Narcissistic Personality Disorder Treatments
Narcissistic Personality Disorder (NPD) treatments typically involve a combination of psychotherapy, medication, and support from mental health professionals. Here are some commonly used treatment approaches for NPD:
1. Psychotherapy
Psychotherapy, particularly psychodynamic therapy, is often the primary treatment for NPD. It focuses on exploring underlying emotions, addressing maladaptive thought patterns, and developing healthier coping mechanisms. Therapists may use methods like cognitive-behavioral therapy (CBT) or dialectical behavior therapy (DBT). These techniques help people with NPD understand their behavior. They also teach better ways to connect with others.
2. Group therapy
Group therapy can benefit individuals with NPD, providing a supportive environment for developing empathy, interpersonal skills, and self-awareness. Being in a group helps people get feedback from others. It also helps them see how their actions affect those around them.
3. Medication
There is no specific medication approved for treating NPD. However, doctors may prescribe medications for related issues. These issues can include depression, anxiety, or impulsivity. These conditions are common in people with NPD. Antidepressants, mood stabilizers, or anti-anxiety medications may be prescribed to alleviate associated symptoms.
4. Boundary-setting and self-care
Learning healthy boundaries and self-care practices is crucial for individuals with NPD. This means understanding and respecting other people’s boundaries. It also involves setting realistic expectations. Finally, it includes doing things that boost self-esteem and well-being.
5. Supportive networks
Creating a support system with understanding family, friends, or support groups can help people with NPD. These networks provide encouragement, accountability, and emotional support during treatment.
It is important to know that treating NPD can be hard. People with NPD may not want to admit their problems or ask for help. With persistence, teamwork in therapy, and a focus on personal growth, people with NPD can manage their symptoms better. They can also develop healthier ways to relate to others.
What Is A Narcissistic Personality? Diagnosis
A narcissistic personality is a pattern of traits and behaviors associated with Narcissistic Personality Disorder (NPD). It is marked by a high sense of self-importance. There is a constant need for admiration and attention. It also shows a lack of empathy for others.
Diagnosing Narcissistic Personality Disorder typically involves a comprehensive evaluation by a qualified mental health professional, such as a psychiatrist or psychologist. The diagnosis is based on the rules in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). This manual is commonly used by mental health professionals.
Narcissistic Personality Traits
The DSM-5 lists specific diagnostic criteria for NPD, and an individual must meet several criteria to receive a diagnosis. These criteria include:
- Having a grandiose sense of self-importance or exaggerating achievements and talents.
- Fantasizing about unlimited success, power, beauty, or ideal love.
- Believing in one’s uniqueness and requiring excessive admiration.
- Having a sense of entitlement and expecting special treatment from others.
- Exploiting others to achieve personal goals without empathy or remorse.
- Displaying arrogant behaviors or attitudes.
During the evaluation, the mental health professional will thoroughly assess the individual’s symptoms, behavior patterns, personal history, and psychological functioning. They may also collect information from the person’s family, friends, or other important sources to understand their behavior better.
Only qualified mental health professionals can diagnose Narcissistic Personality Disorder. Self-diagnosis or diagnosing others based on online information is not reliable or accurate. If you think you or someone you know might have NPD, it is best to see a mental health professional. They can provide a proper evaluation and diagnosis.

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(844) 597-1011Narcissistic Personality Disorder Statistics
Approximately 1% of the population is affected by Narcissistic Personality Disorder (NPD), with a higher prevalence among men. NPD patients frequently experience comorbidities such as depression, anxiety disorders, or substance abuse issues. NPD significantly impacts interpersonal relationships, making maintaining fulfilling and lasting connections challenging. Furthermore, it can pose difficulties in work environments, particularly when collaborating with others or dealing with authority figures. Getting help for NPD can be hard. People with this disorder often have trouble seeing their flaws. They also like to feel better than others.
1%
How much NPD affects the general population
Source: NIMH
2 – 3x Higher
NPD in males is approximately two to three times higher than in narcissistic personality disorder in women.
Source: NIMH
50-60%
Individuals with Narcissistic Personality Disorder (NPD) are estimated to have co-occurring mental health issues.
Source: NIMH
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What Is A Narcissistic Person?
A narcissistic person is an individual who displays traits and behaviors associated with Narcissistic Personality Disorder (NPD). NPD is a mental health condition. It involves feeling overly important and needing constant admiration. People with NPD often lack empathy for others. People with NPD often see themselves as better than others. They believe they deserve special treatment.
