What is the Prognosis for Narcissistic Personality Disorder?
Narcissistic Personality Disorder is generally a life-long disturbance with periods of remission and exacerbation (worsening) dependent on life circumstances. Persons with Narcissistic Personality Disorder rarely enter treatment. Once in treatment. they find it difficult to stay, as they have trouble believing a therapist is really helping them. Psychotherapy over time, coupled with sleep and stress management, and psycho-education, can address problems related to Narcissistic Personality Disorder. When a person with Narcissistic Personality Disorder develops depression or substance abuse, treatment becomes imperative. Clients who do receive effective treatment will experience significant improvement in their ability to function normally in their daily lives, with improvement in their interpersonal relationships.