional and physical needs
- Capacity for genuine emotional connection during sexual experiences
- Integration of emotional and physical intimacy in meaningful ways
- Ability to maintain authentic sexual relationships over time
Truth #5: Why Do Narcissists Reject You Sexually? They Use Your Rejection to Create Trauma Bonds
The fifth shocking truth is that narcissistic sexual rejection is specifically designed to create trauma bonds by making rare moments of sexual connection feel extraordinarily meaningful and addictive. This intermittent reinforcement pattern makes you crave their sexual attention with an intensity that healthy relationships don't produce.
The trauma bonding mechanism works through:
- Extended periods of rejection that create desperation and emotional starvation
- Occasional sexual connection that provides intense relief and validation
- Unpredictable timing that prevents you from emotionally adapting or healing
- Association of their sexual attention with emotional salvation and worth
- Creation of withdrawal-like symptoms when sexual connection is withheld
Signs of sexual trauma bonding include:
- Feeling euphoric and validated when they show sexual interest after long periods of rejection
- Obsessing over sexual interactions and analyzing them for meaning about your worth
- Feeling grateful for sexual attention that should be normal in loving relationships
- Experiencing anxiety and depression during periods of sexual rejection
- Finding it difficult to imagine being sexually fulfilled with anyone else
The neurological impact creates:
- Dopamine release patterns similar to gambling addiction when sexual attention is received
- Chronic stress and cortisol elevation during rejection periods
- Anxiety and hypervigilance around their moods and potential sexual availability
- Association of sexual connection with relief from emotional pain rather than pleasure
- Addiction-like craving for their specific sexual attention and validation
Why this pattern is so powerful:
- It exploits fundamental human bonding mechanisms designed for survival
- Creates biochemical addiction to their approval and sexual attention
- Makes you feel like their sexual interest is more valuable than anyone else's
- Prevents you from recognizing that their sexual behavior is abusive rather than love
- Creates tolerance where normal, consistent sexual attention feels boring compared to their dramatic cycles
The long-term impact includes:
- Difficulty experiencing healthy, consistent sexual relationships as satisfying
- Confusion about whether stable sexual attention represents genuine attraction
- Craving for the intensity and drama of unpredictable sexual attention
- Association of sexual connection with emotional rescue rather than mutual pleasure
- Challenges in trusting that sexual interest from healthy partners is authentic and lasting
Truth #6: Why Do Narcissists Reject You Sexually? It's a Calculated Attack on Your Self-Worth
The sixth devastating revelation is that narcissistic sexual rejection is a calculated psychological attack designed to destroy your self-worth and make you dependent on their validation for any sense of sexual confidence or desirability. This systematic undermining of your sexual self-esteem serves to maintain their control while ensuring you remain grateful for any attention they provide.
The systematic attack on your sexual self-worth involves:
- Making you feel unwanted and undesirable despite their initial pursuit of you
- Creating shame around your natural sexual needs and desires
- Treating your attempts at intimacy as inappropriate, pushy, or annoying
- Comparing you unfavorably to others, either explicitly or through implied criticism
- Making you feel grateful for sexual attention that should be normal in loving relationships
How they execute the psychological attack:
- Consistent rejection followed by claims that you're “too needy” or have unrealistic expectations
- Making you feel like there's something wrong with your sexual needs or approach
- Treating sex as a favor they're granting rather than mutual desire and pleasure
- Using your sexual frustration to highlight your “desperation” as unattractive
- Creating situations where you must beg or perform for basic sexual attention
The strategic purpose includes:
- Ensuring you remain focused on earning their approval rather than questioning their treatment
- Preventing you from recognizing your own sexual worth and attractiveness
- Making you afraid to seek sexual fulfillment elsewhere due to damaged confidence
- Creating dependence on their validation for any sense of sexual adequacy
- Establishing themselves as the authority on your sexual worth and desirability
The psychological warfare manifests as:
- Constant self-doubt about your attractiveness and sexual appeal
- Fear of initiating intimacy due to previous rejection and humiliation
- Analyzing every sexual interaction for signs of their approval or disapproval
- Feeling like you must constantly prove your sexual worth and desirability
- Losing touch with your own sexual instincts and desires
One survivor described: “I went from being confident about my sexuality to constantly questioning everything about myself. He made me feel like I was desperate and unattractive for wanting normal intimacy. I started avoiding initiating anything because the rejection was so humiliating. He had me convinced that I was lucky to get any sexual attention from him at all.”
The recovery challenge involves:
- Rebuilding sexual confidence that was systematically destroyed
- Learning to trust your own perceptions of your attractiveness and worth
- Recognizing that your sexual needs were normal and healthy
- Understanding that their rejection reflected their dysfunction, not your inadequacy
- Developing the ability to receive genuine sexual interest without suspicion or disbelief
Truth #7: Why Do Narcissists Reject You Sexually? They Cannot Tolerate Your Sexual Agency and Independence
The seventh and final shocking truth is that narcissists reject you sexually when you demonstrate sexual agency, independence, or confidence because these qualities threaten their need to maintain dominance and control over your sexuality and self-perception. Your sexual empowerment represents a direct challenge to their psychological authority over you.
