Can people with narcissistic personality disorder get better?
Starting counseling is half the battle with NPD. When you have the disorder, your self-esteem is fragile, and criticism hurts you easily. Fear of criticism can keep you from getting the help you need.
Willingness to change is vital. With counseling, you can start to change your thought patterns, which changes your behavior. Over time, those changes can improve the quality of your relationships and life.