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Cbt approach in terms of looking at safety behaviours/ defenses would be useful. The narcissist would need to have some insight and willing to change as with any therapeutic approach. The therapist would need to be very boundaried and not open to manipulation. Session homework should be contacted in. Where there are long term issues of childhood the narcissist may wish to explore psychotherapy although at some point they will need to be willing to change and narcissists often don't want to change. (Why would anyone if they get immediate gratification and addiction fed). However, for those narcissists that acknowledge the pain they put others through and want some continuity in their lives, therapy is an option. Even more so, the victims of narcissist abuse need help through the post trauma of the narcissist abandonment, and to learn to adhere to the no contact rule for their own sanity! The narcissist's return is never because they love you, no need to play detective, just accept you are one of many addictions, an object to play with until they start the cycle again. If you have emotions you won't be able to stay in a relationship with a narcissist. As Sam Vaknin has said, mirror the narcissist, but to do that you have to be non- emotional and acknowledge that he projects his own inadequacies onto you, blames you for the very things he does, plays on your guilt, lies and cheats. If you can avoid internalising this and give to the narcissist and have your own needs ignored, then you need to look at your self esteem. Do not lose yourself to a figment of your imagination, keep a journal of the narcissist behaviour, and move on. The narcissist will be hurt to see you move on, and happy as they have no control and that liberation will empower you.

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Q: What approach will do to a client with of narcissistic personality disorder?
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