How Does Emotional Gaslighting Affect Your Mind and Emotions?

How Does Emotional Gaslighting Affect Your Mind and Emotions?
Last updated: August 11, 2026 | Written & Reviewed by OCP Team

Ever walked away from a conversation more confused about your own feelings than when it started? You knew exactly how you felt going in, and somehow came out apologizing instead. That confusion is called emotional gaslighting.

The American Psychological Association defines gaslighting as manipulating another person into doubting their perceptions, experiences, or understanding of events. It’s one of the more damaging forms of manipulation because it rarely looks like abuse from the outside, and it often doesn’t feel like abuse from the inside either, until the damage is already done.

How Emotional Gaslighting Actually Works?

This behavior causes a slow erosion of self-trust and emotional stability. It relies on a slow, repetitive cycle that forces the victim to depend on the manipulator’s interpretation of events. This often develops through a gradual cycle that may include the following stages.

The Trust-Building Phase

In many emotionally abusive relationships, it begins with excessive affection or “love bombing,” creating emotional dependence before manipulation becomes more obvious.

Small Doubts Begin

The gaslighter starts denying things they said or changing small details about past events. This might confuse you a little, but you brush it off as a misunderstanding.

You Start Questioning Yourself

As these incidents occur frequently, you might try to explain yourself, and the other person dismisses your concerns and tells you that you are overreacting.

You Lose Confidence In Your Own Judgement

So, this way you start doubting your own decisions and perceptions, and you start relying on the other person to tell you what is true, even when your instincts tell you otherwise.

What are the types of Gaslighting?

Types of Emotional GaslightingWhat It Looks Like
Emotional invalidationBelittling your feelings and emotional experiences.
Reality manipulationDenying the facts and past events to make you question your memory.
Blame shiftingMaking you feel responsible for their behavior, mistakes, or the conflict.
TrivializingDownplaying your concerns, emotions, or experiences as unimportant.
ProjectionAccusing you of behaviors that actually reflect their own actions.
CounteringRepeatedly questioning your memory or perception without a valid reason.
WithholdingRefusing to listen to and acknowledge your concerns.
Persistent contradictionConsistently denying your perspective or disputing your recollection of events.
IsolationEncouraging you to distance yourself from friends, family, or other sources of support.
Positive gaslightingUsing praise or expressions of concern to manipulate your thoughts.

Psychological Effects of Long-Term Gaslighting

Long-term gaslighting can affect more than your confidence. Repeated gaslighting can contribute to ongoing anxiety and difficulty in trusting your own judgement. These psychological effects are divided into the following categories:

Emotional

  • Chronic anxiety
  • Shame
  • Guilt
  • Fear

Cognitive

  • Memory problems
  • Confusion
  • Indecisiveness and decision paralysis
  • Identity confusion

Behavioral

  • Isolation from friends and family
  • Constant apologizing
  • Reassurance-seeking
  • Hypervigilance

Physical

  • Insomnia
  • Headaches
  • Fatigue
  • Digestive issues

What Are the Signs of Gaslighting Behavior?

Although it looks different in every relationship, the emotional effects are often remarkably similar. The common warning signs that you may be experiencing include the following:

What Are the Signs of Gaslighting Behavior

  • You constantly doubt yourself and start questioning your memories or your ability to understand situations clearly.
  • You might feel anxious about expressing yourself as you fear causing conflict or upsetting the other person.
  • You may apologize for the problems that are not your fault.
  • You may be less confident in your judgement and become disconnected from the people who support you.

Moreover, there are some key signs of gaslighting behavior by a gaslighter. They include the following:

  • Blatantly lying: They flatly deny the things they said or did, even if you have proof.
  • Altering past events: They usually change the details of the past event to make you question your memory and believe you are at fault.
  • Minimizing emotions: They may tell you that you are too sensitive, overreacting, or dramatic.
  • Deflecting blame: They redirect the conversation, and you may blame yourself for their bad behaviors and actions.

What are Treatment Approaches for Emotional Gaslighting?

Mental health professionals use different approaches to treat this behavior. These approaches address different stages of this behavior. At Orange Coast Psychiatry, our expert psychiatrists use the following psychotherapy options:

  • CBT (Cognitive Behavioral Therapy): This helps to identify and challenge distorted self-beliefs formed during the relationship.
  • DBT (Dialectical Behavior Therapy): This builds emotional regulation and distress tolerance skills.
  • Eye Movement Desensitization and Reprocessing(EMDR): a trauma-focused therapy typically used when this behavior has left someone with deeper trauma symptoms, like flashbacks, intrusive memories, or a persistent sense of danger, rather than just everyday self-doubt.
  • Trauma-focused CBT: This technique is used to address the trauma responses that are tied to long-term manipulation.

