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2 Reasons Why Individuals with Narcissistic Personality Traits (Narcissistic Personality Disorder) CAN Benefit From Mental Health Therapy

Updated: Jan 20


**Disclaimer: This blog post will make mention of narcissistic personality disorder. While the legitimacy of this disorder is hotly debated, it is still often used to describe a subtype of personality disturbance. It is rumored that NPD may be removed from the next DSM (the handbook used by mental health professionals in therapy to diagnose & classify mental disorders), but until then, we may still reference it from time to time. Thank you for your understanding. 


You may have heard some experts say that folks with narcissistic personality styles (narcissistic personality disorder) typically do not benefit from therapy. The argument is usually that narcissistic folks don’t see “an issue” with their behavior and are therefore unlikely to make an attempt at real change. Other times, this claim is backed up by research that emphasizes the highly stable nature of temperament and personality style. While it is difficult to argue that folks with narcissistic traits are more difficult to treat, there is a small population of “self-aware” narcissistic folks who DO benefit from psychotherapy. Our specialist, Erika Koch-Weser, LCSW, NATC, works with these individuals here at our practice and believes that some change is absolutely possible. 


Narcissistic personality traits undoubtedly complicate interpersonal relationships and individual well-being. While daily functioning is often not impaired, there are many unseen consequences for narcissistic folks deep below the surface. Narcissistic folks are plagued by deep-rooted shame and do not actually “love themselves”, as many believe. Research suggests that mental health therapy can offer some benefits and relief for individuals exhibiting these traits. Here are two compelling reasons why therapeutic intervention can be transformative for those with narcissistic tendencies. 


Learning to Challenge Grandiose Cognitions


Even if an individual with narcissistic traits only comes to therapy to benefit themselves– we’ll take it. Sometimes, self-serving goals are where we need to start to get someone in the door. Individuals with narcissistic personality traits frequently engage in grandiose thinking and self-protective behaviors, which can distort their perception of themselves and reality. Cognitive-behavioral therapy (CBT) and other therapeutic modalities related to challenging one’s thoughts provide tools for clients to identify and explore maladaptive beliefs. Through this process, individuals can cultivate some mindfulness, enabling them to navigate social interactions more effectively and empathetically (even if the limited empathy is only cognitive & not emotional).


Therapy facilitates the examination of cognitive distortions linked to narcissism, allowing clients to recognize the impact of their personality traits on themselves, others, and their relationships more generally. By addressing their underlying motivations, individuals can enhance their emotional intelligence and develop better skills for healthier interpersonal dynamics, which are crucial if they want any sustainable relationships. Some argue that therapy could be educating these individuals on how to be MORE manipulative. Thankfully, a trained clinician knows how to navigate treatment to prevent this from occurring. 


Unpacking Childhood Trauma


Research indicates that most individuals with narcissistic personality traits have experienced childhood or early-life trauma, which has contributed to their self-image challenges and toxic behavioral patterns. Narcissistic personality disorder is a manifestation of extreme coping mechanisms and forms of self-protection. Therapeutic interventions and a non-judgmental space allow individuals to explore these formative experiences and reconsolidate memories, thereby addressing the root causes of their narcissistic behaviors. While this is not a “cure”, it can decrease the severity of maladaptive behaviors and thoughts. This exploration not only diminishes the perceived necessity for the self-protection mentioned above, but it also fosters more self-awareness.


An additional disclaimer: 


Empathy for narcissistic folks can be difficult to come by, and it must be accessed/utilized carefully. There is NO excuse for abusive behavior, and only a trained professional should take on the responsibility of helping a narcissistic individual begin to heal.



Sessions with Erika Koch-Weser can be booked by emailing: hello@twolightstherapy.com 


Two Lights Therapy Center | Chicago, Illinois.

Narcissism & Abuse Recovery Specialists


Disclaimer: The information provided in these blog posts is for informational and educational purposes only. It is not intended to be a substitute for professional therapy or therapeutic services. Readers should not use this content as a replacement for individualized advice or treatment. If you are experiencing a crisis or need immediate assistance, please call 911 or contact other emergency services in your area.


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