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Covert Narcissism In The Dsm-5: Expert Clinical Perspective

Understand covert narcissism in the DSM-5, its traits, clinical insights, and how it differs from overt narcissism. Explore its impact on relationships and empathy.

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Last updated on May 1st, 2025 at 11:01 am

What comes to mind when you hear the term “covert narcissism”? Unlike its more overt counterpart, this type of narcissism hides behind a mask of sensitivity and insecurity. According to the DSM-5, covert narcissist traits fall under the broader category of narcissistic personality disorder (NPD), but they manifest in a quieter, more understated manner.

Individuals with these traits often crave admiration while grappling with feelings of inadequacy. They may come across as shy or self-critical, yet beneath the surface lies a profound need for validation.

Why is this important? Research highlights how covert narcissism, as described in the DSM-5, affects empathy and emotional connections. For instance, studies have identified a significant inverse relationship between covert narcissism and cognitive empathy (ρ = –0.23, p < 0.001).

This underscores that understanding covert narcissists goes beyond mere labels—it’s essential for fostering healthier relationships and improving mental health outcomes.

Key Takeaways

  • Covert narcissism is a quiet type of narcissism. It shows through being sensitive and insecure but may look like modesty.

  • Learning about covert narcissism helps improve relationships and mental health. It affects how people feel and connect with others.

  • The DSM-5 includes covert narcissism as part of narcissistic personality disorder. It highlights traits like self-doubt and being overly sensitive.

  • People with covert narcissism often have trouble controlling emotions. This can lead to passive-aggressive actions and hard-to-handle feelings.

  • Therapists use tools like the Maladaptive Covert Narcissism Scale. These tools help find traits and create better treatment plans.

  • Working with covert narcissists takes time and patience. They may avoid opening up and have tricky emotional behaviors.

  • Therapy can address shame and passive-aggressive actions. This helps covert narcissists learn better ways to cope and improve relationships.

  • Therapy helps them understand themselves and heal emotionally. It allows them to see their habits and make real connections with others.

Clinical Conceptualization Of Covert Narcissism

Diagnostic Frameworks And Terminology

The Evolution Of Covert Narcissism Recognition In DSM Editions

Covert narcissism has not always been explicitly recognized in diagnostic manuals. Earlier editions of the DSM primarily focused on overt narcissism, characterized by grandiosity and an obvious need for admiration. However, clinicians began noticing a subtler form of narcissism that didn’t fit this mold.

These individuals displayed hypersensitivity, self-doubt, and a hidden craving for validation. Over time, this led to the acknowledgment of covert narcissistic traits as part of the broader narcissistic personality disorder (NPD) spectrum in the DSM-5.

The DSM-5 doesn’t explicitly label “covert narcissism” as a subtype. Instead, it describes narcissistic traits that can manifest in different ways, including vulnerable or hypersensitive presentations. This shift reflects a growing understanding of how narcissism exists on a spectrum, with covert narcissists often presenting as introverted, self-critical, and emotionally fragile.

A study reexamining the Hypersensitive Narcissism Scale confirmed the distinction between overt and covert narcissistic tendencies, emphasizing the importance of recognizing these differences in clinical practice.

Clinical Terminologies And Subtypes In Current Practice

In clinical settings, covert narcissism is often referred to as “vulnerable narcissism” or “hypersensitive narcissism.” These terms highlight the emotional fragility and internal struggles that define this presentation. Unlike overt narcissists, who may dominate conversations and seek attention openly, covert narcissists tend to withdraw, harbor resentment, and rely on passive-aggressive behaviors to meet their needs.

Some clinicians also differentiate between subtypes within covert narcissism. For example, one subtype may lean toward depressive tendencies, while another might exhibit more avoidant or socially anxious behaviors.

A framework viewing narcissism as a psychological failure to thrive—often rooted in early neglect or abuse—provides valuable insight into these subtypes. This perspective helps clinicians understand how covert narcissists develop their unique coping mechanisms and relational patterns.

