Narcissistic Personality Disorder

Understanding Narcissistic Personality Disorder

Narcissistic personality disorder is a cluster B personality disorder 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 often feel misunderstood and may seek validation from people of high status. 

These symptoms stem from a nervous system that depends on external feedback to feel comfortable and secure. This is why it’s important to not only focus on cognitive aspects and try to reframe how someone views their situation. If you do that, it can feel like you’re always working overtime to convince yourself that everything is fine. Instead, by addressing the nervous system, we can change how your body responds to stressors.

Causes and Risk Factors

A combination of genetic and environmental factors is believed to cause narcissistic personality disorder, such as:

• Family history of NPD or any other mental health disorder
• Childhood abuse
• Neglect
• Unrealistic expectations set by parents

This causes the nervous system to become sensitive to how others perceive them, increasing the need for approval.

In the past, this person required the approval of others for their sense of safety. The nervous system was simply doing its job to protect them. However, in therapy, we can change how the nervous system responds so that it doesn’t perceive everything as a danger, leading to responses that are more beneficial.

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.

Recognize the Signs

Some signs to look out for include:

• Grandiose sense of self
• Feeling envious or judgmental of others
• Feeling as if no one understands them
• Sense of entitlement
• Obsession with power, beauty, and success
• Excessive need for admiration

An assessment from a mental health professional is necessary for diagnosis.

Narcissistic Personality Disorder Treatment

At Evolve Therapy & Counseling, we deliver therapy using a structured approach called the Sovereign Body Method, developed by Liz Chelak, LCSW, CCTSI, CRPS.

Unlike traditional talk therapy, which focuses on discussing your issues and changing your mindset, this method emphasizes working with the nervous system to address the root causes of your concerns and modify instinctual responses to external triggers.

Treatment is not open-ended and does not rely on the individual therapist. Every therapist at Evolve is trained in this method, ensuring that all clients receive consistent and structured care.

We also utilize various interventions when appropriate, but we prioritize not using cognitive-based techniques until your nervous system is regulated. Before this point, certain parts of your brain may not be accessible. Therapy is tailored to your personal situation, but we maintain a consistent clinical framework that prioritizes real-world change, not just insight.

Types of Therapy

Therapy interventions that can be used 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.

Schedule a consultation to learn more about the Sovereign Body Method for NPD.

Goals of Therapy

The goals of therapy for NPD include:

• Improving control over reactions
• Decreasing dependence on external validation
• Improving decision-making
• Feeling more confident and grounded

The above are examples of therapy goals. You and your therapist will develop your own goals based on your needs and preferences. 

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. 

Finding a Therapist in Brickell, Downtown Miami and West Palm Beach

Importance of Finding a Qualified Therapist

It is important to find a therapist who understands the nuances of NPD. This person should be someone you connect with and can trust. An NPD therapist must be empathetic and maintain confidentiality.

How to Find a Therapist

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 and ask for a list of therapists
• Attend a therapy consultation and ask about the counselor’s therapeutic approach

The best therapist is the one who you feel comfortable with and can trust. 

What to Expect in Therapy

You can expect a structured and direct approach that aims to:

• Regulate your nervous system
• Release stored feelings in the body
• Alter negative patterns
• Boost your confidence in relationships and social situations.

Therapy goals are individual, and your therapist will always work to help you achieve your goals. 

Additional Resources and Support

Some resources if you are in immediate need of support include:

• 988 Suicide & Crisis Lifeline: Call or text 988
• Crisis Text Line: Text HOME to 741741
• The Trevor Project: 1-866-488-7386

Remember to take care of yourself during the process of NPD recovery. Social support and coping skills are crucial in your recovery.

Our commitment to effective care for those seeking treatment for narcissistic personality disorder remains unwavering. We invite you to explore how the Sovereign Body Method can help you. Reach out to schedule a free consultation today.