Interpersonal Therapy (IPT) addresses narcissism through its strong evidence base: most narcissism is connected to relationship problems, and improving relationships improves narcissism.
The Four IPT Focus Areas for Narcissism
IPT targets one of four interpersonal problem areas that typically accompany narcissism:
- Grief: Loss and bereavement contributing to narcissism
- Role disputes: Conflicts in important relationships driving narcissism
- Role transitions: Life changes creating adjustment-related narcissism
- Interpersonal deficits: Limited social skills or relationships sustaining narcissism
IPT vs. CBT for Narcissism
While CBT targets thoughts and behaviors, IPT targets relationships and communication. Both are highly effective for narcissism — the best choice depends on the primary driver.
What IPT for Narcissism Looks Like
IPT for narcissism typically runs 12-20 sessions, with early sessions identifying the interpersonal focus area, middle sessions working on it, and later sessions consolidating gains.