Gaslighting Behavior in Relationships

Psychological manipulation is not limited to specific relationships. It shows up in every relation, including the following:

Gaslighting behaviour in Relationships

  • Romantic relationships: They usually deny past conversations. Minimize the feelings and alter the shared moments.
  • Parent-child relationships: The manipulative behavior of parents dismisses the child’s emotions, labeling them as dramatic or invalid.
  • Workplace relationships: This is also common in workplaces. People usually take credit and shift blame to others.
  • Friendships: They mention you as “too sensitive” to set boundaries.

What Does Gaslighting Look Like?

This behavior involves repeated manipulation that makes you question your thoughts as well as your emotions. Given below are the categories and repeated phrases to identify the typical manipulative behaviors:

What Does Gaslighting Look Like

  1. Reality distortion: This includes phrases like: “That never happened”, “You’re making things up.”
  2. Memory Manipulation: The common phrases are: “You’re remembering it wrong” , “I never said that.”
  3. Emotional Manipulation: Emotional reactions of a manipulator are like: You’re too sensitive”, “You’re overreacting”, “Stop being so dramatic.”
  4. Blame Shifting: The blaming behavior phrases include: “You’re the real problem here” , “You’re always twisting my words.”
  5. Public Humiliation: This often shatters your confidence. The repeated phrases include: ” Everyone thinks you’re difficult ” , “You’re crazy.”

What is Gaslighting From a Narcissist?

Narcissistic manipulation is a harmful way of controlling other people to gain power, attention, and praise. It is driven by a lack of empathy, including the deep need to protect the fragile ego. Some people with narcissistic traits may use tactics like twisting the truth, shifting blame, and playing with your feelings. This way, they control your behavior. A narcissist usually gaslights due to the following reasons:

  • To protect their fragile ego
  • To avoid accountability
  • To maintain a sense of superiority
  • To gain admiration
  • Create dependency
  • Preserve power

Personality Disorders Associated With Gaslighting

Gaslighting is a harmful pattern of emotional manipulation, but it is not a mental health diagnosis or a behavior that only occurs in people with personality disorders. A person can gaslight others without having any diagnosed condition.

Narcissistic traits

Some individuals with narcissistic traits may use manipulation to protect their self-image, maintain control, or avoid feelings of shame or criticism.

Antisocial traits

Certain antisocial traits may involve disregard for others’ feelings, deception, or using manipulation to achieve personal goals.

Borderline personality traits

In some cases, emotional dysregulation, fear of abandonment, or intense relationship difficulties may contribute to unhealthy communication patterns. However, this does not mean people with borderline personality disorder intentionally gaslight others.

One thing to remember is that a personality disorder diagnosis does not mean someone gaslights. This behavior does not automatically mean someone has a personality disorder.

Trauma Bonding

Long-term gaslighting can contribute to trauma bonding, a strong emotional attachment that develops through a repeated cycle of affection, conflict, manipulation, and emotional distress. When someone alternates between hurtful behavior and moments of kindness or reassurance, the relationship can become confusing and emotionally difficult to leave.

Trauma bonding pattern involves the following types of behaviors:

  • Affection and cruelty come unpredictably.
  • The good moments feel far more rewarding.
  • You keep believing things may go back to how they were at the beginning.
  • You start relying on the person for mental stability even when that person is responsible for that instability.

Can Someone Gaslight Without Realizing It?

Yes, a person can gaslight without realizing it. This kind of behavior develops from poor communication skills, unhealthy coping strategies, and learned family patterns. However, whether this behavior is intentional or not, repeated manipulation can cause a person to question their worth, which leads to damaged self-confidence.

Gaslighting Behavior vs. Normal Conflict

Gaslighting is termed as emotional manipulation that is intended to make you doubt your reality. It is aimed at gaining power and avoiding accountability. It forces the other person to submit to the manipulator’s version of events. Plus, it involves outright denial of facts.

In contrast, a normal conflict is defined as a disagreement where both people retain their own perspective while trying to resolve an issue. This is aimed at expressing different opinions or solving practical problems. It also involves respecting each other’s basic humanity. It concludes with mutual understanding or a clear path forward without deep self-doubt.