Narcissistic individuals focus excessively on their achievements, talents, and appearance. They may engage in self-centered and manipulative behavior to maintain their self-perceived superiority and control over others. They often struggle to form real and caring connections with others. Their interactions focus on meeting their needs and seeking approval.
Not all individuals displaying narcissistic traits necessarily have NPD. Some people may exhibit certain narcissistic behaviors without meeting the criteria for a clinical diagnosis. However, when these traits become pervasive, negatively impact relationships, and hinder overall functioning, a diagnosis of Narcissistic Personality Disorder may be considered.
Narcissistic Personality Disorder Types
In psychology, no recognized typology or subtype of Narcissistic Personality Disorder (NPD) exists within the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The DSM-5 describes Narcissistic Personality Disorder as a single diagnostic category with specific criteria for diagnosis.
However, it is important to note that people with NPD can show different levels and signs of the disorder. This leads to differences in their narcissistic traits and behaviors. This can result in variations in how NPD presents itself in different individuals.
While there may not be formal subtypes within NPD, some experts have proposed conceptualizations highlighting certain patterns or variations in individuals with narcissistic traits. Some researchers have talked about “overt” and “covert” narcissism. These terms describe how narcissistic traits are shown. Overt narcissism is more obvious, while covert narcissism is less visible.
These conceptualizations can provide additional insight into the range of behaviors and presentations seen in individuals with narcissistic traits. However, it is important to note that these are not seen as official subtypes in the NPD diagnostic criteria.
Narcissistic Personality Disorder In Women
Narcissistic Personality Disorder (NPD) can affect both men and women, although the prevalence rates may vary. Research shows that NPD is often diagnosed in men. This may be partly because of how men seek help and biases in diagnosis.
Regarding symptoms and characteristics, NPD in women tends to manifest similarly to NPD in men. People with NPD, no matter their gender, often have an inflated sense of self-importance. They need constant admiration and show a lack of empathy. They also have a very grand view of themselves. They may engage in manipulative behaviors to maintain their perceived superiority and control over others.
Each individual is unique, and the presentation of NPD can vary. Cultural and societal factors may influence how different genders express or perceive narcissism. Comorbidities such as depression, anxiety disorders, or substance abuse may also be prevalent among women with NPD.
It is crucial to approach NPD as a personality disorder that can affect individuals regardless of gender. Getting help from qualified mental health professionals is important. They provide accurate diagnosis, proper treatment, and support for people with NPD, no matter their gender identity.
Narcissistic Personality Disorder Symptoms
A pattern of pervasive and rigid traits and behaviors characterizes Narcissistic Personality Disorder (NPD). Here are some common symptoms associated with NPD:
1. Grandiose sense of self-importance
Individuals with NPD often have an exaggerated belief in their abilities, talents, and achievements. They may feel superior and expect special treatment and recognition.
People often daydream about success and power. They might imagine having great wealth, beauty, or perfect love.
2. Need for constant admiration
People with NPD have an insatiable desire for attention, praise, and admiration from others. They may seek validation and recognition to maintain their self-esteem.
3. Sense of entitlement
Individuals with NPD often have an entitled attitude, believing they deserve special treatment and privileges. They may expect others to fulfill their needs and cater to their desires without question.
4. Lack of empathy
Empathy is limited or absent in individuals with NPD. They struggle to understand or recognize the feelings and needs of others, often dismissing or disregarding them.
5. Exploitative behavior
People with NPD may exploit or manipulate others for personal gain. They may use other people’s weaknesses, skills, or resources to get what they want. They do this without thinking about how it affects others.
People with NPD may feel envious. They often envy others, especially those they see as more successful. They may feel threatened by others’ achievements.
6. Arrogant or haughty behavior
NPD often manifests in an arrogant or superior attitude. They may exhibit condescending behavior, belittle others, or dismiss their opinions and ideas.
Only a qualified mental health professional can diagnose NPD based on a comprehensive evaluation. If you or someone you know has these symptoms, it is a good idea to get professional help. This will allow for a proper assessment and diagnosis.
Covert Narcissistic Personality Disorder
“Covert Narcissistic Personality Disorder” is not officially recognized as a distinct subtype or diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Some experts and clinicians use the term “covert narcissism.” This describes a pattern of narcissistic traits and behaviors. These traits are less obvious than those usually linked to Narcissistic Personality Disorder (NPD).
