Doctor insights on:
Best Therapy For Someone That Has Narcissistic Personality Disorder
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. ...Read more
A pervasive sense of grandiosity in fantasy or behavior, lack of empathy, need for admiration, fantasies o unlimited success, sense of entitlement, envious of others, often arrogant, exploitive of others as well as other characteristics. Person would definitely benefit by therapy but often by nature of the condition the person doesn't believe that there is ...Read more
Is it possible for someone to have both schizotypical personality disorder and narcissistic personality disorder?
Yes, but look deeper: One can have two personality disorders, they aren't "mutually exclusive". However you may consider looking deeper at some treatable cause of these symptoms. For example an untreated anxiety disorder or bipolar disorder can sometimes present with these types of issues, and both of these can be treated more easily than a personality disorder! ...Read more
How common is it for someone to have borderline personality disorder, antisocial personality disorder, and bipolar disorder all together?
Co-occurence common: The "comorbidity" (co-occurrence) of personality disorders is high, so if someone meets the diagnostic criteria for *any* personality disorder (pd), they are likely to meet the diagnostic criteria for as many as four to six pds. This reflects (in part) a limitation of dsm-iv/5 (the psychiatric diagnostic manual). Bipolar mood disorder is a different animal, but can co-exist with a pd. ...Read moreSee 1 more doctor answer
Can an autistic person (29years) cohabitat with a person (26years) that has depressive disorder with psychotic tendencies? Both not on treatment
Sounds problematic: All things are possible- is this a good idea? Does the autistic person have any sense of danger ? Does the depressive disorder with psychotic tendencies have an issue with violence. This could work or end badly...A lot of discussion would need to take place before such cohabitation happened. Safety of both needs to be covered. ...Read moreSee 1 more doctor answer
Keep a perspective: If you are that person's friend or family member, then you should probably make sure not to take it too personally -- their self-involvement is really more a story about them than about you. If you are that person's therapist, then you should probably work to uncover the early-on psychological traumas that have created the problem to begin with. ...Read more
How common is it for someone to have borderline personality disorder, bipolar disorder, and antisocial personality disorder?
Statistics: Estimates regarding the prevalence of borderline personality disorder (bpd) in the general population have suggested a 1 – 2% rate of lifetime occurrence (apa, 2000). The nmih cites that the prevalence of bipolar in adults in the us is 2.6% and antisocial personality disorder to be at 1%. If you have concerns about any or all of these, seek help. Doctors are trained to help and not judge. Best. ...Read moreSee 2 more doctor answers
Avoidant personality: Therapy is not prescribed for a specific time. As a professor once told me, therapy may go on for a long time , but it reaches a tipping point where all factors considered make it appropriate to stop: those factors are different for each person, including cost , time, energy and desire to continue, risk of over dependency on therapist, etc. ...Read moreSee 1 more doctor answer
Antiepileptics: The most rational way to approach the treatment of comorbid conditions is to use medications which treat both. Anti epileptic medications are used as mood stabilizers as well. The most effective are lamotrigine, valproic acid, divalproex sodium, carbamazepine, oxcarbazepine, gabapentin, pregabalin. In any case, your doctor would try any, alone or in combination, and observe. ...Read more
Set boundaries: The most common issue in bpd is poor or inconsistent boundaries. Set personal space, time, texting, phone, social media boundaries with a trained professional. Often bpd individuals lack a proper perspective of how their boundaries are either too permissive or exploitive. ...Read more
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. ...Read more
See website: Any discussion of psychotherapy is naturally beyond the scope of 400 letters. I am referring you to a website that i found that gives a very good and balanced discussion of the various psychotherapies for avoidant personality disorder. I think you would find it quite helpful.Avoidant personality disorder treatment recommendations ... www.health.am/psy/more/apd_treatment_recommendations. ...Read moreSee 1 more doctor answer
See a psychiatrist: You may need drug treatment under supervision of a psychiatrist. ...Read more
Is it possibly someone with antisocial personality disorder also suffer from borderline personality disorder?
Not really.: They are very different. Antisocial people don't really care for others, use people for their own means, do not have sincere emotions. In Borderline personality, people actually might care too much and don't know what to do with their feelings (so will react very extreme to a breakup or with friends). It might appear to overlap (both can have problems with anger), but they are different. ...Read more
Narcissism: Very legitimate, needs therapyGet a more detailed answer ›
Is a person with narcissistic personality disorder incapable of directing a conversation from anyone but him or herself?
It's all about him: Narcissistic people treat others as if they're disposable objects. Once your utility is gone, there is no more interest in you. Your separate needs are unrecognized. Relationships with a narcissistic person may vary between sharing the mutual glow of "specialness" while you're useful, and complete disregard when you're not. Things might feel intimate and good for awhile, but then the ice comes. ...Read moreSee 1 more doctor answer
(bpd)borderline personality disorder;i've done dbt counselingn a psychiatrist which has not improved my paranoia/anxiety problems.What next?
DBT: Need to discuss with your psychiatrist possible alternative medications, depending on what you were prescribed & on the symptoms. Some benefits might be obtained from a psychotropic with a mood stabilizer. Your md is the best one to review them, since I am not sure what medications were tried for you. ...Read moreSee 1 more doctor answer
A mental disorder with fixed and pervasive patterns of inner experience and outer behavior involving grandiosity, need for admiration, and lack of empathy for others. The person expects to be treated as superior, believes s/he is more special than others, and exploits others. Beneath all this lies a fragile self-esteem, vulnerable ...Read more
According to the dsm IV tr, a personality disorder is: an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual's culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads ...Read more
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