Narcissistic Personality Disorder (NPD)

Understanding, Healing, and Building Authentic Connection

What Is Narcissistic Personality Disorder?

Narcissistic Personality Disorder (NPD) is a complex condition characterized by persistent patterns of grandiosity, a deep need for admiration, and challenges with empathy. People with NPD often experience intense inner vulnerability masked by an outward appearance of confidence or superiority. This internal conflict can affect relationships, self-esteem, and emotional well-being.

At Alleviant Integrated Mental Health, we use a neuroscience-informed, personalized approach to help individuals with NPD develop greater self-awareness, emotional balance, and healthier interpersonal connections.

 

How Does Someone with NPD Feel and Experience the World?

People living with NPD may:

  • Feel deeply insecure or fragile underneath their confidence

  • Struggle with intense fears of rejection, failure, or being seen as "less than"

  • Experience chronic emptiness or dissatisfaction despite outward success

  • React with anger or shame when criticized or challenged

  • Feel envy toward others or believe others envy them

  • Have difficulty understanding or valuing other people’s emotions

  • Use self-promotion or grandiosity as a way to protect fragile self-esteem

 

How to Recognize Narcissistic Personality Disorder in Someone Else

Signs that a person might have NPD include:

  • Frequently seeks excessive attention or admiration in conversations and social settings

  • Exhibits a sense of entitlement and expects special treatment

  • Shows little empathy or concern for others’ feelings or needs

  • Often talks about their achievements or talents, sometimes exaggerating them

  • May become defensive, angry, or dismissive when receiving criticism

  • Has a pattern of exploiting others or using people to meet their own goals

  • Struggles to maintain long-term, stable relationships due to lack of emotional reciprocity

  • Appears charming or confident at first but may later reveal controlling or manipulative behaviors

 

Our Integrative Approach to NPD Treatment

At Alleviant, we combine neuroscience with compassionate therapy to address both the brain and emotional patterns involved in NPD. Your personalized care plan may include:

Comprehensive Psychiatry (In-Person or Telehealth)

Our psychiatry services provide thoughtful evaluation and personalized treatment to support emotional stability, improve daily functioning, and promote long-term mental wellness.

Weekly pill organizer with days labeled on a yellow background.

Medication Management

Medication may be used to treat co-occurring symptoms such as anxiety or depression. Pharmacogenetic testing optimizes medication effectiveness and minimizes side effects.

Transcranial Magnetic Stimulation (TMS)

Personalized brain stimulation supports mood regulation and reduces emotional reactivity, aiding in improved self-control and relational functioning.

Therapy (In-Person or Telehealth)

Psychodynamic therapy, cognitive behavioral therapy (CBT), and mindfulness-based approaches help build insight, increase empathy, and improve interpersonal skills.

Spectral EEG (sEEG)

This non-invasive scan helps identify neural patterns related to emotional regulation and interpersonal processing, allowing for targeted, individualized treatment.

Health Coaching (Telehealth)

Nutrition, sleep, and stress management are crucial for brain health and emotional stability. Our health coaches assist in creating sustainable wellness routines.

Growth, Insight, and Connection Are Possible

Though NPD can challenge relationships and self-worth, with expert guidance and brain-based care, individuals can develop healthier self-awareness, emotional regulation, and more authentic connections.

Take the first step toward healing by scheduling an appointment below or by calling your local Alleviant clinic. We’re here to support your journey with expertise and empathy.

Schedule Your Appointment

Schedule an appointment today by calling us at (866) 951-4325 or by clicking below.

In-person and virtual visits are available.

Insurances Accepted

Logos of various health insurance companies, including Aetna, Allwell, Ambetter, Arkansas Medicaid, BlueCross BlueShield, Cigna, GEHA, Humana, Magellan Health, Medicare, Optum, QualChoice, TRICARE, UnitedHealthcare.

This is not an inclusive list as we are in-network with most major insurances.