Narcissistic Personality Disorder
- General

Therapies for Narcissistic Personality Disorder

The term “narcissist” is frequently used in casual discourse. In this context, people typically refer to someone who acts self-centred or vainly. But having a propensity for narcissistic tendencies does not necessarily indicate that you have NPD. Change is possible any way.

NPD sufferers are typically described as:

  • arrogant \self-centred \demanding
  • They frequently have great self-esteem and may think they are unique or better than others. They may, however, overreact to perceived criticism and seem to demand excessive praise and admiration.
  • In addition, narcissists frequently overstate their abilities and accomplishments while underplaying those of others. They frequently obsess with things like beauty, success, and power. They might even act impulsively, like gambling or having particular sexual interactions.
  • Although certain NPD characteristics resemble those of healthy confidence, NPD and healthy confidence are not the same.
  • People with NPD are rarely humble, in contrast to those with high self-esteem. They have a propensity to elevate themselves above others and believe that they are superior.
  • Lack of empathy,
  • intense desire for admiration,
  • and a persistent grandiosity pattern

NPD treatment might be difficult. The patient’s willingness to start and continue therapy will determine a lot of things. To treat NPD, a variety of therapeutic modalities are available. Here are some of them, along with advice on where to turn for assistance.

NDP therapy is helpful in:

  • assisting you in overcoming therapeutic resistance
  • Examining prior events and beliefs that gave rise to narcissistic behaviours will help you recognise narcissistic habits that are generating issues in your life.
  • recognising the impact these actions have on others and replacing lofty ideals with more grounded ones
  • discovering and using fresh behavioural patterns
  • observing the advantages of freshly acquired skills

Therapies for narcissi personality disorder


Talk therapy includes forms like psychoanalysis. You will examine the causes of your feelings and behaviours during one-on-one sessions. Your present-day feelings and actions become clearer as you start to comprehend your history. You’ll be able to better control your thoughts and emotions as a result. After that, you can start altering how you respond to them.

Cognitive behavioural therapy (CBT)

The goal of CBT is to recognise problematic thought and behaviour patterns and swap them out for better ones. Together with your therapist, you’ll put new abilities to use. Additionally, you’ll be given homework tasks so you may practise these abilities in between sessions.

There are numerous CBT strategies, including:

  • exposure to situational journaling
  • scheduling constructive activities for cognitive reorganisation
  • aided investigation and questioning

Schema therapy

Schema therapy is a form of integrative therapy. It incorporates aspects of CBT and psychotherapy. The goal is to assist you in recognising and comprehending problematic patterns and coping mechanisms that developed as a result of early events. You can learn to alter these unhelpful schemas once you become aware of them. With time and effort, you’ll discover fresh approaches to addressing your emotional needs and altering your interactions with others.

Gestalt therapy

A type of psychotherapy is gestalt therapy. You’ll give the present more attention than the past or future. The impact of your past experiences on you today is considered. You’ll be inspired to consider your current circumstances. You’ll work to increase your self-awareness and self-reliance.

Mentalization based therapy (MBT)

MBT focuses on enhancing your capacity to consider both your own thoughts and feelings as well as those of others. After that, you’ll discover how to relate your feelings to your behaviour.  You’ll investigate the motivations behind other people’s actions and practise reflecting before responding.

Transference focused psychotherapy (TFP)

In TFP, you channel your feelings toward the therapist by taking your feelings toward someone else. Talking things out may become simpler as a result of this. The therapist can assist you in gaining understanding of your feelings and thoughts.

Dialectical behavioural therapy (DBT)

DBT is a variation of CBT that emphasises:

  • emotional intelligence,
  • stress tolerance,
  • and interpersonal efficacy (relationship skills)

You may participate in both individual and group therapy sessions as part of DBT to learn and put new coping mechanisms into practise.

Metacognitive interpersonal therapy (MIT)

MIT is a methodical approach intended to:

Eliminate narcissistic behaviours by examining issues in your own life, recognising maladaptive tendencies, and improving interpersonal relationships. encourage change by avoiding old habits and forming fresh, nimble habits Additionally, the therapist will search for obstacles to effective therapy and strive to remove them.

Eye movement desensitization and reprocessing (EMDR)

In EMDR therapy, it is assumed that narcissism is a result of traumatic early events. The eight unique phases of EMDR therapy are broken down into a step-by-step approach. You’ll be prompted to address the following as you advance:

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