Narcissistic Personality Disorder is the new borderline personality disorder of our current era. There have been recent developments on narcissism that are certainly worthwhile examining. Firstly, relational and intersubjective psychoanalysts have been rethinking the underlying concepts of narcissism, focusing on the development of self and relations to others. Narcissistic personality disorder (NPD) is a prevalent condition that frequently co-occurs with other diagnoses that bring patients into treatment. Narcissistic disturbances are not often the chief complaint, but they complicate the development of an adequate therapeutic alliance. Typical counter transference challenges, combined with stigma related to NPD, result in difficulty for the therapist to relate to these patients empathically. Metallization-based treatment provides a means for therapists to reach these patients by taking a “not-knowing” stance with interest and curiosity in clarifying and expanding a shared awareness of the patient’s emotional experiences. By understanding the attachment functions, metalizing imbalances, and problems of epistemic disregard among patients with NPD, therapists can break through the self-centered “me-mode” of the therapeutic dyad, where the typical lack of engagement or power struggles prevail, to a “we-mode,” where the patient and therapist are joined in attention to what happens in the patient’s mind and in interactions with others. Therapy for narcissistic personality disorder is crucial for improving long-term outcomes. Research shows that the earlier someone with NPD receives intervention and treatment, the better their prognosis.

Keywords: Mindfulness, Based, Therapy, Students. Narcissistic, Personality, Disorder,