Dimensional Versus Categorical Approaches

Section III Alternative Model Conceptualization

The DSM-5 introduced an alternative model for personality disorders in Section III, which takes a dimensional approach. This model views personality disorders, including narcissistic traits, as existing on a continuum rather than fitting into rigid categories. For covert narcissists, this means their traits can range from mild to severe, depending on factors like emotional regulation and interpersonal functioning.

This dimensional approach allows clinicians to assess covert narcissism more comprehensively. Instead of focusing solely on whether someone meets the criteria for NPD, they can evaluate specific traits like hypersensitivity, self-esteem regulation, and interpersonal difficulties. This nuanced understanding is crucial for tailoring treatment plans to the individual’s unique needs.

Benefits Of Hybrid Diagnostic Frameworks

Hybrid diagnostic frameworks combine categorical and dimensional approaches, offering the best of both worlds. They provide clear diagnostic criteria while acknowledging the complexity of personality traits. For covert narcissists, this means clinicians can identify their struggles with identity, self-worth, and relationships without oversimplifying their experiences.

Research supports this approach. For instance, a study exploring covert psychological abuse in romantic relationships highlighted the need for clinical awareness of these dynamics. By using a hybrid framework, therapists can better address the hidden vulnerabilities and relational patterns of covert narcissists. This not only improves diagnostic accuracy but also enhances therapeutic outcomes.

Neuropsychological Profile Of Covert Narcissism

Cognitive-Emotional Processing Distinctions

Attention And Information Processing Biases

Covert narcissists often process information differently from others. Their attention tends to focus on perceived threats to their self-esteem. This bias can make them hyper-aware of criticism, even when none exists. For example, they might interpret neutral comments as personal attacks. This heightened sensitivity stems from their fragile sense of self-worth.

Research sheds light on these cognitive patterns. Studies like Zhang et al. (2020) and De Panfilis et al. (2019) reveal a complex relationship between narcissistic traits and cognitive functions. Here’s a quick breakdown:

Study

Findings

Zhang et al. (2020)

Narcissistic traits correlate with better cognitive task performance in non-clinical groups.

De Panfilis et al. (2019)

Individuals with narcissistic traits identify emotional stimuli faster under certain conditions.

Marissen et al. (2012)

Impaired emotion recognition is common in clinical Narcissistic Personality Disorder (NaPD).

BPDed et al. (2011)

Narcissistic individuals struggle with empathizing and assessing emotions.

These findings suggest that while covert narcissists may excel in some cognitive tasks, their emotional processing often falters. This duality complicates their interactions with others.

Emotional Regulation Deficits And Their Manifestations

Emotional regulation is another area where covert narcissists face challenges. They often suppress their emotions, leading to passive-aggressive behaviors or sudden emotional outbursts. This suppression can create a cycle of internal frustration and external conflict.

Neuroimaging studies provide additional insights. For instance:

  • Diffusion tensor imaging shows reduced prefrontal-amygdala connectivity during conflicted expressions. This disconnect may explain their atypical emotional responses.

  • Functional MRI studies highlight decreased activity in the anterior cingulate cortex during empathy-requiring scenarios. This could account for their struggles with emotional connection.

  • Pupillometry metrics reveal reduced pupil diameter fluctuations in response to emotional stimuli, indicating fundamental differences in emotional processing.

These neurological patterns underline the difficulty covert narcissists face in managing their emotions effectively.

Self-System Dysfunction Patterns

Internal Representation Discrepancies

Covert narcissists often experience a disconnect between their internal self-image and how they believe others perceive them. They may see themselves as inadequate yet crave admiration. This internal conflict creates a fragile self-system that is easily destabilized by external feedback.

Empirical research highlights this instability. Identity disturbance plays a significant role in the interpersonal struggles of individuals with pathological narcissism. Distorted self-representations often lead to maladaptive behaviors, such as withdrawing from relationships or lashing out when their self-image feels threatened.

Identity Coherence And Stability Issues

Identity instability is a hallmark of covert narcissism. These individuals frequently shift between feelings of superiority and inferiority. One moment, they might feel like they deserve admiration; the next, they might feel utterly worthless. This lack of coherence makes it hard for them to form stable relationships or maintain consistent goals.

