Diseases and Conditions

Narcissistic personality disorder

Treatment

Treatment for narcissistic personality disorder is talk therapy (psychotherapy). Medications may be included in your treatment if you have other mental health conditions.

Psychotherapy

Narcissistic personality disorder treatment is centered around talk therapy, also called psychotherapy. Psychotherapy can help you:

  • Learn to relate better with others so your relationships are more intimate, enjoyable and rewarding
  • Understand the causes of your emotions and what drives you to compete, to distrust others, and perhaps to despise yourself and others

Areas of change are directed at helping you accept responsibility and learning to:

  • Accept and maintain real personal relationships and collaboration with co-workers
  • Recognize and accept your actual competence and potential so you can tolerate criticisms or failures
  • Increase your ability to understand and regulate your feelings
  • Understand and tolerate the impact of issues related to your self-esteem
  • Release your desire for unattainable goals and ideal conditions and gain an acceptance of what's attainable and what you can accomplish

Therapy can be short term to help you manage during times of stress or crisis, or can be provided on an ongoing basis to help you achieve and maintain your goals. Often, including family members or significant others in therapy can be helpful.

Medications

There are no medications specifically used to treat narcissistic personality disorder. However, if you have symptoms of depression, anxiety or other conditions, medications such as antidepressants or anti-anxiety drugs may be helpful.