Identify and Heal

Even though no specific lab tests exist that can diagnose NPD, some may be ordered, such as X-rays and blood tests.

The aim here is to rule out possible physical illnesses and conditions, which may be causing the symptoms.

There are several different types of Personality Disorder, some of them overlap, and it is possible to be diagnosed with more than one type.

An NPD Diagnosis must follow the criteria written in the Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the APA (American Psychiatric Association).

The following must be present for a diagnosis of Narcissistic Personality disorder to be made:

• The patient’s idea and importance of self is exaggerated.
• Fantasies about beauty, success, and power over-dominate the patient’s thoughts.
• Patients think they are special, and relate only to other “special” people.
• They need to be admired all the time.
• They believe they are entitled to most things.
• They manipulate and take advantage of other people.
• They lack empathy – the ability to feel and recognize the feelings and needs of others.
• They envy other people.
• Their behavior comes over as haughty or arrogant.

What are the treatment options for NPD?

There is no known cure for NPD. Psychotherapy is often recommended – this is a type of counseling which aims to help the individual learn how to positively relate to other people. Psychotherapy may help the patient better understand what their problems are, which may bring about a change in their attitudes, resulting in better behavior.

Psychotherapy may involve CBT (cognitive behavioral therapy), family therapy, or group therapy. CBT helps the patient identify negative beliefs and behaviors, and to replace them with healthy and positive ones.

Psychotherapy aims to help patients build up their self-esteem and acquire realistic expectations of themselves and other people.

For some of the more distressing aspects associated with NPD, the doctor may prescribe a medication.

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