How do I get help/support for narcissistic personality disorder?

Note: NAMI volunteers are not medical or mental health professionals, and we cannot offer medical or mental health advice.  The material outlined below is informational and we hope that it helps provide guidance toward getting support.

Narcissistic personality disorder (NPD) is a mental health condition where individuals show a pervasive pattern of grandiosity, need for admiration, and lack of empathy. These symptoms generally begin by early adulthood and present in several different areas of life (work, school, home).. NPD symptoms are shown by a need for excessive admiration; grandiose or over-inflated sense of self-importance; preoccupation by fantasies of unlimited success, power, brilliance, beauty or ideal love; a belief that the individual is “special” and unique and can only be understood by others who are as special as them; a sense of entitlement; a pattern of interpersonally exploitative behavior; an unwillingness to identify with or recognize others’ needs and feelings; envy of others or the belief that others are envious of them; and arrogant, haughty behaviors or attitudes.  

Narcissism is a naturally occurring human trait and a certain amount can be healthy, but it can become a disorder when it negatively impacts functioning in areas such as work, relationships, and self-worth. A licensed mental health professional will use the Diagnostic and Statistical Manual of Mental Disorders to carefully evaluate whether a person meets criteria for diagnosis of narcissistic personality disorder. 

The most common type of treatment for NPD ispsychotherapy. While there are no specific medications prescribed for narcissistic personality disorder, medications may be prescribed for co-occurring disorders such as an anxiety disorder or depressive disorder. The grandiose nature of narcissistic personality disorder may make it difficult for individuals to reach out for help. Finding a therapist who has been trained to work with those experiencing NPD can be a vital part of recovery. Therapy generally involves helping those with the disorder develop a healthier sense of self by examining coping mechanisms and past experiences. The goal for these individuals is to learn how to empathize with themselves and others. 

The following resources may be of help: 

• Walking on Eggshells provides information about narcissistic personality disorder, coping tips, and other resources. 
• Out of the FOG provides information, resources and support for caregivers and loved ones of individuals living with narcissistic personality disorder.   
• If narcissistic behaviors are negatively affecting your relationship, you may wish to consult loveisrespect.org, which provides excellent resources for improving empathy, understanding, communication, and healthy boundaries within romantic relationships. 

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