Looking for help but not sure where to start? Try Talkspace, the online therapy platform that makes getting therapy easier than ever. Don’t hesitate to reach out to a mental health professional who can provide you with care and support. Living with narcissistic behaviors can have a lasting impact on anyone’s emotional well-being. If you have a loved one with malignant NPD, or are dealing with or have dealt with malignant narcissism in the past, it’s worthwhile to consider treatment. There’s no cure for malignant narcissism, but it is possible to learn to establish and nurture new, positive, healthy ones. Working on malignant narcissistic behavior can help repair damaged relationships. A narcissistic personality disorder diagnosis can help make sense of emotions and address any harm NPD has caused. People with any type of NPD are often reluctant to seek help, but treatment can be beneficial in many ways. If you’ve struggled with narcissist behaviors, or if you have someone in your life who displays behaviors of malignant narcissism, asking questions like “ What is malignant narcissism?” can help you begin to make sense of your experiences. Malignant narcissism is complex and can cause people to behave in irrational, hurtful, inexplicable ways. You deserve support, and there are mental healthcare professionals out there who are there to help you.” If you think you or someone you care about might have NPD, we encourage you to get a clinical evaluation that can provide you with a diagnosis and treatment options, like therapy. “People with narcissistic personality disorders (NPD) often struggle with relationships, both personal and professional. As long as you’re genuinely willing to address and work on yourself, treating narcissistic personality disorder can improve your relationships and your quality of life. Through therapy for narcissistic personality disorder, you can learn to regulate your emotions and change the behaviors you engage in that harm people around you. If you’ve shown symptoms of malignant narcissism, treatment can help. Make sure that you have a strong support system to rely on when things get tough. Work to set boundaries, and put distance between yourself and your loved one if those boundaries aren’t respected. While you don’t necessarily have to cut a loved one with malignant narcissism completely out of your life, you should learn to recognize that their behaviors are unlikely to change without treatment. They may take extreme steps to protect themselves or to ensure that they get what they want. People with malignant narcissism try hard to avoid any loss or inconvenience, even if it’s fairly minor. They can regularly perceive social interactions as a win/lose scenario and will go to great lengths to be seen as the winner. When someone with malignant narcissism feels like they were wronged by another person, they typically strike back. People with this condition will often feel persecuted or see normal behaviors as attacks or slights. Paranoia is strongly associated with malignant narcissism. It’s rare for them to apologize, unless, of course, they believe the apology can benefit them in some way. They may fail to follow laws or social norms, and even blame the people they hurt for their behavior. Most often, people with malignant narcissism won’t take responsibility for the harm they cause others. Since they typically see the people they hurt as enemies, they may feel that their abusive behavior and the pain they cause are warranted. They may even feel satisfied or happy when their behavior causes other people pain, a personality trait associated with sadism. People with malignant narcissism don’t care if they hurt others. They may also fantasize about being physically attractive or intelligent. Like people with NPD, those with malignant narcissism often have detailed fantasies about having unlimited success or having power over others. This can cause them to obsess over physical appearance. Someone with malignant narcissism cares deeply about how they’re perceived by others. It’s common for them to perceive people as either friends or enemies, with nothing in between. Malignant narcissism causes someone to struggle to see events and people in a nuanced way. Signs of malignant narcissism can include: Black and white thinking
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