A psychologist who has treated 50 narcissists asserts that they are unlikely to change their behavior.

A recent study in Psychological Bulletin suggests that the path to change for individuals with narcissistic personality disorder is narrower than previously believed.

Narcissistic tendencies were studied by researchers who analyzed 51 studies with over 37,000 participants. They discovered that while narcissism decreased slightly over time, the change was minimal, with only a moderate decline observed.

Dr. Ramani Durvasula, a clinical psychologist in Los Angeles, specializes in treating narcissistic and antagonistic personality types and has treated approximately 50 narcissists. She believes that her own experiences with these personality types are reflected in her findings.

"It has always felt defeatist to believe that individuals with narcissistic personality disorder do not change, but I know that this is true and it will not change."

People often believe that anyone can improve at any time, but this idealistic view can be harmful in reality.

"She says that we need to break out of our Hallmark movie mindset. It's not fair, and it's difficult, but it's a fundamental truth that they don't change."

Psychologist who has worked with numerous narcissists claims that they can have healthy relationships if they are willing to invest a substantial amount of money in treatment.

'Narcissism is characterized by a lack of self-reflectiveness'

Someone with NPD believes they are flawless and perfect.

"Durvasula states that individuals with more maladaptive personalities are less likely to change, and narcissism is defined by a lack of self-reflection."

Narcissists often originate from two distinct backgrounds: one characterized by parental neglect and abuse, and the other marked by spoiling.

If a person was raised with a different type of childhood, they may be more open to change, she suggests: "You may be able to make more progress with a client who is beginning to understand why they feel so defensive and combative."

With those who grew up spoiled, Durvasula hasn't seen any success.

"The spoiled child narcissist is indoctrinated," she says. "People tell their kids they are the most special and deserve everything. But that's not true. I've never seen luck with those clients."

'A narcissist can come off like an empathic person'

Narcissists can appear to be well-adjusted and considerate, leading many individuals to unknowingly be in relationships with them for extended periods.

""When their needs are met and they receive all the praise and adulation they desire, narcissists can appear empathetic," Durvasula explains."

It's unrealistic to expect that you can fulfill the requirements of someone at all times.

"It's almost like someone on a diet," she remarks. "If you can arrange your life correctly, maintain the right level of activity, and be genetically fortunate, you can lose weight and maintain it, but that's not typically how it works because that's not how life operates."

Seeking professional help is advised by Durvasula for those in relationships with narcissists.

She says that we need to assist individuals in coping with the grief of a relationship that is not progressing as they feel emotionally secure.

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