What Is a Narcissist?
Narcissistic personality disorder is characterized by:
- Grandiose sense of self-importance
- Preoccupied with fantasies of unlimited success, power, brilliance, or beauty
- Sense of entitlement
- Arrogant behavior
- Need for admiration
- Lack of empathy
- Inflation of their accomplishments
Individuals with NPD feel like they can only be understood by people of high status. They often insist on being the “top” person at work and may put down people who disagree with them.
Although people with NPD have an inflated sense of grandiosity, their self-esteem is incredibly fragile. They have a deep concern about how they are viewed by others. They expect others to greet them with fanfare at their arrival, constantly fish for compliments, and use a great deal of charm.
These symptoms of NPD begin in early adulthood and persist throughout adulthood.
How Common Is Narcissistic Personality Disorder?
According to research, approximately 0.5 to 5% of Americans have narcissistic personality disorder. However, the actual number may be higher because people with this diagnosis may be able to hide their symptoms and rarely seek therapy.
What Causes Narcissistic Personality Disorder?
A combination of genetic and environmental factors are believed to cause narcissistic personality disorder such as:
- Family history of NPD or any other mental health disorder
- Childhood abuse
- Neglect
- Spoiling children
- Unrealistic expectations set by parents
NPD is diagnosed in adulthood, but the signs and symptoms can become noticeable in childhood. Children with conduct disorder, a behavioral disorder characterized by aggression, defiance, and rule-breaking, are at high risk of developing NPD.
How Is Narcissistic Personality Disorder Diagnosed?
NPD is diagnosed by a mental health professional such as a therapist, psychologist, or psychiatrist. The clinician will ask a series of questions regarding history, thoughts, feelings, and behaviors.
The counselor may also use a standardized questionnaire to ask questions and use the data to assess for a diagnosis.
The therapist may also use criteria from the Diagnostic and Statistical Manual (DSM-5) to assess symptoms.
Types of Therapy for Narcissistic Personality Disorder
The best types of therapy for narcissistic personality disorder include:
- Psychodynamic therapy: This form of therapy helps the client understand their unconscious thoughts. By understanding the childhood experiences that led to the development of NPD, these individuals can begin changing their behavior.
- Cognitive behavioral therapy (CBT): Since NPD is caused by distorted beliefs about oneself, CBT can help individuals challenge their beliefs that lead to maladaptive behavior.
- Schema therapy: This intervention can help people challenge their core beliefs about themselves and others.
- Dialectical behavioral therapy (DBT): DBT can help individuals manage their emotions, learn skills to tolerate distress, and improve their relationships with others.
- Interpersonal therapy (IPT): IPT can help individuals with NPD develop more realistic beliefs about themselves and improve their communication.
The best type of therapy depends on the individual’s needs and the therapist’s specialty. More important is the therapeutic relationship between client and therapist.
How to Find a Therapist for Narcissistic Personality Disorder?
Some tips for finding a therapist for NPD include:
- Ask your doctor for a referral
- Search online for a therapist who specializes in NPD
- Contact your insurance company for a list of therapists that are covered by your insurance
- Meet with a therapist and interview them about their therapeutic approach
The best therapist is the one who you feel comfortable with and can trust.
The Value of Inpatient Treatment for NPD and Co-occurring Conditions
The benefits of inpatient treatment for co-occurring mental health conditions include:
- Structured and supportive environment
- Intensive therapy and medication treatment
- Opportunity to challenge negative beliefs
- Clients can handle triggers and challenges with around-the-clock support
If you are interested in inpatient treatment, talk to your medical provider for assistance in identifying resources.
Our commitment to providing trustworthy and emotionally supportive resources for those seeking treatment for narcissistic personality disorder remains unwavering. We invite you to explore the wealth of information on our platform, from treatment options to the benefits of supportive therapy. Take the first step towards healing and personal growth by connecting with the resources and support you need today.