What is the role of medications in 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

No psychiatric medications are tailored specifically toward the treatment of NPD. Nevertheless, patients with this disorder often benefit from the use of psychiatric medications to help alleviate certain symptoms associated with the disorder (eg, depression, anxiety, transient psychosis, mood lability, and poor impulse control). In addition, many patients with NPD have concomitant axis I diagnoses for which they are receiving regular psychiatric pharmacotherapy. Agents that may be indicated in the treatment of NPD patients include the following:

  • Antidepressants of the selective serotonin reuptake inhibitor (SSRI) class (eg, citalopram)

  • Antipsychotics (eg, risperidone)

  • Mood stabilizers (eg, lamotrigine)


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