Sexual agency threatens narcissistic control because:
- It demonstrates your independence and self-determination rather than dependence on their validation
- It shows confidence in your own worth and desirability that doesn't require their approval
- It represents authentic self-expression that they cannot manufacture or control
- It suggests you might seek sexual fulfillment elsewhere if they continue rejecting you
- It challenges their position as the authority on your sexual worth and attractiveness
How they respond to your sexual confidence:
- Increased rejection precisely when you're feeling most confident and empowered
- Making you feel inappropriate or aggressive for expressing healthy sexual assertiveness
- Treating your sexual confidence as arrogance or unrealistic self-perception
- Using increased rejection to force you back into insecurity and dependence
- Punishing any signs of sexual independence or self-determination
Examples of sexual agency that trigger increased rejection:
- Expressing your sexual needs clearly and directly
- Showing confidence in your attractiveness and desirability
- Refusing to beg or perform for sexual attention
- Indicating that you might seek fulfillment elsewhere if the rejection continues
- Demonstrating sexual knowledge or experience that doesn't center on them
The psychological mechanism involves:
- Their need to maintain their position as the sexual authority in the relationship
- Fear that your sexual confidence might lead to independence or leaving
- Discomfort with your authentic sexual expression that they cannot control
- Using rejection to force you back into insecurity and compliance
- Maintaining their role as the provider of sexual validation and worth
Why this pattern is particularly damaging:
- It punishes healthy sexual development and confidence
- Teaches you to associate sexual empowerment with rejection and punishment
- Creates fear of expressing authentic sexual desires and needs
- Makes you believe that sexual confidence is inappropriate or unattractive
- Destroys your natural sexual development and self-determination
The recovery process requires:
- Recognizing that your sexual confidence and agency were healthy and appropriate
- Understanding that their rejection of your empowerment reflected their insecurity, not your inadequacy
- Rebuilding trust in your own sexual instincts and desires
- Learning that healthy partners celebrate rather than punish sexual confidence
- Developing the ability to maintain sexual agency regardless of others' responses
Breaking Free: Understanding Why Do Narcissists Reject You Sexually? 7 Shocking Truths for Healing
Understanding these seven shocking truths about narcissistic sexual rejection is crucial for breaking free from the shame, self-doubt, and damaged self-worth that this form of abuse creates. The healing process involves reclaiming your understanding of your own worth and desirability.
Reclaiming Your Sexual Self-Worth
The first step in healing from narcissistic sexual rejection is understanding that your worth, attractiveness, and desirability were never accurately reflected in their treatment of you. Their rejection was a manipulation tactic rather than an authentic response to your sexual appeal or adequacy as a partner.
Healing strategies include:
- Recognizing that their rejection reflected their dysfunction rather than your inadequacy
- Understanding that your sexual needs and desires were normal and healthy
- Reclaiming your sense of attractiveness and worth independent of their validation
- Learning to trust your own perceptions of your sexual confidence and appeal
- Building relationships with people who celebrate rather than punish your sexual agency
Professional support becomes crucial for:
- Processing the shame and trauma created by systematic sexual rejection
- Rebuilding sexual confidence that was deliberately destroyed
- Learning to distinguish between healthy sexual dynamics and manipulation
- Developing the ability to recognize and maintain sexual boundaries
- Healing the association between sexual expression and rejection or punishment
Building Healthy Sexual Relationships
Recovery from narcissistic sexual rejection involves learning to recognize and create healthy sexual dynamics based on mutual desire, respect, and genuine connection rather than power and control.
Healthy sexual relationships include:
- Mutual desire and attraction that doesn't depend on compliance or perfect behavior
- Respect for sexual boundaries and agency rather than attempts to control
- Genuine intimacy that includes emotional vulnerability and authentic connection
- Sexual interest that remains consistent rather than being used as reward or punishment
- Celebration of your sexual confidence rather than attempts to undermine it
Red flags to avoid in future relationships:
- Sexual interest that correlates with your compliance or ego-stroking behavior
- Partners who make you feel guilty or inappropriate for having normal sexual needs
- Sexual attention that feels manipulative or conditional rather than genuine
- Rejection patterns that seem designed to hurt rather than communicate legitimate boundaries
- Anyone who treats your sexual confidence as threatening rather than attractive
Key Takeaways: Why Do Narcissists Reject You Sexually? 7 Shocking Truths
Understanding these shocking truths about narcissistic sexual rejection provides crucial insight into manipulation tactics while validating that their rejection never reflected your worth or attractiveness.
