Narcissists often do not acknowledge any problems and try to impress the therapist instead of admitting issues, which hinders trust-building and causes therapy to fail.
Some methods for treating personality disorders, such as Dialectical Behavior Therapy and Schema Therapy, have been tried with narcissists but face the same obstacle: the difficulty of building genuine trust between the patient and the therapist during the treatment period.
In April 2025, researchers Alexa Albert and Anthony Buck proposed an unconventional solution: using the drug MDMA, known so far, therapists mainly rely on their skills to gain the patient’s trust and patience with their defensiveness, while the world awaits the results of the new research.
