I've often heard that people affected by narcissism cannot recover.

I can understand that it's a long path and that a narcissist may lack the motivation and so on, but I wonder why cognitive therapy (for example) should be ineffective towards this kind of pathology.

Are there statistics on the treatment of narcissists?


1 Answer 1


It appears you have heard correctly, at least in a sense: there are no peer reviewed treatments for narcissistic personality disorder (NPD) itself. On the other hand, this does not constitute evidence that narcissists cannot be treated, either.

A review of the NPD literature by Dhawan, Kunik, Oldham and Coverdale (2010) reported an absence of evidence one way or another in no uncertain terms:

To determine the most efficacious treatments for NPD without other comorbidities, we performed searches using Narcissis*, pharmacology, clinical pharmacology, therapeutics, and psychotherapy for reports of controlled trials from January 1980 to August 2008. [...] We identified 7 prevalence studies that had used a structured or semistructured interview, 5 of which scored 5/6 using the epidemiologic quality tool. Mean prevalence was 1.06%, and the range was 0% to 6.2%. We found no studies of treatment meeting our inclusion criteria.

The prevalence numbers refer to how many people satisfied the DSM-IV-TR NPD criteria. The epidemiological quality tool referred to is defined as follows:

Articles received 1 point for each of the following: surveying a national population (because personality disorders are more prevalent closer to city centers, this disparity could influence locally obtained samples), obtaining a sample that was representative of the population being surveyed, accounting for nonrespondents, using a valid diagnostic instrument, having adequate training of interviewers, and assessing reliability. Assessment of the above criteria was determined after each question for each study was independently rated by each author. Then the authors met twice and came to a consensus regarding the scoring of each question.

My own review of the 2009-2015 literature did not find any new developments. There simply does not appear to be any treatment studies for NPD, efficacious or otherwise.


  • Dhawan, N., Kunik, M. E., Oldham, J., & Coverdale, J. (2010). Prevalence and treatment of narcissistic personality disorder in the community: a systematic review. Comprehensive psychiatry, 51(4), 333-339.
  • $\begingroup$ Thanks, can you help me at understanding what it means this part: "5 of which scored 5/6 using the epidemiologic quality tool. Mean prevalence was 1.06%, and the range was 0% to 6.2%."? $\endgroup$
    – Revious
    May 5, 2015 at 14:10
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    $\begingroup$ @Revious Sorry, updated. $\endgroup$ May 5, 2015 at 14:13
  • $\begingroup$ one question.. it seems to be so hard to write an "essay" (is it the right english word) that meets the requirements that maybe there could be already many researches speaking of recovered narcissists which are not included. I mean.. Freud was already "a lot" right even without any scientific validation.. Is it correct to state that we can just say that we don't have enough researches validated in a completely scientifically proved way? I wonder if there is any hint at least.. $\endgroup$
    – Revious
    May 5, 2015 at 14:21
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    $\begingroup$ @Revious "Paper" or "article," usually. And it is very hard, but the payoff is well worth it. Based on this, it's valid to say that cognitive science is agnostic about the possibility of treatments for NPD. As you noted, my review could be deficient or otherwise flawed, however. This is simply the most well-informed answer I can personally give, nothing more or less. $\endgroup$ May 5, 2015 at 14:29

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