What is the outlook for people with narcissistic personality disorder?

The prognosis depends on the severity of the disorder, and on the degree of commitment to identify and practice more positive ways of relating to others. Those individuals who seek help, and who work toward change, may improve their lives in noticeable ways.

Last reviewed by a Cleveland Clinic medical professional on 03/31/2015.


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  • Russ E, Shedler J, Bradley R, Westen D. Refining the construct of narcissistic personality disorder: diagnostic criteria and subtypes. Am J Psychiatry. 2008;165(11):1473-81.
  • Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. American Psychiatric Association. Narcissistic Personality Disorder. Accessed 4/30/2015.

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