Studies link these unstable self-representations to interpersonal difficulties. Even when attachment styles are accounted for, the instability in their identity continues to affect their interactions. This suggests that addressing identity coherence could be a key focus in therapeutic settings.

Differential Diagnostic Considerations

Distinguishing From Other Personality Disorders

Borderline Personality Disorder Versus Covert Narcissism

At first glance, covert narcissism and borderline personality disorder (BPD) might seem similar. Both involve emotional instability and difficulties in relationships. However, their underlying motivations and behaviors differ significantly.

Covert narcissists often struggle with a fragile sense of self-worth, masking their need for admiration behind a modest or self-critical exterior. In contrast, individuals with BPD typically experience intense fears of abandonment and a fluctuating self-image.

One key distinction lies in how these individuals handle interpersonal dynamics. Covert narcissists tend to withdraw or use passive-aggressive tactics when their self-esteem feels threatened. On the other hand, those with BPD may react with impulsive behaviors or emotional outbursts. For example, a covert narcissist might silently resent a perceived slight, while someone with BPD might confront the person directly, fearing rejection.

Research also highlights differences in cognitive patterns. Covert narcissists often exhibit selective participation in group settings, balancing their need for recognition with a desire to avoid exposing their vulnerabilities. In contrast, individuals with BPD may display more overt emotional dysregulation, making their struggles more visible to others. Understanding these nuances helps clinicians tailor their approach to each condition.

Avoidant Personality Disorder Differentiation

Covert narcissism and avoidant personality disorder (AvPD) share traits like social withdrawal and hypersensitivity to criticism. However, their core drivers set them apart. Avoidant individuals typically avoid social interactions due to fear of rejection or inadequacy. Covert narcissists, by contrast, often withdraw to protect their fragile self-esteem while secretly craving admiration.

In relationships, covert narcissists may position themselves as unrecognized experts or thoughtful critics, seeking validation without direct competition. Avoidant individuals, however, tend to shy away from such dynamics altogether, preferring to stay in the background. This distinction becomes evident in group settings, where covert narcissists might selectively engage to maintain their image, while avoidant individuals might avoid participation entirely.

A study involving 2,149 patients found that while 2% met the criteria for narcissistic personality disorder, including covert presentations, AvPD was more prevalent. This highlights the importance of careful assessment to avoid misdiagnosis, as treatment strategies for these conditions differ significantly.

Comorbidity Patterns And Implications

Affective Disorders In Covert Narcissism Presentation

Covert narcissists often experience comorbid affective disorders, such as depression or dysthymia. Their internal conflict—oscillating between feelings of inadequacy and a need for validation—can lead to chronic sadness or low mood. This emotional struggle often manifests as passive-aggressive behaviors or withdrawal from relationships, further complicating their mental health.

Long-term exposure to covert narcissism can also affect their partners. Partners may experience self-doubt or emotional confusion due to the intermittent reinforcement typical of these relationships. Occasional positive feedback keeps them engaged, even when negative experiences dominate. Recognizing these patterns is crucial for both diagnosis and intervention.

Anxiety Spectrum Disorders And Their Relationship

Anxiety disorders frequently co-occur with covert narcissism. Social anxiety, in particular, aligns with their hypersensitivity to criticism and fear of exposure. Covert narcissists may avoid social situations not because they lack interest but because they fear judgment or failure to meet their own grandiose expectations.

Neuroimaging studies reveal reduced prefrontal-amygdala connectivity in covert narcissists, which may contribute to their heightened anxiety responses. This neurological pattern underscores the importance of addressing both narcissistic traits and anxiety symptoms in treatment. By targeting these interconnected issues, clinicians can help covert narcissists build healthier coping mechanisms and improve their overall functioning.

Clinical Assessment Methodologies

Psychometric Instruments And Their Utility

The Maladaptive Covert Narcissism Scale (MCNS)

The Maladaptive Covert Narcissism Scale (MCNS) has become a valuable tool for identifying covert narcissistic traits. Unlike traditional measures that focus on overt narcissism, the MCNS hones in on the subtle, vulnerable aspects of narcissism. It evaluates traits like hypersensitivity, self-doubt, and a hidden need for admiration. This specificity makes it particularly effective in clinical settings.

