Narcissistic Personality Disorder: Patterns, Processes, and Indicators of Change in Long-Term Psychotherapy.

Elsa Ronningstam, Igor Weinberg

June 2023 J Pers Disord

Synopsis of Social media discussions

The posts demonstrate enthusiasm for learning about recovery options for NPD, with language like 'curious for more' and 'assess the prognosis,' showing curiosity and a desire to understand treatment. The tone and context, including hashtags related to therapy and mental health, contribute to a moderate level of engagement and suggest the discussion could influence attitudes towards seeking help, though detailed analysis or evidence is limited.

A
Agreement
 Moderate agreement

The discussion reflects general support for the idea that NPD can improve with therapy, indicated by phrases like 'can improve' and 'assess the prognosis.'

I
Interest
 High level of interest

The topic of narcissistic personality disorder and its treatment appears highly engaging, with users expressing curiosity and active interest in learning more about the subject.

E
Engagement
 Moderate level of engagement

Comments show moderate engagement, as some references to practical steps and resources suggest a desire to deepen understanding, though the discussion is relatively surface-level.

I
Impact
 Moderate level of impact

The conversation indicates a recognition of the importance of therapy and mental health awareness, which can influence perceptions positively, but it remains somewhat preliminary in scope.

Social Mentions

YouTube

3 Videos

Twitter

2 Posts

News

1 Articles

Metrics

Video Views

2,087,253

Total Likes

27,543

Extended Reach

2,091,549

Social Features

6

Timeline: Posts about article

Top Social Media Posts

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  • ScienceCritAI
    @ScienceCrit_AI (Twitter)

    Curious for more?
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    April 11, 2025

  • Darlene Lancer, LMFT, JD
    @DarleneLancer (Twitter)

    People with #narcissistic personality disorder can improve with commitment to #therapy. https://t.co/SCNMkw8cZm Assess the prognosis. Use steps and scripts in #Dating, Loving, and Leaving a #Narcissist https://t.co/GCRD3vr9ZA #NPD #narcissisticabuse #mentalhealth #psychology https://t.co/EXw3gIotQW
    view full post

    August 13, 2024

    2

  • Narcissism | PDF | Narcissism | Mental Disorder

    Journal of Personality Disorders, 37(3), pp.337-357. https://guilfordjournals.com/doi/abs/10.1521/pedi.2023.37.3.337. Ronningstam, E., 2020.
    view full post

    December 19, 2025

    News

Abstract Synopsis

  • This study examines long-term psychotherapy for patients with Narcissistic Personality Disorder (NPD), highlighting that although NPD is challenging to treat, significant improvements in personality functioning and life circumstances can be achieved.
  • The research, based on case reports from eight patients, identifies that change occurs gradually and is influenced by factors like patient motivation, emotional regulation, self-reflection, and social engagement.
  • Key indicators of progress include enhanced relationships, better participation in work or education, and the remission of NPD diagnosis, emphasizing that meaningful change in narcissistic traits is possible with persistent therapy.