Gaslighting vs. Lying

People often mix these two terms. These terms differ in the following ways:

LyingGaslighting
GoalHide the truthDistort your sense of reality
TargetThe factsYour perception and self-trust
AwarenessYou usually know you were lied toYou doubt whether you can trust yourself
PatternCan be a single incidentTypically repeated over time

Expert Gaslighting Recovery Therapy at Orange Coast Psychiatry

We understand that recovering from gaslighting can leave you struggling with anxiety as well as difficulty trusting your own thoughts. At Orange Coast Psychiatry, our licensed mental health professionals provide trauma-informed care personalized to your unique needs. We use evidence-based approaches that help you develop healthier relationship patterns.

Our HIPAA-compliant telepsychiatry services make it easy to access an expert from anywhere. Also get in-person care across California. With flexible scheduling, personalized treatment plans, and acceptance of major insurance plans, we make it easier to access compassionate mental health care when and where you need it.

Take the first step toward healing today. Book a appointment to rebuild confidence.

Frequently Asked Questions

Yes, and it’s a core part of how Orange Coast Psychiatry supports clients working through gaslighting. Research shows telehealth therapy is just as effective as in-person sessions for many approaches, including CBT. It also removes the travel and scheduling barriers that keep people from getting consistent care, which is exactly why we offer every session online.

The common signs include constantly doubting your own memory, frequently apologizing without knowing why, feeling confused after conversations with a specific person, making excuses for their behavior, and gradually withdrawing from friends and family. A pattern of these signs is considered gaslighting.

Gaslighting usually comes down to protecting a fragile self-image, avoiding accountability, or holding onto control in a relationship. Not everyone who gaslights has narcissistic personality disorder, but narcissistic traits do make it more likely.

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Frequently Asked Questions

Yes, and it’s a core part of how Orange Coast Psychiatry supports clients working through gaslighting. Research shows telehealth therapy is just as effective as in-person sessions for many approaches, including CBT. It also removes the travel and scheduling barriers that keep people from getting consistent care, which is exactly why we offer every session online.

The common signs include constantly doubting your own memory, frequently apologizing without knowing why, feeling confused after conversations with a specific person, making excuses for their behavior, and gradually withdrawing from friends and family. A pattern of these signs is considered gaslighting.

Gaslighting usually comes down to protecting a fragile self-image, avoiding accountability, or holding onto control in a relationship. Not everyone who gaslights has narcissistic personality disorder, but narcissistic traits do make it more likely.

Reference and Footnotes

APA Dictionary of Psychology. (2023). In dictionary.apa.org https://dictionary.apa.org/gaslight

American Psychological Association. (2017). What is cognitive behavioral therapy? American Psychological Association. https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral

Research roundup: Telehealth and the practice of psychology. (n.d.). In

https://www.apaservices.org Retrieved July 29, 2026, from
https://www.apaservices.org/practice/ce/expert/telehealth-practice-psychology

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Psychiatric Mental Health Nurse Practitioner-BC

Dennis Ly is a Board-Certified Psychiatric-Mental Health Nurse Practitioner dedicated to delivering compassionate, evidence-based, and holistic care. With eight years of nursing experience in emergency medicine, Dennis gained extensive experience working with patients in acute crisis, including those with psychiatric and behavioral health needs. These experiences fostered his passion for mental health and shaped his ability to remain calm, empathetic, and collaborative when supporting patients during their most vulnerable moments.

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Leemarie Lewis

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Outside of work, Leemarie enjoys staying active, practicing self-care, and spending time with family and friends. She also loves traveling and trying new experiences that bring joy and balance to her life.

Vivienne Peng

Psychiatric-Mental Health Nurse Practitioner-BC (Fluent in Mandarin Chinese)

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Outside of work, Vivienne enjoys traveling, discovering new restaurants, watching movies and visiting museums. She genuinely enjoys meeting new people and feels inspired everyday by the strength and resilience of those she serves.

Dr. Grawert

Psychiatrist

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In previous roles, Dr. Lauren Grawert was the founder of LHG Telemedicine LLC, as well as Chief of Psychiatry (Northern Virginia) for the Mid-Atlantic Permanente Medical Group; she has also worked in private practice specializing in general psychiatry, substance use disorders, and medically assisted treatment (MAT). Dr. Grawert has served as an expert for the San Diego Community Response to Drug Overdose Task Force; the Addiction subcommittee leader for Kaiser Permanente National Mental Health & Addiction Leadership Organization; and a Professor of Psychiatry at Penn State College of Medicine. She received her medical and psychiatric training at Medical University of South Carolina.
Dr. Grawert is also experienced with a variety of behavioral healthcare models through both private practice and leadership roles at Kaiser Permanente and other organizations.

