It is known that common (a.k.a. overt, flamboyant) narcissists rarely seek therapy on their own. However, there is an atypycal type of narcissism called “shy”, “covert” or “vulnerable“. They behave quite the contrary to the common overt type (Sandler et al., 2000).
I wonder if it is common for this type to seek long term psychotherapy (presumably psychoanalysis) to treat NPD specifically, not the comorbid symptoms like anxiety and depression.
Wouldn't high motivation to treatment be in direct contrast with the diagnosis of severe NPD of covert type?
Sandler J., Michels R., Fonagy, P. (Eds.). (2000). Changing Ideas in a Changing World: The Revolution in Psychoanalysis-Essays in Honour of Arnold Cooper. Karnac Books.