What Forms of Treatment is There for Narcissism?
There are no medications used specifically to treat NPD. However, there are medications that can effectively treat symptoms such as anxiety and depression or other conditions. Antidepressants or anti-anxiety medications have been proven to be helpful.
Can NPD be Cured?
Adult narcissists can rarely be “cured”, though some scholars and psychiatrists think otherwise. One thing is certain- the earlier the therapeutic intervention, the better the prognosis. However, an accurate diagnosis and the right combination of treatment modalities in early adolescence has shown success, without relapse, in approximately one third to one half of the cases. Additionally, aging seems to subdue or even vanquish some antisocial behaviors.
The third edition of the “Oxford Textbook of Psychiatry” (Oxford, Oxford University Press, reprinted 200, p. 128) cautions:
“… People cannot change their natures, but can only change their situations. There has been some progress in finding ways of effecting small changes in disorders of personality, but management still consists largely of helping the person to find a way of life that conflicts less with his character … Whatever treatment is used, aims should be modest and considerable time should be allowed to achieve them.”
One author believes the reason narcissism is under-reported and healing over-stated is that therapists are being fooled by smart narcissists (Sam Vaknin). Most narcissists are experts at manipulation and are consummate actors; they have learned how to deceive even their therapists.