5 doctors weighed in:
Is a person with narcissistic personality stable or the problem changes a lot over the years?
5 doctors weighed in

Dr. Martha Stark
Psychiatry
4 doctors agree
In brief: Mostly stable
Personality disorders tend to remain as such unless there is some kind of intervention.
Personality disorders have characteristics that therapists refer to as "ego-syntonic, " which means that others recognize their characteristics as problematic but the person herself does not! the goal of therapy is to render ego-dystonic what had once been ego-syntonic for the patient.

In brief: Mostly stable
Personality disorders tend to remain as such unless there is some kind of intervention.
Personality disorders have characteristics that therapists refer to as "ego-syntonic, " which means that others recognize their characteristics as problematic but the person herself does not! the goal of therapy is to render ego-dystonic what had once been ego-syntonic for the patient.
Dr. Martha Stark
Dr. Martha Stark
Thank
Dr. Andrew Berry
Clinical Psychology
In brief: Narcissism
Stability is not really the issue with narcissists.
Eventually they drive away people close to them, alienate bosses and subordinates, and i general cannot bring themselves to being able to address their own part in their own misery. Intensive psychotherapy is typically needed, and over a long period of time. In my opinion, psychoanalysis is the best way to go.

In brief: Narcissism
Stability is not really the issue with narcissists.
Eventually they drive away people close to them, alienate bosses and subordinates, and i general cannot bring themselves to being able to address their own part in their own misery. Intensive psychotherapy is typically needed, and over a long period of time. In my opinion, psychoanalysis is the best way to go.
Dr. Andrew Berry
Dr. Andrew Berry
Thank
Get help from a real doctor now
Dr. William Forsythe
Board Certified,
23 years in practice
171K people helped
Continue
108,000 doctors available
Read more answers from doctors