Narcissistic Personality Disorder Treatment There is no cure, but therapy can help. The goal is to build up the person's poor self-esteem and have more realistic expectations of others. Treatment usually centers on talk therapy. Sometimes people call this psychotherapy.
People with narcissistic traits can change. It is a myth that NPD is untreatable. However, whether a person has NPD or not, people cannot change unless they decide to. A loved one cannot force a person with NPD to change, nor love them into seeking treatment.
It's not known what causes narcissistic personality disorder. The cause is likely complex. Narcissistic personality disorder may be linked to: Environment — parent-child relationships with either too much adoration or too much criticism that don't match the child's actual experiences and achievements.
While narcissistic personality disorder, sometimes known as NPD, is treatable, recovery requires patience and time. If a loved one suffers from this condition, encouraging them to seek professional treatment is the most effective way to help them begin to overcome its damaging effects.
It can be hard for others to tolerate the symptoms of NPD, which can mean the sufferer becomes isolated. The difference between NPD and general narcissism is that NPD doesn't change over time, and isn't caused by a medical condition or drugs. You don't grow out of it, and it can cause significant distress.
Narcissists can and do love, but their love tends to be superficial and fleeting. They can develop intense emotional attachments—even appearing to "fall in love"—and yet still maintain a complete lack of empathy for the object of their affection.
Narcissists are fully aware that they are narcissistic and have a reputation as such. Narcissists would rather be admired than liked. Narcissists are masters at making first impressions, leading them to do better with short-term relationships.
Narcissists can sometimes be helpful and caring. However, more often than not, they only pretend to have these qualities. Moreover, even when they act giving and helping, they are not motivated by empathy because they severely lack it, and as a result, their help is often not very productive.
Narcissists 'can never really love anyone'
"Narcissists, psychopaths, and sociopaths do not have a sense of empathy," she told Business Insider. "They do not and will not develop a sense of empathy, so they can never really love anyone." This doesn't change when they have children.
The development of narcissistic traits is in many cases, a consequence of neglect or excessive appraisal. In some cases, this pathological self-structure arises under childhood conditions of inadequate warmth, approval and excessive idealization, where parents do not see or accept the child as they are.
However, some studies have also pointed out that narcissistic characteristics may not only arise from childhood environments characterized by neglect/abuse, but also from environments in which a child is sheltered or overly praised [11,14,15].
Is NPD genetic? No, there is no gene for NPD, and people are not born with it. Like other mental health conditions, environment is a major factor. Children who are encouraged to believe they are extraordinary and always deserve the best -- sometimes at the expense of others -- could later develop NPD.
According to Thomaes & Brummelman, the development of narcissism begins at around the ages of 7 or 8. This is the time when children begin to evaluate themselves according to how they perceive others.
Narcissists do get worse as they get older. With age comes a lack of independence and narcissistic supply. So, aging narcissists tend to become the extreme versions of their worst selves. They don't develop a late-onset self-awareness, they just become more abusive, manipulative, hypersensitive, rageful, and entitled.
While people with narcissism aren't devoid of emotions, their motivations may be self-focused. They can know they're hurting your feelings, but as long as it elevates their status, they may not care. Someone living with narcissism does cry. They can feel regret, remorse, and sadness.
Grandiose sense of self-importance
Grandiosity is the defining characteristic of narcissism. More than just arrogance or vanity, grandiosity is an unrealistic sense of superiority. Narcissists believe they are unique or “special” and can only be understood by other special people.
“To what extent do you agree with this statement: 'I am a narcissist.'” Scientists believe that this question could be all researchers need to make a quick and easy diagnosis of narcissism.
The narcissist chooses to marry the person they believe they can have the most control over. This isn't meant to victim blame and to say the partner or spouse has done anything wrong. The narcissist knows that other people are caring and want to please, so they look for people that have these qualities.
Narcissists might have "grandiose" delusions about their own importance and an absence of "shame" - but psychologists say they are also likely to be happier than most people.
Emotional reactions
So when they encounter a piece of information about narcissism they immediately might feel exposed, ashamed, betrayed, or attacked. Moreover, they often take things very personally and think that everything is about them.
Some narcissists - though by no means the majority - actually ENJOY abusing, taunting, tormenting, and freakishly controlling others ("gaslighting"). But most of them do these things absentmindedly, automatically, and, often, even without good reason.
Narcissists value fame, beauty, and success more than relationships. Sure, they date and have friends and often these relationships start out exciting — but fizzle quickly. “People who are narcissistic should have a trail of bad relationships behind them,” Campbell said.