Narcissism: The Best Therapy to Manage It

Narcissism: The Best Therapy to Manage It

If you have signs and symptoms of narcissism, it is advisable to talk to a therapist near me.

Narcissism is a complex personality trait that has intrigued psychologists and therapists for decades. It’s often characterized by a pervasive sense of grandiosity, an inflated sense of self-importance, and a lack of empathy for others. Individuals with narcissistic tendencies can be charming and charismatic, but they also tend to have difficulties maintaining healthy relationships and often struggle with emotional regulation.

What is narcissism?

Narcissism is a psychological trait characterized by an excessive preoccupation with one’s own self, often at the expense of others. People with narcissistic tendencies display a grandiose sense of self-importance and entitlement, believing they are superior to others and deserving of special treatment. They often lack empathy and have a deep-seated need for admiration and validation from others. 

Narcissistic individuals tend to be manipulative and exploitative in their relationships, using others to bolster their self-esteem and achieve their own goals. While some level of self-confidence and self-focus is normal, narcissism becomes problematic when it interferes with a person’s ability to form meaningful and healthy relationships and when it leads to a disregard for the feelings and needs of others. 

In its extreme form, narcissism can be diagnosed as narcissistic personality disorder, a mental health condition that can have a significant impact on a person’s life and the lives of those around them.

What are the signs and symptoms of narcissism?

Recognizing the signs and symptoms of narcissism is a big help for understanding and managing this personality trait, as it can have far-reaching consequences for an individual’s relationships, well-being, and overall quality of life.


Narcissists often exhibit an exaggerated sense of self-importance and believe they are unique or special. They may demand excessive admiration from others and have unrealistic expectations of favorable treatment.

This grandiosity can lead to a lack of empathy for others, as narcissists may see themselves as superior to those around them. Therapists often work with clients to explore the roots of this grandiosity, helping them to develop a more realistic self-concept.

Need for Excessive Attention

Individuals with narcissistic tendencies constantly crave attention and validation from others. They may become easily upset when they feel ignored or overlooked.

Therapists focus on helping clients understand the underlying reasons behind their need for constant attention. This can involve exploring past experiences that may have led to feelings of insecurity or inadequacy.

Lack of Empathy

One of the hallmark traits of narcissism is a lack of empathy for others. Narcissists may struggle to understand or care about the feelings and needs of those around them.

Empathy is a skill that can be developed through therapy. Therapists often use techniques such as cognitive-behavioral therapy (CBT) and mindfulness to help narcissistic individuals become more attuned to the emotions of others.

Difficulty in Maintaining Relationships

Narcissists often struggle with maintaining healthy relationships, as their self-centered behaviors can be exhausting and hurtful to those close to them.

Therapy aims to help individuals with narcissistic traits improve their interpersonal skills. This includes learning to communicate effectively, manage conflicts, and consider the needs of others in a relationship.

Fragile Self-Esteem

Paradoxically, many narcissists have a fragile sense of self-esteem that is easily threatened. They may react strongly to criticism or perceived slights.

Therapists work on helping clients build a more stable and realistic self-esteem by examining the underlying insecurities that fuel their reactions to criticism and perceived threats to their self-worth.

How does narcissism affect one’s mental health?

It is best to talk to a therapist near me to manage narcissism.

Narcissism can have significant effects on an individual’s mental health, both for the person exhibiting narcissistic traits and for those around them. Here are some ways in which narcissism can impact mental health:

Difficulty in Relationships

Narcissism can strain relationships, as individuals with narcissistic traits often prioritize their own needs and desires over those of others. Their lack of empathy and inability to connect emotionally can lead to conflict, isolation, and loneliness, affecting their mental well-being.

Vulnerability to Stress

Narcissistic individuals may be more susceptible to stress, especially when their self-image is threatened. They may react strongly to perceived slights or challenges to their superiority, leading to heightened stress levels and emotional instability.

Interpersonal Conflicts

The grandiosity and arrogance associated with narcissism can lead to frequent conflicts with others. These conflicts can be a source of chronic stress and frustration, contributing to feelings of anger, resentment, and anxiety.

Co-occurring Disorders

Narcissism is often associated with other mental health conditions, such as depression and anxiety. These co-occurring disorders can exacerbate the negative impact of narcissism on mental health.

Difficulty Coping with Failure

Narcissistic individuals may struggle to cope with failure or setbacks because they challenge their grandiose self-image. This can lead to feelings of shame and anger and a heightened risk of depressive episodes.


Over time, narcissistic behaviors can lead to social isolation, as others may distance themselves from individuals with narcissistic traits due to their self-centeredness and lack of empathy. This isolation can contribute to feelings of loneliness and depression.

What therapies are effective in managing narcissism?

When it comes to managing narcissism, the choice of therapy should be based on the specific needs and preferences of the individual. Different therapeutic approaches can be effective in addressing narcissistic tendencies, and what works best may vary from person to person. 

However, there are two primary forms of therapy that are often considered beneficial for individuals with narcissistic traits:

Psychodynamic Therapy

Psychodynamic therapy is an insight-oriented approach that explores the unconscious roots of behavior, including narcissism. It focuses on uncovering deep-seated patterns, early life experiences, and unresolved conflicts that contribute to narcissistic tendencies. Through self-exploration and reflection, individuals can gain a better understanding of their emotions, motivations, and the origins of their narcissistic behaviors. Psychodynamic therapy aims to promote self-awareness, empathy, and personal growth.

Cognitive-Behavioral Therapy (CBT)

CBT is a goal-oriented, skills-based therapy that focuses on changing problematic thought patterns and behaviors. In the context of narcissism, CBT helps individuals identify and challenge distorted beliefs about themselves and others. It teaches practical strategies for managing impulsivity, improving interpersonal skills, and developing healthy self-esteem. CBT can be particularly effective in addressing specific narcissistic traits, such as entitlement and self-centeredness.


Effective therapy for narcissism focuses on addressing the root causes of these behaviors, developing empathy, and building healthier self-esteem. Therapy for narcissism can be a long-term process, but with commitment and the right therapeutic approach, individuals with narcissistic traits can make significant progress towards personal growth and improved relationships.

 If you are looking for professional help and support to manage the signs and symptoms of a mental health condition, visit Mindshift Psychological Services. You can check out their website to learn more about them. You can also contact them at (714) 584-9700 to schedule an appointment.