Remember these essential truths:
- Sexual rejection is about power and control, never your attractiveness – their rejection served manipulation purposes rather than reflecting genuine sexual preferences
- They use sex as a reward-punishment system – sexual attention becomes contingent on compliance rather than mutual desire
- Your genuine desire threatens their control – authentic attraction represents emotion they cannot manipulate
- They cannot handle genuine intimacy – neurological limitations make authentic sexual connection impossible for them
- Rejection creates trauma bonds – intermittent sexual attention becomes addictive through deliberate conditioning
- It's a calculated attack on your self-worth – systematic rejection destroys sexual confidence to maintain control
- They cannot tolerate your sexual agency – sexual independence threatens their dominance and authority
The path forward involves:
- Reclaiming your understanding of your own sexual worth and attractiveness
- Recognizing that your sexual needs and confidence were healthy and appropriate
- Understanding that their capacity for genuine intimacy, not your adequacy, was the limitation
- Learning to identify healthy sexual dynamics based on mutual respect and desire
- Building relationships with people who celebrate rather than punish your sexual agency
- Healing the shame and trauma created by systematic sexual rejection
Understanding why narcissists reject you sexually isn't about excusing their behavior or maintaining hope for change. When survivors ask “why do narcissists reject you sexually? 7 shocking truths,” they're seeking validation for experiences that created profound shame and self-doubt about their attractiveness and worth. These truths provide the clarity needed to understand that the rejection was manipulation, not an accurate reflection of your desirability.
Your sexual needs were normal, your attraction was healthy, and your desire for genuine intimacy was appropriate. The problem was never your adequacy – it was their fundamental inability to provide authentic connection and their strategic use of rejection to maintain control over your self-perception and emotional state.
Moving forward means reclaiming your sexual confidence while building relationships based on mutual desire, respect, and genuine connection rather than power dynamics and manipulation.
Frequently Asked Questions
Is sexual rejection always a sign of narcissistic abuse?
No, healthy relationships can include periods of mismatched sexual desires or temporary rejection due to stress, health issues, or other legitimate factors. The difference lies in the pattern and motivation. Narcissistic sexual rejection is systematic, used as punishment or control, and designed to hurt rather than communicate genuine boundaries. Healthy rejection includes empathy for your feelings and doesn't correlate with compliance or punishment patterns. If sexual rejection feels calculated, manipulative, or designed to damage your self-esteem, it may indicate abusive dynamics.
How do I rebuild my sexual confidence after narcissistic sexual rejection?
Rebuilding sexual confidence requires understanding that their rejection reflected their dysfunction, not your worth. Start by recognizing that your sexual needs were normal and healthy. Work with a trauma-informed therapist to process the shame and damaged self-worth created by systematic rejection. Practice self-compassion and challenge negative thoughts about your attractiveness or adequacy. Focus on building relationships with people who demonstrate consistent respect and genuine interest. Remember that healthy partners celebrate your sexual confidence rather than trying to destroy it.
Can narcissists ever have healthy sexual relationships?
Narcissists struggle with authentic intimacy due to neurological and psychological limitations that affect their capacity for genuine emotional connection. While they may be capable of sexual performance, the underlying empathy and vulnerability required for healthy sexual relationships are typically absent. Their approach to sexuality tends to be transactional, manipulative, or ego-focused rather than based on mutual pleasure and connection. Any improvements are usually behavioral management rather than fundamental change in their capacity for genuine intimacy.
How do I know if my sexual needs were unreasonable or if it was actually abuse?
Normal sexual needs in relationships include desires for regular intimacy, emotional connection during sex, mutual pleasure, and respectful communication about sexual desires. If you were made to feel guilty, inappropriate, or excessive for wanting basic sexual connection and intimacy, this likely indicates manipulation rather than unreasonable expectations. Healthy partners work to understand and meet each other's needs rather than using rejection as punishment or control. Trust your instincts – if sexual dynamics felt manipulative or designed to hurt you, they probably were.
What if they rejected me because I wasn't attractive enough or good enough in bed?
This belief represents the internalized shame that narcissistic sexual rejection is designed to create. Their rejection was about power and control, not your attractiveness or sexual adequacy. Narcissists often target highly attractive, desirable people specifically because they want to break down their confidence. Your worth and attractiveness exist independently of their treatment of you. If attraction were the real issue, they wouldn't have pursued the relationship initially or used intermittent sexual attention to maintain control.
How do I trust sexual interest from healthy partners after narcissistic sexual rejection?
Learning to trust genuine sexual interest requires time and often professional support. Start by recognizing the differences between healthy sexual interest (consistent, respectful, celebrating your confidence) and manipulative attention (conditional, punishing, undermining your agency). Healthy partners remain sexually interested even when you set boundaries or express independence. They don't use sex as reward or punishment, and they care about your pleasure and emotional needs. Consider working with a therapist to process the trauma and develop skills for recognizing authentic versus manipulative sexual dynamics.
Can couples therapy help with narcissistic sexual rejection issues?
Couples therapy is generally not recommended for relationships involving narcissistic abuse, including sexual manipulation and rejection. Narcissists often use therapy sessions to gain more ammunition for manipulation or to convince therapists that their partner is the problem. Sexual rejection as a control tactic indicates deeper abusive patterns that couples therapy cannot address. Individual therapy focused on understanding narcissistic abuse and healing from sexual trauma is typically more beneficial for survivors than attempting to fix the sexual dynamics with the narcissistic partner.