Studies show that using the MCNS improves recognition rates of covert narcissism by 20%. This is a significant leap, especially when dealing with individuals who mask their vulnerabilities behind a façade of modesty or self-criticism. Clinicians often pair the MCNS with other tools to gain a comprehensive understanding of a client’s personality profile. For example, combining it with measures of emotional regulation can reveal how covert narcissists manage their internal conflicts.

Pathological Narcissism Inventory (PNI) Applications

The Pathological Narcissism Inventory (PNI) is another robust instrument for assessing narcissistic traits, including covert presentations. It captures both grandiose and vulnerable dimensions of narcissism, making it a versatile tool. The PNI’s subscales, such as “Contingent Self-Esteem” and “Hiding the Self,” align closely with the traits seen in covert narcissists.

Research supports the PNI’s validity across diverse populations. For instance, a study on the Hypersensitive Narcissism Scale (HSNS) in a Chinese context confirmed its reliability in measuring covert narcissism. This research highlights the importance of culturally adapting psychometric tools to ensure their effectiveness. Clinicians using the PNI can better understand how covert narcissists navigate their relationships and self-perceptions, paving the way for targeted interventions.

Interview-Based Assessment Techniques

Structured Clinical Interview Adaptations

Structured clinical interviews remain a cornerstone of personality disorder assessments. For covert narcissism, clinicians often adapt these interviews to probe deeper into the client’s internal world. Questions might focus on how they handle criticism, their need for validation, or their emotional responses in social settings. These adaptations help uncover the hidden vulnerabilities that define covert narcissism.

Experienced clinicians excel at detecting subtle emotional cues during interviews. They might notice a fleeting expression of resentment or a momentary hesitation when discussing personal achievements. These small details can reveal a lot about a covert narcissist’s inner struggles. Peer consultations also play a crucial role here, as therapists can share observations and refine their diagnostic approach.

Covert Narcissism In The Dsm-5: Expert Clinical Perspective by Som Dutt From Embrace Inner Chaos
Covert Narcissism In The Dsm-5: Expert Clinical Perspective by Som Dutt From Embrace Inner Chaos

Behavioral Observation And Interpersonal Patterns

Behavioral observation offers another layer of insight. Covert narcissists often exhibit specific interpersonal patterns, such as withdrawing when they feel criticized or subtly seeking validation through passive-aggressive comments. Observing these behaviors in real-time can provide valuable clues about their personality dynamics.

In group therapy settings, for example, a covert narcissist might avoid direct confrontation but later express dissatisfaction in a roundabout way. Recognizing these patterns requires a keen eye and a deep understanding of covert narcissism. Clinicians who master this skill can significantly enhance their diagnostic accuracy and treatment planning.

Tip: When assessing covert narcissists, it’s essential to look beyond what they say and focus on how they behave. Their actions often speak louder than their words.

Interpersonal Dynamics In Clinical Settings

Therapeutic Alliance Challenges

Transference And Countertransference Phenomena

Building a therapeutic alliance with a covert narcissist can feel like walking a tightrope. Their hypersensitivity and hidden need for validation often lead to complex transference dynamics. They may project feelings of inadequacy or resentment onto the therapist, expecting rejection or criticism. This can make sessions emotionally charged and challenging to navigate.

Transference requires a well-trained practitioner who would not give up in the face of a challenge and would continue to work with the client’s expected resistance (Hill, 2011). Through the transference process, the client would have the opportunity to experience his internal feelings of emptiness at a conscious level—which is an obstacle to him developing an authentic self.

Countertransference, on the other hand, can arise when therapists feel frustrated or overly sympathetic toward the client. As Gabbard (2009) noted, resistance often fuels transference. Therapists must remain grounded, using these moments to explore the client’s unresolved emotional wounds. Holmes (1999) emphasized that the quality of the counselor-client relationship serves as a roadmap to healing, especially for covert narcissists who struggle with early attachment disruptions.

Resistance Patterns And Clinical Management

Resistance is a hallmark of covert narcissism in therapy. Clients may avoid discussing painful topics, deflect responsibility, or subtly challenge the therapist’s authority. These behaviors stem from their deep fear of vulnerability. For example, a covert narcissist might downplay their struggles, masking their need for help with self-deprecating humor.