Jackson Tea

MSN, PMHNP-BC

Administrative Director and Psychiatric Mental Health Nurse Practitioner

Jackson Tea, MSN, PMHNP-BC, serves as the Administrative Director and a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) at Orange Coast Psychiatry. Dedicated to breaking the stigma surrounding mental health, Jackson is passionate about providing compassionate, evidence-based care that empowers individuals to take charge of their mental well-being. His expertise includes comprehensive psychiatric assessments, personalized medication management, and behavioral health interventions designed to help patients achieve the best possible outcomes in their mental health journey.
Jackson’s approach to care is rooted in the belief that mental health is just as vital as physical health. He focuses on creating a supportive, judgment-free environment where patients feel heard, valued, and understood. By offering individualized treatment plans tailored to each person’s unique needs and goals, Jackson helps clients overcome obstacles such as anxiety, depression, mood disorders, and other mental health challenges.
He holds a Post-Master’s Certificate as a Psychiatric Mental Health Nurse Practitioner from National University, a Master of Science in Nursing in Nursing Administration from the University of Phoenix, and a Bachelor of Science in Nursing from California State University, Los Angeles, where he earned Dean’s List honors. As a member of the Sigma Theta Tau Honor Society of Nursing, Jackson remains committed to advancing mental health awareness and promoting high standards of care in the field.
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Psychiatric-Mental Health Nurse Practitioner-BC

May Faustino, PMHNP-BC, is a compassionate and highly skilled psychiatric provider with over four years of nursing experience, including three years specializing in psychiatric care. She holds a Master of Science in Nursing from West Coast University, where she received extensive training in managing the psychiatric needs of pediatric, adult, and geriatric populations, as well as providing therapy and counseling services.
May has worked in diverse mental health settings, including forensic psychiatry at the Department of State Hospitals and behavioral health services at Aliso Ridge Behavioral Health. Her clinical expertise spans psychiatric assessments, medication management, and trauma-informed care, with a strong focus on treating anxiety, depression, and trauma-related disorders.
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May is passionate about promoting resilience and recovery through preventive mental health care and individualized, holistic treatment plans. Her commitment to excellence is reflected in her memberships in the American Psychiatric Nurses Association and Sigma Theta Tau International Honor Society of Nursing.
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Dr. Montgomery

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Dr. Ravi

M.D. – Psychiatrist

Dr. Dave Ravi, M.D., is a Board Certified Psychiatrist with additional qualifications in geriatric psychiatry. Dr. Ravi is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
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Dr. Irwin

M.D. , Ph.D – Psychiatrist

Dr. Scott Irwin, M.D., Ph.D., is Board Certified Psychiatrist. Dr. Irwin is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
His career mostly focuses on improving outcomes for those with cancer or other progressive, potentially life-limiting illnesses, and their families, through leading-edge clinical services, ongoing research, as well as program development, improvement, and implementation.
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Richard Samedra.

Psychiatric-Mental Health Nurse Practitioner-BC

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Motivated by a growing passion for mental health care, Richard pursued his Registered Nurse (RN) education at Saddleback Community College and later transitioned to La Palma Intercommunity Hospital Behavioral Health. In this role, he specialized in geriatric psychiatry, working with older adults experiencing conditions such as Parkinson’s disease, dementia, depression, and anxiety. This experience solidified his commitment to mental health, leading him to work at Bellflower Community Hospital, where he provided care for patients experiencing severe psychiatric crises, including suicidal ideation, manic and depressive episodes, substance use disorders, and exacerbated schizophrenia symptoms.
Inspired by the impactful work of PMHNPs at Bellflower, Richard enrolled in the Psychiatric-Mental Health Nurse Practitioner program at Azusa Pacific University. To broaden his expertise, he worked full-time at College Hospital Costa Mesa while completing his studies. There, he gained comprehensive experience across various units, including adolescent, acute men’s and women’s, stabilization, and detox/med-surg. Now, as a PMHNP, Richard is committed to leveraging his diverse background and knowledge to provide compassionate, comprehensive care to those in need.
Richard currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where he is supervised by Dr. Montgomery.

