Individual and Marital Therapy with Narcissists | Psychology Today

Although narcissism is difficult to treat, progress can be made over time. Even weekly sessions over a shorter term can yield benefits. Patients’ functioning and adaptation to reality can improve through gaining some control over their defenses and by working through past trauma (Masterson, 2004). They can learn to manage their anger, rage, and impulsivity. Although narcissists may feign empathy in order to get close or win others’ approval, subclinical narcissists (without full-blown NPD) have been taught empathy by using their imagination to put themselves in another’s shoes (Hepper, Hart, & Sedikides, 2014). Narcissists who are philanthropists or volunteers in the community for the public approbation to boost their self-esteem can learn to empathize and be less self-centered by helping others without personal gain.

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