What are psychotherapy options for the treatment of narcissistic personality disorder (NPD)?

Updated: May 16, 2018
  • Author: Sheenie Ambardar, MD; Chief Editor: David Bienenfeld, MD  more...
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Answer

Options for psychotherapy include the following:

  • Individual psychotherapy (specifically, psychoanalytic psychotherapy) - Mainstay of treatment; schools of thought include Kernberg’s object-relations approach and Kohut’s self-psychology approach, as well as various combinations of the 2 approaches

  • Group therapy

  • Family therapy

  • Couples therapy

  • Cognitive-behavioral therapy (CBT; in particular, schema-focused therapy)

  • Short-term objective-focused psychotherapy

If the patient acutely decompensates or becomes a danger to self or others, inpatient treatment (for as short a period as possible) is warranted


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