Covert narcissism is often characterized by a more introverted and vulnerable presentation, which may include:
- Inwardly-focused grandiosity: People with covert narcissism may feel superior and special. However, they usually keep these feelings hidden instead of showing them openly.
- Hypersensitivity to criticism: Covert narcissists may be highly sensitive to criticism or perceived rejection. They may have fragile self-esteem and react strongly to perceived threats to their self-image.
- Self-pity and victim mentality: Instead of openly seeking admiration, people with covert narcissism may act like victims. They look for sympathy and validation through their perceived suffering.
- Passive-aggressive behavior: Covert narcissists may use indirect and manipulative behaviors to assert control or obtain validation. They may use guilt, passive resistance, or subtle tactics to influence others.
The idea of covert narcissism is not agreed upon by everyone. Professionals still debate whether it is a unique type of NPD or a separate idea.
Suppose you suspect you or someone you know may exhibit traits associated with covert narcissism or NPD. Consulting with a qualified mental health professional for a comprehensive evaluation and diagnosis is advisable.
Narcissistic Personality Disorder Test
Am I a Narcissist Test (Narcissist Quiz)
Welcome to the Narcissistic Personality Disorder Test, also known as the Narcissist Test or "Am I a Narcissist" Test. This free online quiz is designed to provide you with insights into narcissistic personality traits and help you evaluate your own tendencies.
It is important to note that this test is not a substitute for professional diagnosis or evaluation. Narcissistic personality disorder is a complex mental health condition that can only be diagnosed by a qualified healthcare professional or mental health expert.
*By taking this free quiz, you may obtain your results online and in your email box. You’ll have the opportunity to opt-in to learn more about your symptoms, talk to a mental health consultant and join our newsletter. Rest assured your information is private and confidential. Results, consultations and assessment are provided without any cost to you and without any obligation. If you do not wish to provide your contact information, you may omit it during your quiz. Thank you for opting in and participating. To you best of health.
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Narcissistic Personality Disorder Supportive Therapy
Supportive therapy can be valuable in treating individuals with Narcissistic Personality Disorder (NPD). NPD can be tough, but supportive therapy offers a safe space. It helps people explore their feelings, boost self-esteem, and learn better coping skills. Here are some key aspects of supportive therapy for NPD:
- Building rapport and trust: A strong therapeutic alliance is crucial in supportive therapy. The therapist creates a trusting relationship with the individual, offering empathy and understanding without reinforcing narcissistic tendencies.
- Validation and empathy: Individuals with NPD often have difficulties with self-worth and may feel invalidated. Supportive therapy focuses on validating their emotions and experiences, helping them feel understood and accepted.
- Encouraging self-reflection: Supportive therapy gently guides individuals to reflect on their thoughts, emotions, and behaviors. This process promotes self-awareness and helps them gain insight into the impact of their actions on themselves and others.

- Emotional regulation: Individuals with NPD may struggle with managing their emotions effectively. Supportive therapy helps them develop healthier ways to cope with distress, regulate emotions, and constructively express themselves.
- Strengthening interpersonal skills: Supportive therapy can assist individuals in improving their interpersonal relationships. This may involve learning active listening, empathy, and understanding others’ perspectives, fostering healthier and more balanced connections.
- Addressing co-occurring issues: Supportive therapy can also address co-occurring conditions such as anxiety, depression, or substance abuse, often accompanying NPD. By addressing these issues, overall well-being and functioning can improve.
Supportive therapy alone may not be sufficient for treating NPD. Depending on how serious the condition is, other treatments may help. These include cognitive-behavioral therapy (CBT), psychodynamic therapy, or group therapy. Individualized treatment plans should be developed with a qualified mental health professional specializing in personality disorders.
Narcissistic Personality Disorder Specialists
When seeking professional help for Narcissistic Personality Disorder (NPD), working with mental health specialists with experience and expertise in treating personality disorders is important. Here are some specialists who may be involved in the diagnosis and treatment of NPD:
1. Psychologists
Clinical psychologists specializing in personality disorders are well-equipped to assess and diagnose NPD. They can provide individual therapy, conduct psychological assessments, and develop treatment plans tailored to the individual’s needs.
2. Psychiatrists
Psychiatrists are medical doctors who specialize in mental health. They can assess, diagnose, and prescribe medication for NPD and co-occurring mental health conditions. Psychiatrists may work with psychologists or other therapists to provide comprehensive treatment.
Psychotherapists and counselors have different titles. They can be licensed professional counselors, marriage and family therapists, or social workers. They offer talk therapy and support to people with NPD. This helps them deal with the challenges of the disorder.
