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A 47-year-old member asked:

If someone has narcissistic personality disorder what can we do?

1 doctor answer2 doctors weighed in
Dr. Jonathan Shedler
Clinical Psychology 14 years experience
Who is "we"?: Narcissistic personality can be treated effectively in psychotherapy, specifically psychoanalytic or psychodynamic therapy. It is generally long-term therapy. If by "we" you mean friends or family who have to deal with the person (not the person himself/herself), that is a different question.

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A 47-year-old member asked:

Best therapy for someone that has narcissistic personality disorder?

1 doctor answer8 doctors weighed in
Dr. Martha Stark
Psychiatry 47 years experience
Insight oriented: Probably some kind of psychodynamic / psychoanalytic psychotherapy. Narcissistic personality disorders are usually pretty "embedded" and the features that such persons manifest are usually "ego-syntonic, " which means that they do not recognize their "issues" (although others will!). Narcissists need to get to a place of recognizing how self-defeating their narcissism is.
IN
A 23-year-old female asked:

How common is narcissistic personality disorder?

2 doctor answers11 doctors weighed in
Dr. Heidi Fowler
Psychiatry 25 years experience
Less than 1% of the: General population.
A 37-year-old member asked:

Any benefit if I have narcissistic personality disorder?

1 doctor answer7 doctors weighed in
Dr. Martha Stark
Psychiatry 47 years experience
Perhaps some: Often people who are (unhealthily) narcissistic are very charming and impress people enough with their self-confidence and capacity that they manage to rise high in the ranks. Ultimately, such people are rather self-involved, do not tend to appreciate others, and have difficulty participating in mutually satisfying relationships. Many of our politicians are quite narcissistic!
Sacramento, CA
A member asked about a 38-year-old male:

How or by whom would I have someone evaluated for antisocial personality disorder or narcissistic personality disorder?

2 doctor answers8 doctors weighed in
Dr. Jovita Anyanwu
Internal Medicine 30 years experience
By a: Psychiatrist by taking detailed history, observation and screening questions
A 35-year-old member asked:

How can you treat narcissistic personality disorder?

3 doctor answers8 doctors weighed in
Dr. Pamela Pappas
Psychiatry 42 years experience
Narcissistic PD: Treating narcissistic pd requires intensive, long-term psychotherapy with an experienced therapist. These people usually don't seek treatment until marital or work relationship problems cause enough distress to force the issue. They are exquisitely sensitive to slights or criticism, and intense shame and scathing rage can disrupt the therapeutic relationship. The therapist walks a thin line.
Dr. Andrew Berry
Clinical Psychology 14 years experience
Well said! Speaking as a psychoanalyst who has worked with narcissists before, I concur with Dr. Pappas.
Mar 16, 2015

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Last updated Apr 18, 2016
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