Narcissistic Personality Disorder


  • Narcissistic personality disorder (NPD) is a chronic (lifelong) mental condition. With NPD, your thoughts and behaviors cause problems with your relationships. You feel that you are better and smarter than everyone else. You may act out in ways that cause problems with your daily life activities, such as work and school. With NPD, you need to be the center of attention and feel that you should be loved by other people. You have trouble caring about others and their feelings. You want to control the people and events in your life.

  • With NPD, you may need therapy to help you learn more about your condition. Cognitive behavior therapy and family and group therapy may help you cope with your illness. You may also need medicines if you have depression (deep sadness), anxiety (constant worry), or other behavior problems. When you have NPD, you cannot stop your behaviors even if it is hurtful to others. It is hard for you to trust others, and you have trouble asking for help. Treatment may help you learn why you behave the way you do, and help you learn how change your behaviors. Treatment may also help you learn how to have good relationships with other people.


Your medicines are:

  • Keep a current list of your medicines: Include the amounts, and when, how, and why you take them. Take the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency. Throw away old medicine lists. Use vitamins, herbs, or food supplements only as directed.

  • Take your medicine as directed: Call your healthcare provider if you think your medicine is not working as expected. Tell him about any medicine allergies, and if you want to quit taking or change your medicine.

  • Antianxiety medicine: This medicine may be given to decrease anxiety and help you feel calm and relaxed.

  • Anti depressant: This medicine is given to decrease or stop the symptoms of depression. It can also be used to treat other behavior problems.

  • Anti-psychotics: This medicine is usually given to decrease the symptoms of severe (very bad) agitation.

Follow-up visit:

  • You may need to see your caregiver more than once a week for a period of time. Tell your caregiver about your thoughts and feelings at each visit. If you are taking medicine, your caregiver may change how much you take. Medicine changes may depend on if you are feeling better or worse. Keep all appointments. Write down any questions you may have. This way you will remember to ask these questions during your next visit.


  • Cognitive behavior therapy: In cognitive behavior therapy (CBT), you and your caregiver will work together to learn the reasons you are narcissistic. Your caregiver will work with you to slowly change how you act. You will work with your caregiver to decrease your feelings of anger. You will learn ways to cope with what others say to you that you feel is not true. You and your caregiver will work together to help you become more sensitive to other people's feelings. Ask your caregiver for more information about CBT.

  • Psychotherapy: During psychotherapy, a caregiver will work with you to help you see your own self-worth. During this time you and your caregiver may talk about how to cope with your illness.

  • Family therapy: During family therapy, your caregivers will meet with you and your family. You will all talk about how to cope with your illness.

  • Group therapy: During group therapy, you will attend many meetings with other patients and staff. During these meetings, patients and staff talk together about ways to cope with illness.


Talk to your family or friends about what to do if you feel like hurting yourself or others. Ask your caregiver for information about how to make a safety plan.

Stress management:

Stress may cause illness later in your life. Since it is hard to avoid stress, learn to control it. Learn new ways to relax, such as deep breathing, meditation, relaxing muscles, music, or biofeedback. Talk to someone about things that upset you.


  • You have started drinking alcohol, or are drinking more alcohol than usual.

  • You have started taking street drugs.

  • You are taking medicines that were not prescribed to you by your caregiver.

  • You have questions or concerns about your condition, treatment, or care.


  • You feel like hurting yourself or others.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Narcissistic Personality Disorder (Aftercare Instructions)