Wiki: How to Deal With Narcissistic Personality Disorder

A person with Narcissistic Personality Disorder (NPD) often initially comes across as charming and outgoing, exuding self-confidence.^[1] However, the magnetic personality is cast aside and replaced by a self-absorbed individual. ^[2] This person is extremely difficult to deal with. NPD is one of the most difficult diagnoses for professionals to treat successfully.^[3] If the individual with NPD is a family member, a supervisor at work, or someone for whom you already care deeply, you might prefer to explore ways to survive close proximity.^[4] You can choose to make adjustments that facilitate co-existence with Narcissistic Personality Disorder, but it can be a difficult road.

EditSteps

EditDealing with a Narcissistic Personality

Determine if it’s worth dealing with this person. This person has very little interest in listening to you and has a lack of interest in what your needs are.^[5] Narcissists think they know more than others. Therefore, they see their decisions as the only logical answers to problems. Narcissists will expect that you will defer to their decisions. There will probably be power struggles or severe control issues in your relationship.^[6]
- This person doesn’t seem to have an emotional investment in your relationship and becomes angry if there is a perceived criticism of any kind. He probably has a history of severing relationships over trivial causes.^[7] If you are determined to maintain the relationship, how do you survive, and remain emotionally intact?
- Determine if you cannot or will not walk away from this person in your life. If it’s a new acquaintance, it might be better to abandon the relationship.
Avoid confrontation. You won’t convince a person with NPD that he is wrong. Pick your battles and don’t waste effort in tackling an issue that centers on the person’s behaviors, as they are unlikely to change.
- If your spouse monopolized the conversation at last night’s family reunion and embarrassed you by telling tall tales, chalk it up as water under the bridge. Take a preventative approach before the next gathering, perhaps by arranging for him to sit next to a quiet family member who will greatly enjoy listening to someone else’s exploits.
- If the issue involves a decision you’ve made, such as not riding in the car with him driving if he drinks at the party tonight, state it simply and directly. Feel free to then walk away without trying to justify your decision. That is the behavior you will get from a narcissistic personality so he will understand it – and possibly accept it – better than any emotional plea.
Establish goal-oriented interaction. People with NPD like to achieve things and then brag about their achievements. ^[8] Set goals to meet your needs that provide a source of pride for your narcissist.
- If you cringe when thinking about asking your narcissistic husband to spring-clean the patio and backyard, suggest that he should host the season’s first barbecue. Narcissists see themselves as social leaders, so this type of event provides the audience he craves. Ask his opinion on what needs to be done then offer to ready the house and refreshments for the gathering. Appeal to his muscle in getting the outside ready. Ironically, you might accomplish even more than the spring cleaning you originally visualized by suggesting an outdoor project (i.e., building a pond, raised garden bed, or outdoor fountain). This would provide him with a bragging point during the party.
Learn what is important to the person. Remember that a narcissistic personality probably won’t understand or respect your emotional statements or gestures. He may actually reject them in a manner that feels callous and hurtful to you.
- Instead, study your subject and learn what is important to him. Then offer him a pragmatic gift of your time or wallet that his perception will translate as a genuine statement of affection.
Suggest talk therapy. The only effective way to treat this disorder head-on is through talk therapy. Psychotherapy can make inroads in reshaping how persons with NPD perceive themselves and their place in the world. Then they can develop more accurate views of their actual abilities. This can assist them to eventually accept themselves and incorporate opinions of others into their thought processes.^[9]
- However, because people with NPD see themselves as fairly flawless,^[10] they tend not to recognize any need to seek counseling or make changes in their behaviors.
- Psychotherapy can assist in helping narcissistic people learn to relate to others so that they have more rewarding personal and professional relationships.
- Convincing a person with Narcissistic Personality Disorder to see a therapist, participate in therapy, and remain in the process until real change occurs, is extremely difficult.^[11] If a narcissistic personality seeks mental health help, it is generally to address depression or suicidal tendencies.^[12] This person will likely be resistant to any discussions of personality overhaul or behavioral modification.
- There are no drugs to treat Narcissistic Personality Disorder, although treatment may include prescriptions to control symptoms or resultant problems such as depression.^[13]

