What is included in the long-term monitoring of patients with narcissistic personality disorder (NPD)?

Updated: May 16, 2018
  • Author: Sheenie Ambardar, MD; Chief Editor: David Bienenfeld, MD  more...
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Clinicians cannot always easily gauge the potential for suicide in patients with NPD, because these patients can become suicidal unexpectedly, even when they are not overtly depressed. Patients with narcissism can react brashly and dangerously to acute narcissistic injuries, which strike at the core of their low self-esteem. [25]

Accordingly, it is important for the clinician to monitor the NPD patient consistently, paying close attention to any unexpected life events that may catch the patient off guard. In addition, the patient’s access to potential means of suicide (eg, firearms and pills) should be limited. [26] As in any therapeutic relationship, the clinician should thoroughly document every aspect of the patient’s course of treatment, both to benefit the patient and to protect the clinician against any potential legal action.

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