Can You Treat Narcissism and Narcissistic Personality Disorder?

Narcissistic Personality Disorder Toolbox: 55 Practical Treatment Techniques for Clients, Their Parents & Their Children (IPBA Benjamin Franklin Silver Award Winner):: https://goo.gl/sZYhym

Narcissism is majorly misunderstood. Most of the time it’s lumped into a picture of an extreme conceptualization of a resistant, demonstrative, grandiose individual. However, the reality is that it’s on a continuum like all other disorders. This means mild, moderate, severe, and extreme. In this video were going to unpack the concept of narcissism, the 2 types, and the question, can these individuals benefit from treatment? The big question is it possible and can it be done? Watch to find out.

Most individuals along the narcissistic spectrum do not seek treatment.
To understand this we need to talk about the 2 sides to the same coin of narcissism. On one side is the grandiose type of narcissism and on the other is the vulnerable type of narcissism. These two forms of narcissism share several characteristics such as self-centeredness, exaggerated sense of self-importance and entitlement, disagreeableness, and a tendency to interact with others in an antagonistic manner. The difference is in how these manifest.

The grandiose type is what most of think of when we hear narcissism:
grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements).

Individuals with vulnerable narcissism are described as defensive, avoidant, insecure, hypersensitive and vigilant for criticism but they also need people’s recognition (e.g., admiration) to bolster their self–worth.
They have very low levels of self-esteem, tend to be solitary and reserved, detached from others, critical, callous, selfish, cold, resistant to participate in situations, as well as sensitive and nervous.

The reality is that those with narcissism do come to treatment when they incur a narcissistic wound. It is important to recognize that the wound may drive them to treatment but when it heals to a point of ego stability, they usually leave treatment early.

Despite the lack of treatment outcome research on NPD, there is a wealth of clinical treatment reports. These reports share two common similarities: (1) narcissism is difficult to treat and the treatments are not often effective, and (2) one key in treatment is to form a strong alliance with the client. This alliance is crucial to encouraging the client to remain in therapy.

Daniel J. Fox, Ph.D., is a licensed psychologist in Texas, international speaker, and a multi-award winning author. He has been specializing in the treatment and assessment of individuals with personality disorders for over 15 years in the state and federal prison system, universities, and in private practice. His specialty areas include personality disorders, ethics, burnout prevention, and emotional intelligence.

He has published several articles in these areas and is the author of:

Antisocial, Narcissistic, and Borderline Personality Disorders: A New Conceptualization of Development, Reinforcement, Expression, and Treatment. Available at: https://www.drdfox.com/books

The Borderline Personality Disorder Workbook: An Integrative Program to Understand and Manage Your BPD. Available at: https://goo.gl/LQEgy1

Antisocial, Borderline, Narcissistic and Histrionic Workbook: Treatment Strategies for Cluster B Personality Disorders (IPBA Benjamin Franklin Gold Award Winner): https://goo.gl/BLRkFy

The Clinician’s Guide to Diagnosis and Treatment of Personality Disorders: https://goo.gl/ZAVe9v

Dr. Fox maintains a website of various treatment interventions focused on working with and attenuating the symptomatology related to individuals along the antisocial, borderline, narcissistic, and histrionic personality spectrum (www.drdfox.com).

YouTube: https://www.youtube.com/c/DrDanielFox
Dr. Fox’s website: http://www.drdfox.com/
Facebook: https://www.facebook.com/appliedpsychservices/
Twitter: https://twitter.com/DrDanielJFox1
LinkedIn: https://www.linkedin.com/in/drdfox/
Instagram: https://www.instagram.com/drdfox
Amazon Author’s Page: amazon.com/author/drfox

Videos edited by Emil Christopher: [email protected]

Citations:
Pincus, A. L., & Lukowitsky, M. R. (2010). Pathological narcissism and narcissistic personality disorder. Annual review of clinical psychology, 6, 421-446.
Campbell, W. K., & Baumeister, R. F. (2006). Narcissistic personality disorder. In Practitioner’s guide to evidence-based psychotherapy (pp. 423-431). Springer, Boston, MA.

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