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1. Strengths Based
Biopsychosocial Approach
to Recovery from
Narcissistic Personality
Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC, NCC
Executive Director, AllCEUs
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89

2. Objectives
 Review the characteristics of Narcissistic personality
disorders
 Explore the functions of these symptoms
 Explore what is maintaining these symptoms
(benefits to the client)
 Explore the effects of these symptoms on significant
others
 Explore interventions to work with the Narcissist

3. First
 Identify why the person is there
 Mood disorder?
 Involuntary/requirement?
 Explore what they hope to get out of treatment
 Identify what has helped them in similar situations
before
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89

4. Characteristics of Narcissism
 SPECIAL:
 Special (believes he or she is special and unique)
 Other people’s successes or strengths are often punctuated
with a But
 Preoccupied with fantasies (of unlimited success, power,
brilliance, beauty, or ideal love)
 Entitlement
 Fantasies should be fulfilled without the effort
 Becomes distressed when promotions/awards/recognition not
forthcoming
 Often becomes enraged and will insult/pull down others
 Refuses to see other people’s strengths/accomplishments as
valid
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89

5. Characteristics of Cluster B
 SPECIAL:
Conceited (grandiose sense of self-importance)
 Must be lavished in praise
 Believes his/her needs come before others
Interpersonal exploitation
 Can be exceedingly charming
 Will steal ideas and present them as his/her own
 Will “throw people under the bus”
Arrogant (haughty)
Lacks empathy
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89

6. Healthy Narcissism
 Characteristics
 High self confidence
 Aspirations for high achievements and a focused
dedication
 A sense of entitlement for those things he or she has
earned
 Self-assured without being mean
 Will use (without exploiting) others’ strengths
 ** Still able to empathize
 Recognizes and celebrates other’s accomplishments
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89

7. Interventions
 Model healthy interpersonal communication
 Require communicating in objective facts “You are an
idiot” “You are lazy” are both opinions.
 You are entitled to your opinion
 Providing supporting facts enables people to work on deficiencies
 Don’t engage in power struggles
 Unless the person is presenting to address narcissistic
tendencies, avoid dealing with them head on
 Set firm boundaries and expectations to prevent
exploitation and encourage taking responsibility
 In-session tasks
 Homework

8. Summary
 General Tips
 Personality Disordered behaviors are egosyntonic
 Most of the time the presenting issue is the result of the PD
Behaviors
 The therapist can help the person work backwards and
identify
 What caused the current issue
 Other similar examples
 Common themes leading to this problem (usually PD behavior)
 A person with PD traits will likely demonstrate these same
traits and behaviors in session, and need to be
compassionately identified and addressed. (Model and
Practice)
Recovery & Resilience International in partnership with AllCEUs.com
Unlimited CE for $59 | Webinars $5 | Specialty Certificates $89