What is Narcissistic Personality Disorder and What are the treatment options?

Narcissistic personality disorder, as defined by the DSM-5, is a mental health condition characterized by an inflated sense of self-importance, a deep need for admiration and attention, and a lack of empathy for others. Individuals with narcissistic personality disorder may have a grandiose sense of their own abilities and may believe they are superior to others. They may also have a strong need for admiration and may manipulate others to get the attention they crave.

According to the DSM-5 criteria, individuals with narcissistic personality disorder must display at least five of the following symptoms:

  • An exaggerated sense of self-importance, often demonstrated through grandiose behavior and an inflated ego

  • A need for excessive admiration and attention from others

  • A lack of empathy for others and a tendency to exploit them for personal gain

  • A sense of entitlement and a belief that they are entitled to special treatment

  • An overly sensitive reaction to criticism and a tendency to hold grudges

  • A preoccupation with fantasies of power, success, and ideal love

  • An arrogant and haughty demeanor

Individuals with narcissistic personality disorder may have difficulty maintaining healthy relationships and may have a history of conflicts with others. They may also struggle with feelings of inadequacy and may engage in risky or impulsive behaviors to boost their self-esteem.

Treatment for narcissistic personality disorder typically involves a combination of talk therapy and medication. Cognitive-behavioral therapy (CBT) can help individuals with narcissistic personality disorder recognize and change their distorted thoughts and behaviors. This type of therapy may also help them learn to empathize with others and improve their relationships.

There are no specific medications for narcissistic personality disorder. However, medications, such as antidepressants and anti-anxiety medications, may also be prescribed to help individuals with narcissistic personality disorder manage their co-occurring symptoms for related conditions.

Another treatment option for narcissistic personality disorder is group therapy, which can help individuals learn to communicate and relate to others in a healthy way. Group therapy may also provide a supportive environment where individuals can learn from the experiences of others and receive feedback on their behaviors.

It is important to note that treatment for narcissistic personality disorder is typically long-term and may require ongoing support and guidance from a mental health professional. With proper treatment, individuals with narcissistic personality disorder can learn to manage their symptoms and improve their relationships and overall quality of life.

Dr. Inverpal Braich

About the Author
Hey! I’m Inverpal. I’m a psychologist and the Director of Clinical Operations at CCIPH. I was born in Toronto, ON but have moved across several cities and provinces in Canada. From a young age, I have been passionate about promoting mental health awareness and increasing the accessibility of mental health services. Due to this passion, I have spent over a decade in the mental health industry, working with several mental health organizations across North America in many diverse roles. I’m also a huge Toronto Raptors fan. In my free time, you can find me playing/watching basketball, watching new movies, learning new things, and spending time with my family.

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