Narcissistic personality disorder is a complex mental health condition in which individuals often have difficulty recognizing the abnormality of their own behavior. This disorder not only affects personal relationships but also significantly impacts work, education, and mental well-being. In this article, we will help you understand the concept, symptoms, causes, and effective treatment methods from the perspective of mental health experts.

What is narcissistic personality disorder?

Rối loạn nhân cách ái kỷ là gì
What is narcissistic personality disorder?

Narcissistic Personality Disorder (NPD) is a type of mental disorder characterized by excessive self-importance, a strong desire for admiration, and a lack of empathy for others. Individuals with this condition often believe they are superior to everyone else, constantly seek recognition and praise, yet are easily hurt when criticized or ignored.

According to the World Health Organization (WHO), NPD is classified within Cluster B personality disorders, along with conditions such as antisocial personality disorder and histrionic personality disorder. A hallmark of this cluster is impulsive temperament, intense emotions, and difficult-to-control behaviors.

Experts note that narcissistic personality disorder is not merely confidence or self-love. It is a disorder of cognition and emotion, causing individuals to have a distorted view of themselves and the world around them.

Common symptoms of narcissistic personality disorder

People with narcissistic personality disorder often express themselves in various ways. Some may appear charming, accomplished, and overly confident, while others may be easily angered, envious, or exhibit controlling behaviors.

Grandiose thinking and belief in one’s superiority

Tư duy tự cao
Grandiose thinking

This is a core feature of narcissistic personality disorder. Individuals with the condition often believe they are special and superior to others, even without any objective evidence. They can become absorbed in fantasies of power, success, or beauty.

According to experts, this thinking leads them to set excessively high expectations for themselves, making them prone to disappointment when reality does not meet their desires. They often seek to blame others rather than reflect on their own shortcomings.

Need for admiration and a sense of entitlement

Nhu cầu được ngưỡng mộ
Need for admiration

People with NPD have a constant need for admiration and praise, and if this need is not met, they may feel offended or slighted. They expect others to treat them as special and believe they deserve the very best in all aspects.

Experts suggest that this stems from a psychological compensatory mechanism, where the individual tries to hide deep-seated insecurity by outwardly exaggerating their own worth.

Lack of empathy and readiness to exploit others

Thiếu đồng cảm và sẵn sàng lợi dụng người khác
Lack of empathy and willingness to exploit others

One of the clearest signs is a lack of ability to understand the emotions of others. Narcissistic individuals often view others as tools to achieve their own goals.

They may pretend to care, but in reality, it is only to attract attention or personal gain. According to studies, this lack of empathy makes them prone to hurting others in relationships without even realizing it.

They are easily hurt and tend to react extremely to failure.

Dễ bị tổn thương và phản ứng cực đoan trước thất bại
Easily hurt and prone to extreme reactions to failure

Although they appear strong and proud on the outside, deep down, individuals with narcissistic personality disorder are very vulnerable. When criticized or faced with failure, they may react intensely with anger, resentment, or social withdrawal.

Experts refer to this as the “fragility of the self,” a state that causes the person to be constantly defensive, living in anxiety and fear of judgment.

Causes of narcissistic personality disorder

Nguyên nhân dẫn đến bệnh rối loạn nhân cách ái kỷ
Causes of narcissistic personality disorder

The causes of narcissistic personality disorder are diverse, often resulting from a combination of biological, psychological, and social factors.

Researchers indicate that genetic factors play a certain role. Some individuals may inherit narcissistic traits from their parents, especially if there are family members with other personality disorders.

The upbringing environment also has a significant impact. Children who are either overly pampered or harshly criticized are at higher risk of developing a narcissistic personality. When a child is not properly acknowledged, they may develop a defense mechanism by excessively elevating their self-worth to mask emotional wounds.

Additionally, modern social factors such as pressure to succeed, social media, and idolization of personal image can further promote narcissistic traits. An environment that constantly emphasizes the “self” can lead young people to equate their self-worth with the admiration of others.

Treatment of Narcissistic Personality Disorder

Treating narcissistic personality disorder requires persistence and cooperation among the patient, clinicians, and family. The goal is not to completely eliminate narcissistic traits but to help the individual understand and adjust their behavior, learn empathy, and regulate emotions.

Treatment Goals

The focus of treatment is to help the patient:

  • Recognize maladaptive behaviors in their thinking and interactions.
  • Develop healthy communication skills and learn to respect the emotions of others.
  • Reduce the need for admiration and replace it with genuine self-confidence.

Experts note that this process often takes time but can be highly effective if the patient is cooperative and motivated to change.

Psychodynamic Therapy

Liệu pháp tâm lý động
Psychodynamic Therapy

This is a traditional treatment method widely used for patients with NPD. This therapy focuses on exploring internal conflicts and past traumas, helping patients understand the origins of their narcissistic personality traits.

Through therapy, patients gradually realize that their arrogance and desire for admiration are merely ways to mask deep-seated insecurities. Once they understand this, they can begin the process of self-change in a sustainable way.

Cognitive-Behavioral Therapy (CBT)

Liệu pháp nhận thức – hành vi
Cognitive-Behavioral Therapy (CBT)

Cognitive-Behavioral Therapy (CBT) helps patients recognize and adjust distorted thoughts, such as “I must be perfect to be loved.”

This approach focuses on practical behavior changes, such as learning to listen, expressing gratitude, or accepting criticism. According to the American Psychological Association, CBT is one of the most effective therapies for reducing impulsivity and improving interpersonal skills in individuals with narcissistic personality disorder.

Medication

Although there is no specific medication for NPD, doctors may prescribe medications to manage symptoms of depression, anxiety, or agitation.

SSRIs (selective serotonin reuptake inhibitors) or mood stabilizers are commonly used to help patients maintain emotional stability and support the psychotherapy process. However, medication must be taken strictly under a specialist’s guidance, and patients should never self-medicate, overuse, or stop taking medication without medical advice.

Hoang Yen Psychiatric Clinic – A trusted, safe, and high-quality facility for the diagnosis and treatment of narcissistic personality disorder.

Phòng khám chuyên khoa tâm thần Hoàng Yến
Hoang Yen Specialized Psychiatric Clinic

When early signs of narcissistic personality disorder (NPD) are suspected, seeking help promptly is crucial. Hoang Yen Psychiatric Clinic is one of the most trusted choices for patients today.

The clinic boasts a team of experienced psychiatrists and psychotherapists, including doctors, masters, and PhDs from leading hospitals. Modern facilities, private spaces, and personalized treatment plans help patients feel secure throughout the recovery process.

At Hoang Yen Clinic, NPD patients undergo comprehensive assessments through in-depth psychological testing, followed by the development of an individualized treatment plan. In addition to psychotherapy, the clinic offers emotional support programs, group therapy, and life skills education to help patients reintegrate into the community.

Contact Information:

Address: 12, Alley 44, Do Quang Street, Yen Hoa Ward, Hanoi.
Hotline: 0974 509 322
Website: https://phongkhamtamthanhoangyen.com/

Narcissistic personality disorder (NPD) is a complex psychological condition, but it can be effectively treated and managed with appropriate intervention. Understanding the causes, symptoms, and treatment methods helps patients and their loved ones take a proactive approach in the recovery journey.

If you or a family member are experiencing similar signs, consider visiting Hoang Yen Psychiatric Clinic for timely consultation and treatment. We believe that with perseverance and guidance from specialists, anyone can regain balance, learn to love themselves, and live a more positive life.

 

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