Managing resistance requires patience and strategic interventions. Therapists can use reflective listening to validate the client’s feelings while gently challenging their defenses. Encouraging small, manageable steps toward self-awareness can also help. Over time, this approach fosters trust and reduces the client’s fear of judgment.

Relationship Patterns And Their Assessment

Attachment Style Correlates And Clinical Significance

Attachment theory provides valuable insights into the relationship patterns of covert narcissists. Research shows that these individuals often exhibit insecure attachment styles, such as anxious or avoidant tendencies. They crave closeness but fear rejection, creating a push-pull dynamic in their relationships.

Study

Findings

Brennan and Shaver (1998)

Found a relation between narcissistic personality disorder and insecure attachment features, indicating anxiety and avoidance in attachment representations.

Dickinson and Pincus (2003)

High grandiose narcissism linked to secure/avoidant attachment; vulnerable narcissism linked to anxious/ambivalent and fearful attachment styles.

Smolewska and Dion (2005)

Vulnerable narcissism associated with insecure attachment anxiety, while grandiose narcissism showed no relation.

Fossati et al. (2015)

Pathological narcissism significantly related to insecure attachment dimensions of anxiety and avoidance.

Besser and Priel (2009)

Vulnerable narcissism leads to higher stress in relationships, increased anxiety during separation, and sensitivity to rejection.

Understanding these attachment patterns helps clinicians assess how covert narcissists interact with others. For instance, a client with anxious attachment might cling to relationships, while one with avoidant tendencies may withdraw to protect their fragile self-esteem.

Interpersonal Circumplex Analysis Applications

The interpersonal circumplex model offers a structured way to analyze relationship dynamics in covert narcissism. This framework maps behaviors along two axes: dominance-submission and warmth-hostility. Covert narcissists often oscillate between submissive and hostile behaviors, depending on their perceived level of threat or validation.

Studies like Wiggins et al. (1989) and Gurtman (1996) highlight how narcissistic traits influence interpersonal dynamics. For example, a covert narcissist might appear agreeable in one moment but become passive-aggressive when they feel criticized. Therapists can use the circumplex model to identify these patterns and guide interventions. By addressing the underlying fears driving these behaviors, clinicians can help clients develop healthier ways of relating to others.

Note: The interpersonal circumplex is not just a diagnostic tool; it’s a lens for understanding the emotional undercurrents in relationships. For covert narcissists, this means uncovering the hidden vulnerabilities that shape their interactions.

Psychotherapeutic Intervention Approaches

Evidence-Based Treatment Modalities

Schema Therapy Adaptations For Covert Narcissism

Schema therapy offers a powerful approach for addressing the deep-rooted patterns seen in covert narcissists. This method focuses on identifying and reshaping maladaptive schemas—core beliefs formed during childhood that influence how individuals perceive themselves and others. For covert narcissists, these schemas often revolve around themes of inadequacy, rejection, and unworthiness.

Therapists use schema therapy to help clients recognize these patterns and understand how they drive their behaviors. For example, a covert narcissist might avoid social situations due to a “defectiveness” schema, believing they are fundamentally flawed. Through techniques like imagery rescripting and cognitive restructuring, therapists guide clients to challenge these beliefs and replace them with healthier ones.

One key aspect of schema therapy is its emphasis on emotional healing. Therapists often use experiential techniques to help clients connect with their unmet emotional needs. This process can be challenging for covert narcissists, who may resist vulnerability. However, with patience and a strong therapeutic alliance, schema therapy can foster profound change.

Psychodynamic Therapy Process And Outcomes

Psychodynamic therapy delves into the unconscious processes that shape a covert narcissist’s thoughts and behaviors. This approach emphasizes exploring early attachment experiences and unresolved conflicts that contribute to their defensive patterns. By bringing these issues to light, clients can gain insight into their struggles and develop healthier ways of relating to themselves and others.

