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Phoenix, AZ
A 47-year-old male asked:

what are the causes of npd, and are people born that way?

2 doctor answers3 doctors weighed in
Dr. Natalie Hodge
Pediatrics 26 years experience
Nature and Nurture: Twin studies are suggestive of a heritable pattern, although sparse, as narcissists do not seek treatment unless forces by a family member. Theories on cause vary from permissive parenting to severe childhood emotional abuse. Skills training and group therapy may be effective. Therapists advice for one involved with a narcissist is almost universally the same, avoid contact at all cost.
Dr. Andrew Berry
Clinical Psychology 14 years experience
Narcissist: Therapy for narcissists is often arduous, painful for both patient and therapist, as the narcissist is eventually brought to a place of what is known as profound narcissistic injury, which is the beginning of his poor self esteem that the narcissism resolutely defends against. I would opt for psychoanalysis. There may be a genetic component but largely the causes are environmental/interpersonal.

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Phoenix, AZ
A 47-year-old male asked:

Does someone with NPD more likely to cheat on a spouse?

1 doctor answer3 doctors weighed in
Dr. Heidi Fowler
Psychiatry 25 years experience
Narcissism /Fidelity: A narcissist tends to be "me, me, me". The person usually lacks empathy for the suffering that they inflict on others (including their partner) & is often egocentric about getting their needs met. Having affairs can be used to drive their ego & feels pleasurable. The exploitive/non-empathic nature of a narcissist may make it easier to trangress into hurtful behaviors including infidelity.

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Last updated Sep 18, 2015
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