Intensive, lengthy therapy with a licensed professional is the treatment foundation for recognizing unhealthy and negative behaviors and learning healthy replacement attitudes.
Because narcissism affects the entire family, therapy with the immediate family members is helpful to teach the family and narcissist to communicate openly. Learning to effectively problem solve is a major goal.
Group therapy is helpful for the narcissist to meet others with the same disorder and share problems and solutions. Listening to others with a similar set of dynamics and problems is helpful in enabling self-recognition.
Psychotherapy is not a quick fix, and it may take months or years for the narcissist to recognize traits that need developing in a healthy way. The goal is for the individual to develop skills that will allow him to interact in society in a more appropriate and honest manner.
There are no medications that help with this disorder. However, because depression and substance abuse are linked to this mental illness, antidepressants may be prescribed to help.
Individuals with narcissistic personality disorder have a heightened sense of self-importance and a strong need for attention. It is one of the most difficult personality disorders to treat.