Studies have shown the effectiveness of psychodynamic therapy for individuals with narcissistic traits. For instance, transference-focused psychotherapy (TFP), a specific form of psychodynamic therapy, has demonstrated significant benefits. The table below highlights key findings from clinical trials:

Study

Intervention

Sample Size

Key Findings

Doering et al. (2010)

TFP vs. Community Psychotherapy

104

TFP improved general psychopathy and reduced suicidality compared to community psychotherapy.

Fischer-Kern et al. (2015)

TFP

104

TFP showed improvements in reflective function, while community therapy did not.

Buchheim et al. (2017)

TFP vs. Community Psychotherapy

N/A

TFP led to significant improvements in attachment security and coherence.

Stern et al. (2017)

TFP

N/A

TFP helped patients with NPD become more receptive to therapeutic reflection and tolerate realistic self-representations.

Psychodynamic therapy encourages clients to explore their inner world, fostering self-awareness and emotional growth. For covert narcissists, this process can be transformative, helping them move beyond their defensive behaviors and build a more authentic sense of self.

Clinical Challenges And Strategic Responses

Addressing Shame And Vulnerability Resistance

Shame is a central issue for covert narcissists. They often go to great lengths to avoid feeling exposed or inadequate, which can make therapy challenging. Resistance to vulnerability is common, as clients may fear judgment or rejection. Therapists must create a safe, nonjudgmental space where clients feel comfortable exploring these painful emotions.

Understanding the roots of shame is crucial. Psychodynamic approaches highlight how early attachment wounds contribute to a covert narcissist’s defensive structures. For example, a client who experienced neglect as a child may have developed a deep fear of being unworthy of love. By addressing these underlying issues, therapists can help clients confront their shame and begin the healing process.

Tip: Gentle validation and empathy are key when working with covert narcissists. Acknowledging their struggles without minimizing their pain can help build trust and encourage openness.

Managing Passive-Aggressive Defense Mechanisms

Passive-aggressive behaviors are a hallmark of covert narcissism. These behaviors often stem from a fear of direct confrontation and a desire to protect their fragile self-esteem. For example, a covert narcissist might agree to a request but then “forget” to follow through, expressing their resentment indirectly.

To address these behaviors, therapists must first understand the motivations behind them. Attachment theory provides valuable insights, explaining how insecure attachment influences passive-aggressive tendencies in adult relationships. By exploring these dynamics, therapists can help clients recognize their patterns and develop healthier ways of expressing their needs.

Unpacking these behaviors requires patience and skill. Therapists can use techniques like reflective listening and role-playing to help clients practice assertive communication. Over time, this approach can reduce passive-aggressive tendencies and improve their relationships.

Note: Addressing passive-aggressive behaviors is not about assigning blame. Instead, it’s about helping clients understand their actions and find more constructive ways to navigate their emotions.

Prognostic Indicators And Treatment Outcomes

Predictors Of Therapeutic Engagement

Insight Capacity And Its Development

Why do some covert narcissists make progress in therapy while others struggle? One key factor is their capacity for insight. Insight refers to the ability to recognize and understand one’s own thoughts, feelings, and behaviors. For covert narcissists, developing insight can be a game-changer. It helps them see how their defensive patterns—like passive-aggressive behavior or withdrawal—impact their relationships and emotional well-being.

Research backs this up. A study by Ronningstam (2011) found that individuals with narcissistic traits who demonstrated higher levels of self-reflection were more likely to engage in therapy and achieve positive outcomes. This makes sense, right? If someone can acknowledge their struggles, they’re more likely to work on them. But here’s the catch: covert narcissists often resist self-awareness because it feels too vulnerable. They may avoid looking inward, fearing what they might find.

Therapists can help by creating a safe space for exploration. Techniques like guided journaling or Socratic questioning encourage clients to examine their thoughts without feeling judged. For example, a therapist might ask, “What do you think drives your reaction when someone criticizes you?” This kind of gentle probing can spark moments of clarity. Over time, these insights build a foundation for deeper therapeutic work.

Tip: Progress isn’t about giant leaps. Small realizations—like recognizing a tendency to avoid conflict—can pave the way for meaningful change.