3. Group Therapists
Group therapy, specifically designed for individuals with personality disorders, can be beneficial in treating NPD. Group therapists facilitate structured sessions where individuals with NPD can share experiences, learn from others, and develop healthier interpersonal skills.
4. Psychodynamic Therapists
Psychodynamic therapists explore the underlying unconscious processes and unresolved conflicts contributing to NPD. They help individuals understand their behavior patterns and work toward healthier self-perception and relationship dynamics.
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- Diagnostic Assessment: Conduct thorough evaluations and assessments to accurately diagnose Narcissistic Personality Disorder in individuals seeking help.
- Individual Therapy: Providing one-on-one therapy sessions with qualified professionals trained in treating NPD. These sessions can focus on understanding and dealing with the unique challenges of the disorder. This includes issues like feeling overly important, having little empathy, and unstable self-esteem.
- Cognitive-Behavioral Therapy (CBT): Utilizing CBT techniques to help individuals with NPD identify and challenge maladaptive thought patterns and behaviors. This approach can assist in developing healthier coping mechanisms, improving interpersonal relationships, and fostering empathy.
- Group Therapy: Offering specialized group therapy sessions for individuals with NPD. Group therapy offers a safe space for people to share their experiences. It helps them learn from others and practice healthy social skills.
- Emotional Regulation Training: Assisting individuals in developing emotional regulation skills to manage intense emotions and reduce impulsive or reactive behaviors commonly associated with NPD.
- Interpersonal Skills Development: Providing guidance and coaching to improve social skills, communication, and empathy. This can help individuals with NPD develop healthier and more balanced relationships with others.
- Self-Reflection and Insight: Encouraging self-reflection and introspection to promote greater self-awareness and understanding of the underlying factors contributing to NPD symptoms. This can aid in fostering personal growth and positive change.
- Family Therapy and Support: Involving family members in therapy sessions helps address how NPD affects family dynamics and relationships. Family therapy can enhance communication, foster empathy, and support loved ones affected by NPD.
- Coping Strategies and Relapse Prevention: Helping people with NPD learn practical ways to handle stress. These strategies can help them stay emotionally stable and avoid falling back into harmful behavior patterns.
- Collaborative Care: Coordinating with other healthcare professionals, such as psychiatrists or medical providers, to ensure comprehensive and integrated care for individuals with NPD. Medication management may be considered if the pharmacological intervention can benefit some co-occurring conditions or symptoms.
Popular Narcissistic Personality Disorder Treatment FAQs
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What are The Specialists Able to Diagnose a Narcissistic Personality Disorder?
Psychiatrists and clinical psychologists are specialists who can diagnose Narcissistic Personality Disorder (NPD).
-
Who is a narcissistic person?
A narcissistic person is someone who focuses too much on themselves. They seek constant praise and do not show empathy for others.
-
What is a narcissistic personality?
Narcissistic personality is a trait where a person feels very important. They often need admiration and lack empathy for others.
-
What causes narcissistic personality disorder?
The exact cause of narcissistic personality disorder is not fully known. It is thought to come from a mix of genetic, environmental, and psychological factors.
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Search We Level Up Mental Health Narcissistic Personality Disorder Topics & Resources
Sources
- National Institute of Mental Health (NIMH) – Narcissistic Personality Disorder: https://www.nimh.nih.gov/health/topics/narcissistic-personality-disorder/index.shtml
- Substance Abuse and Mental Health Services Administration (SAMHSA) – Narcissistic Personality Disorder: https://www.samhsa.gov/
- MedlinePlus – Narcissistic Personality Disorder: https://medlineplus.gov/ency/article/000934.htm
- Centers for Disease Control and Prevention (CDC) – Mental Health: https://www.cdc.gov/mentalhealth/index.htm
- National Alliance on Mental Illness (NAMI) – Narcissistic Personality Disorder: https://www.nami.org/
- National Institutes of Health (NIH) – Narcissistic Personality Disorder: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6152148/
- National Library of Medicine – Narcissistic Personality Disorder: https://pubmed.ncbi.nlm.nih.gov/?term=narcissistic+personality+disorder
- Office of Women’s Health – Narcissistic Personality Disorder: https://www.womenshealth.gov/
- National Institute on Aging – Narcissistic Personality Disorder: https://www.nia.nih.gov/
- National Center for Biotechnology Information (NCBI) – Narcissistic Personality Disorder: https://www.ncbi.nlm.nih.gov/books/NBK542213/