EditRecognizing the Traits of Narcissistic Personality Disorder

Consider the person’s childhood. Narcissistic Personality Disorder (NPD) is typically found in males, beginning in adolescence or early adulthood.^[14] Experts have not pinpointed causes but speculation includes certain types of parenting:
- Extremely critical parenting: Parenting that is extremely critical can lead to a growing need for the child to seek adoration. ^[15]
- Gushing parenting: On the other end of the spectrum, parenting that is gushing can give a child an unhealthy sense of entitlement or perfection.^[16]
- It appears most likely that parenting that combines extreme elements of both coldness and admiration often produces a narcissist.^[17]
Identify if the person thinks he can do no wrong. A narcissistic personality may first appear to have a strong sense of self-esteem, confidence, and ability.^[18] In time, this will be revealed to be steeped in self-belief that he can do no wrong and that he has greater value than those around him.^[19]
Consider if the person thinks he is the center of his universe. The narcissist will feel that the world revolves around him, and he will do what is takes to keep it that way.^[20], ^[21] This might include monopolizing conversations^[22]
Consider if the person is easily angered or verbally abusive. When a narcissist doesn’t receive the special treatment to which he feels entitled,^[23] he might become angry or verbally abusive.^[24]
Identify if a person is arrogant or boastful. Persons with Narcissistic Personality Disorder will be seen by most as arrogant, boastful, and self-centered.^[25] They tend to look down on their inferiors^[26] (basically, everyone else), and may tear others down in order to build themselves up. They will manipulate others to get what they want.
Identify a person’s lack of empathy. Perhaps the most challenging issue in dealing with someone who has NPD is that he has no real ability to empathize with others^[27] and no desire to learn.
Notice if a person overreacts to criticism. He will not try to meet the needs of others. In fact, he may react in anger to any request for such, as it may be perceived as a criticism. ^[28]
- It once was thought that the exaggerated sense of self-worth in a narcissistic personality was in compensation for an actual lack of self-esteem. Experts now believe that narcissists are self-delusional in that they actually believe in their own grandiosity.^[29] They feel entitled to adoration from others, despite any evidence of achievement.^[30]
- Therefore, narcissists may overreact, possibly even becoming aggressive, when they feel attacked by even the slightest of criticisms.^[31]
Consider if the person has unrealistic expectations. The narcissist will have exaggerated beliefs of self-importance, superiority, achievement, and ability; manipulative behaviors as well as expectations of obedience, admiration, and entitlement; and preoccupation with “fantasies about success, power, brilliance, beauty or the perfect mate.”^[32]
- The narcissist will demand that the highest quality possible (“the best”) be expended or produced on his behalf.^[33]
Look at the person’s relationships. It is difficult to work or live with someone with Narcissistic Personality Disorder. Persons with NPD tend to have problems in their personal relationships as well as at work and/or school. ^[34]
- Some may note a real or perceived flaw in their perfection that leads to depression or moodiness. ^[35] Suicidal thoughts complicate matters further.
Notice if there is drug or alcohol abuse. When life does not run smoothly, a narcissist may have issues with drugs or alcohol.^[36] Examine how much the person is drinking alcohol or if he is abusing drugs.

EditTaking Care of Yourself and Others

Seek emotional support elsewhere. Accept right now that your emotional needs will not be met by this person.^[37] Find a trusted friend or other confidante (a relative, counselor, or priest, for instance) who will provide a listening ear and understanding for those times you need to talk about your frustrations. Have a network of friends to fill the other emotional gaps left in your life.
- If your spouse has NPD, he may not share in your enthusiasm when you get a commendation at work because it doesn’t concern him personally. He may even receive this commendation negatively if he doesn’t get regular atta-boys at his job. Be prepared for a ho-hum response from him.
- Post a happy note on your social media or call a couple friends who will give you the high-fives you deserve.
Educate yourself to improve your quality of life. Every individual is unique, so educate yourself about Narcissistic Personality Disorder but also do your best to learn how your specific person with NPD processes his world. The better you understand that lens, the more you can adapt your approach to him so that you get the results you seek more often than otherwise.
- Learn to anticipate how he will react given particular circumstances then set up the scenario to obtain the results you want. Examine how he sees you in his world then try to fit that mold as comfortably as you can.^[38]
- Don’t bend so much that you break, but manipulate the setting so there’s a happy medium. Remember to employ the grandmotherly maxim given to brides: He’ll do anything you want if you make him think it was his own idea.
- The better you know and understand your person with NPD, the more likely you can reach beyond the wall separating you to show that you truly care, which will benefit you both.^[39]
Don’t forego making emotional gestures. You may find that a person with NPD responds well to the non-emotional favors you learn to do. This doesn’t mean, however, that you have to forego making emotional gestures from your own heart.
- In fact, he may appreciate being able to show off to co-workers that you put a love-note in his lunch box. Keep in mind, however, that you probably won’t get any expression of appreciation at home that night.
- Your expression of caring will meet your own need of giving love without pain as long as you don’t expect him to react emotionally or to reciprocate your gesture.^[40]
Seek advice from other resources. You’ve put yourself on the right track by starting to educate yourself about Narcissistic Personality Disorder. There are numerous support groups, books, and other resources with practical advice to help you survive this challenging relationship.
Share ideas with other people. Don’t forget that you aren’t the only person impacted by the narcissistic personality in your life. Share ideas with this person’s friends and co-workers who are trying to maintain a relationship with him.
Monitor his children. If there are children living with this person, make sure they are safe with this parent. Narcissistic parents can often be verbally or emotionally abusive. Take note if the children are lacking certain social skills because of his behaviors.^[41]Consider ways you can compensate or re-teach certain social skills so the children don’t become adults with similar behaviors.