Shaheena Gazipura

Psychiatric-Mental Health Nurse Practitioner-BC

Shaheena Gazipura is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over 9 years of dedicated experience in both inpatient and outpatient mental health care. She earned her Master of Science in Nursing from Western University of Health Sciences in Pomona, California.
Shaheena began her career working on an adult psychiatric inpatient unit before transitioning to the geriatric psychiatric inpatient unit at USC Verdugo Hills Hospital. In addition to her clinical work, Shaheena also serves as a Nursing Clinical Instructor, guiding the next generation of nurses through their mental health rotations at a large community college.
Shaheena is a passionate advocate for mental health, believing that it is a fundamental pillar of overall well-being. She is committed to reducing the stigma surrounding mental illness and strives to provide comprehensive, compassionate care that honors each individual’s unique experiences and challenges. Her goal is to create a supportive, nonjudgmental environment where patients feel empowered to work alongside her in achieving their mental health goals.
Outside of her professional life, Shaheena enjoys exploring new culinary experiences, staying active through exercise, and planning her next travel adventures.
Shaheena currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where she is supervised by Dr. Barrios.

Clint Nacar

Psychiatric-Mental Health Nurse Practitioner -BC

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Mr. Nacar brings over 7+ years of experience with the mental health population. He works to help patients take control of their mental health through patient education, psychotherapy and medication management. Mr. Nacar’s areas of focus include: Depression, Anxiety, Adjustment Disorder, Bipolar disorder, Attention Deficit Hyperactivity Disorder (ADHD), and Post-Traumatic Stress Disorder (PTSD). Mr. Nacar treats children ages 6+, adolescents, and adults, offering both in-person services and telehealth at Renewed Mental Health Group.
With the collaboration of each patient, Mr. Nacar strives to develop individualized plans of care addressing each patient’s unique situation and concerns. He also encourages each patient to take charge of their mental health through a holistic approach while also employing the latest evidence based practices in treatment.

Clint is one of our most experienced Psychiatric-Mental Health Nurse Practitioners at Orange Coast Psychiatry and is 103NP Licensed in the State of California.

Cristian Cuevas

Psychiatric-Mental Health Nurse Practitioner-BC (Fluent in Spanish)

Cristian Cuevas, PMHNP-BC, is a highly skilled board-certified psychiatric mental health nurse practitioner with over seven years of experience in inpatient psychiatry and mental health.
A California State University Long Beach graduate, Cristian also earned recognition as a board-certified psychiatric mental health registered nurse. With a wealth of expertise in adult psychiatric care across the lifespan, Cristian has successfully diagnosed and treated a diverse range of mental health disorders.
Additionally, his specialized experience in child and adolescent inpatient populations further enhances his ability to provide comprehensive and compassionate mental health care.
Cristian Cuevas is the Lead Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry and is supervised by Dr Barrios.

Nicole Leonce

Doctor of Nursing Practice & Psychiatric Mental Health Nurse Practitioner-BC

Nicole Leonce is a Board-Certified Psychiatric-Mental Health Nurse Practitioner with over five years of experience in psychiatry and a strong medical background. She earned her Doctor of Nursing Practice degree from the University of San Francisco and is a proud member of the Sigma Theta Tau International Honor Society of Nursing. Nicole has a special emphasis in Trauma-Informed Care and is deeply committed to providing compassionate, patient-centered, and culturally responsive treatment.

Her clinical expertise includes the diagnosis and management of depression, anxiety, bipolar disorder, trauma-related conditions, ADHD, OCD, substance use disorders, and mood disturbances. She also provides care for individuals navigating grief, life transitions, and relationship stressors. Nicole integrates evidence-based approaches such as psychodynamic therapy, motivational interviewing, and solution-focused techniques, along with medication management, to help her clients achieve balance and emotional well-being.

Nicole believes that every patient’s story deserves to be heard and validated. She strives to create a safe and supportive environment where individuals feel empowered to explore their challenges and reach their full potential.

Outside of her practice, Nicole enjoys reading, traveling, exploring museums, cooking, and dining with friends and family. She also loves spending time with her miniature poodle, Nico.

Dr Barrios

Board-Certified Child and Adolescent Psychiatrist

Dr. Carlos Barrios is a Board-Certified Child and Adolescent Psychiatrist with over two decades of experience in mental health care. His expertise in telepsychiatry has allowed him to serve patients across California and beyond. In his practice, Dr Barrios integrates metabolic and functional methodologies, focusing on guiding patients toward medication independence and emphasizing the connection between physical and mental health.
Outside of his professional life, Dr Barrios is passionate about kettlebell training, which helps him maintain my physical and mental wellness. He cherishes visiting his family in Guatemala, to reconnecting with his cultural roots and rejuvenating his spirit. Dr Barrios is also deeply involved in transcendental meditation and rucking, practices that not only provide him with tranquility but also keep him grounded and connected to nature. These hobbies reflect his commitment to a holistic approach to health, both personally and professionally.