Man who is a malignant narcissist yelling at his friend

Malignant Narcissism: Signs, Causes & Coping Tips

Est. reading time: 5 min.

Narcissism is a term that is often used casually to describe someone who is self-absorbed or overly confident. However, the term "malignant narcissism" refers to a much more serious condition that can be dangerous for those around the individual.

Clinically Reviewed By:
Don Gasparini Ph.D., M.A., CASAC
March 30, 2023
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What is a malignant narcissist?

A malignant narcissist is an individual who possesses the characteristics of both narcissism and psychopathy. They have an exaggerated sense of self-importance and a lack of empathy for others. Malignant narcissists are often manipulative, exploitative, and aggressive towards others. They can be charming and charismatic, but their behavior is often unpredictable and can be harmful to those around them.

Why is the behavior of malignant narcissism often considered dangerous?

The behavior of malignant narcissism is considered dangerous because it often involves manipulation, exploitation, and aggression towards others. Malignant narcissists have a need for power and control and will do whatever it takes to achieve their goals, even if it means harming others in the process. They are often prone to fits of rage and can be physically violent towards those who cross them.

Is malignant narcissism a personality disorder?

Malignant narcissism is not a recognized diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). However, it is often considered a subtype of narcissistic personality disorder (NPD) and is characterized by a combination of narcissistic and psychopathic traits. Individuals with NPD often have a grandiose sense of self-importance, a lack of empathy for others, and a need for admiration. Malignant narcissists take these traits to an extreme level and often engage in manipulative and aggressive behavior towards others.

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What are the symptoms of malignant narcissistic personality disorder?

Identifying a malignant narcissist can be difficult, as they are often skilled at manipulating others and hiding their true nature. However, there are some signs to look out for, such as:

  • Grandiose sense of self-importance
  • Lack of empathy for others
  • Manipulative and exploitative behavior
  • Aggressive and hostile behavior towards others
  • Need for power and control
  • Charismatic and charming personality
  • Unpredictable behavior
  • Tendency to blame others for their problems

What is the easiest way to spot a malignant narcissist?

The easiest way to spot a malignant narcissist is by observing their behavior towards others. They may be charming and charismatic initially, but they will often manipulate and exploit others for their own gain. They may also have an unpredictable temper and lash out at others when they feel threatened or challenged.

How to communicate with a malignant narcissist

Communicating with a malignant narcissist can be challenging, as they are often resistant to feedback or criticism. It is important to approach them calmly and assertively and avoid getting caught up in their manipulative tactics. It may also be helpful to set boundaries and limit contact with them if their behavior becomes too toxic or harmful.

Teenage girl upset with boyfriend who is a malignant narcissist

What is the primary goal of a malignant narcissist?

The primary goal of a malignant narcissist is to gain power and control over others. They may use manipulation, exploitation, and aggression to achieve their goals and maintain their sense of superiority. They often have a need for admiration and validation from others, but this is often rooted in a deep-seated insecurity and fear of being seen as weak or vulnerable.

How to deal with a malignant narcissist

Dealing with a malignant narcissist can be challenging, but there are some coping strategies that can be helpful. These include:

Set boundaries

It is important to set clear boundaries and limit contact with the narcissist if their behavior becomes too toxic or harmful.

Practice self-care

Engage in activities that promote self-care and reduce stress, such as exercise, meditation, or spending time with supportive friends and family.

Seek support

Consider seeking support from a therapist or counselor who can help you cope with the impact of the narcissist's behavior.

Don't engage in their manipulations

Avoid getting caught up in the narcissist's manipulations or attempts to blame or gaslight you. Stay calm, assertive, and stick to the facts.

Focus on your own goals

Maintain a focus on your own goals and priorities, and don't allow the narcissist to distract you from what is important to you.

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What to do if you are in a relationship with a malignant narcissist?

If you are in a relationship with a malignant narcissist, it can be difficult to know what to do. Here are some steps you can take:

Recognize the signs

Learn to recognize the signs of malignant narcissism and understand the impact it can have on your life.

Seek support

Consider seeking support from a therapist or counselor who can help you cope with the impact of the narcissist's behavior.

Set boundaries

Set clear boundaries and limit contact with the narcissist if their behavior becomes too toxic or harmful.

Prioritize your safety

If you feel physically threatened or unsafe, prioritize your safety and consider reaching out to law enforcement or seeking emergency shelter.

Therapy for narcissistic personality disorder

While there is no cure for narcissistic personality disorder, therapy can be helpful in managing symptoms and improving quality of life. Therapy can help individuals with narcissistic personality disorder:

Develop self-awareness

Therapy can help individuals with narcissistic personality disorder develop self-awareness and understand the impact their behavior has on others.

Learn coping strategies

Therapy can teach individuals coping strategies for managing symptoms, such as learning how to regulate emotions and develop healthy relationships.

Address underlying issues

Therapy can help individuals with narcissistic personality disorder address underlying issues, such as insecurity, trauma, or low self-esteem, that may be contributing to their behavior.

Improve relationships

Therapy can help individuals with narcissistic personality disorder improve their relationships with others by developing empathy, communication skills, and a better understanding of boundaries.

Malignant narcissism can have a profound impact on individuals and those around them. It is important to recognize the signs of malignant narcissism, understand the impact it can have, and seek support when needed. With the right coping strategies and therapy, individuals with narcissistic personality disorder can improve their quality of life and relationships with others.

How can Charlie Health help young adults with narcissistic personality disorder?

If you think a young adult in your life is a malignant narcissist and/or struggles with any other mental health conditions, Charlie Health may be able to help. 

We know that every individual has their own unique mental health journey depending on what symptoms they have and the difficulties they face. Our personalized intensive outpatient program provides mental health treatment for teens, young adults, and families dealing with a variety of struggles, including narcissistic personality disorder and any other co-occurring conditions.

At Charlie Health, every client is matched with a therapist who fits their specific needs, and will also be matched with a group of peers who are from similar backgrounds with similar struggles. 

Coping with narcissistic personality disorder can be very difficult, but it is certainly possible for people with NPD to experience a healthier, higher quality of life and improved mental health –– help is here now. Get started.

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