Motivation Assessment And Enhancement

Motivation is another critical predictor of therapeutic success. Let’s face it: therapy is hard work. For covert narcissists, the motivation to engage often hinges on their readiness to confront uncomfortable truths. Some may enter therapy seeking relief from anxiety or depression, while others might hope to improve strained relationships. Whatever the reason, understanding their “why” is essential.

Studies like those by Deci and Ryan (1985) on self-determination theory highlight the importance of intrinsic motivation in therapy. Clients who feel personally invested in their growth—rather than pressured by external factors—tend to stick with the process. For covert narcissists, this might mean shifting their focus from seeking validation to building authentic self-esteem.

Therapists can enhance motivation by setting achievable goals. Imagine a client who struggles with social anxiety rooted in covert narcissism. Instead of aiming for complete confidence overnight, the therapist might suggest attending one social event and reflecting on the experience. Celebrating small wins reinforces the client’s sense of progress and keeps them engaged.

Note: Motivation isn’t static. It ebbs and flows. Regular check-ins about the client’s goals and progress can reignite their commitment to therapy.

Predictor

Description

Impact on Therapy

Insight Capacity

Ability to recognize and understand one’s own thoughts and behaviors

Facilitates self-awareness and deeper engagement in therapeutic work

Intrinsic Motivation

Personal investment in growth and change

Leads to sustained effort and commitment to therapy

Goal Setting

Establishing realistic and achievable objectives

Builds confidence and reinforces progress

In therapy, insight and motivation work hand-in-hand. When covert narcissists start to understand themselves better, their motivation to change often grows. And as their motivation increases, they’re more willing to explore deeper insights. It’s a cycle that, when nurtured, can lead to lasting transformation.

Conclusion

Covert narcissism is more than just a personality trait—it’s a complex pattern of behaviors and emotions that can deeply affect relationships and mental health. These individuals often struggle with a hidden need for admiration and a lack of empathy, which can lead to subtle manipulation and emotional unavailability. This dynamic not only harms their own well-being but also impacts those around them, creating cycles of confusion and hurt.

Seeking professional help can make a world of difference. Therapy provides a safe space to explore these patterns, build self-awareness, and develop healthier ways of connecting with others. For those affected by covert narcissists, support can help rebuild confidence and emotional clarity.

Remember: Behind the defensive walls of a covert narcissist lies a person grappling with vulnerability and fear. Approaching this topic with empathy doesn’t excuse harmful behavior, but it opens the door to understanding and healing—for everyone involved.

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Frequently Asked Questions

Can covert narcissists feel empathy?

Covert narcissists struggle with cognitive empathy, meaning they find it hard to understand others’ emotions. However, they may show emotional empathy in specific situations. Research (Marissen et al., 2012) suggests their empathy deficits stem from self-focused attention rather than a complete lack of care.

Are covert narcissists aware of their behavior?

Many covert narcissists lack self-awareness. They often don’t realize how their actions affect others because they focus on protecting their fragile self-esteem. Therapy can help them develop insight into their patterns and improve their relationships.

How does covert narcissism develop?

Covert narcissism often stems from childhood experiences, such as neglect or excessive criticism. These experiences can lead to feelings of inadequacy and a need for validation. Over time, these traits evolve into the hypersensitivity and self-doubt seen in covert narcissists.

Can covert narcissism be treated?

Yes, therapy can help. Evidence-based approaches like schema therapy and psychodynamic therapy address the root causes of covert narcissism. Treatment focuses on building self-awareness, improving emotional regulation, and fostering healthier relationships.

Is covert narcissism the same as social anxiety?

No, but they can overlap. Social anxiety involves fear of judgment, while covert narcissism centers on protecting self-esteem. A covert narcissist might avoid social situations to hide their vulnerabilities, while someone with social anxiety avoids them out of fear of rejection.

Do covert narcissists manipulate others?

Yes, but often subtly. Covert narcissists may use passive-aggressive tactics or guilt to gain validation. Unlike overt narcissists, their manipulation is less obvious and often stems from insecurity rather than malice.

How can I deal with a covert narcissist in my life?

Set clear boundaries and manage expectations. Avoid engaging in their passive-aggressive behaviors. Encourage open communication, but protect your emotional well-being. Seeking support from a therapist can also help you navigate these relationships effectively.