20 Shocking Truths About Narcissism: A Twisty Tour through Diagnosis and Treatment

20. The Unwillingness to Seek Help: A Core Barrier

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Perhaps the most challenging and startling truth about NPD is the individual's profound unwillingness to seek help. Their inflated sense of self-importance prevents them from acknowledging any flaws or problems, as doing so would directly confront their fragile ego and deep insecurities. They rarely enter therapy willingly, often only when coerced by ultimatums from loved ones or legal pressures. This inherent resistance to self-reflection and professional intervention is the primary barrier to diagnosis and effective treatment, making recovery a long and difficult journey.

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