14 Psychologists Describe What It’s Like To Treat A Narcissistic Patient

1. God, he is an asshole.

“I’m working with one right now. It is extremely frustrating. He is not coming to see me because he needs help with his narcissism, he is there because he is ‘depressed.’ He is not depressed. At all. He has manipulated his way into getting disability payments from the VA for depression and comes to therapy to continue establishment of this pretend issue. It is really hard as I am newer in my career as a therapist and he constantly attempts to manipulate and challenge me. He is desperate to figure me out, always trying to talk to me as if I am his peer and he is a therapist as well (wants me to analyze others in session with him).

Right now we are working through how to manage his frustration with people he finds are beneath him/unhelpful in advancing his facade he has built. It’s gradual, but I doubt I will ever directly work with him on the narcissistic aspect. He believes his therapy is for depression and I have to treat him from that point of view.

But God, he is an asshole.”

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