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I would also like to add, a person with Narcissistic Personality Disorder will not likely go into treatment…. by choice. However, due to things they may do that hurt others, they may end up in mandated treatment. Apparently, there are ways to slowly have an impact, where the person can (with much difficulty) recognize that they do have a problem. What I said above, is that maybe getting to a place where they recognize that they have a problem at all, is the goal of treatment. There are approaches that have worked. There are many approaches that do not work at all. That much I know. But again, NPD is not a DX that I have personal experience with. I do have first-hand experience with a number of other diagnosed mental health conditions.