Cognitive behavioral therapy can be an effective treatment for narcissistic personality disorder, especially when combined with other forms of psychotherapy. It helps patients become aware of and change negative thinking and behavioral habits that may increase the symptoms of NPD. Approaches used in CBT to treat NPD may include: Addressing distorted thoughts: Patients are helped to identify and change distorted thoughts that can lead to negative emotions and behavior. For example, beliefs such as “I should be better than others” or “I should receive constant attention and praise” can be replaced with more realistic beliefs that will help the patient feel more satisfied and confident. Social interaction skills training: Patients can learn improve your communication skills and manage your behavior in social situations. This can help them better understand other people's feelings and needs and develop healthier relationships. Working on emotional reactions: Patients can learn to recognize and manage their emotional reactions, such as anger, jealousy, or anxiety. They can learn healthier ways of expressing their feelings and effective strategies for coping with emotional stress. Work on coping strategies: Patients can learn to use various coping strategies, such as meditation, deep breathing, or exercise, to reduce their stress and anxiety. Work with affective and cognitive schemas. Affective schemas are negative beliefs about oneself, others, and the world in general that can lead to a variety of problems, including NPD. Cognitive schemas, in turn, are core beliefs that can influence emotional responses and behavior. In the process of working with affective and cognitive schemas, patients learn to identify their negative beliefs and strive to change them to more adaptive ones. For example, the belief “I can never achieve success” can be replaced with “I can achieve success if I work hard and study hard.” This helps patients develop more positive beliefs about themselves and their capabilities. CBT can be an effective treatment for NPD, especially when combined with other forms of psychotherapy. However, each patient is unique and treatment must be tailored to their individual needs. To achieve the best treatment results, it is important to find an experienced psychotherapy specialist who can develop an individual treatment plan for each patient.