The suggested treatment for patients with narcissistic personality disorder who experience excessive affective lability may involve a combination of medication and psychotherapy. If there is evidence of autonomous hypomanic or depressive mood swings, lithium carbonate may be prescribed. This medication can help stabilize mood and reduce the intensity of mood swings. In cases where there is exaggerated vulnerability to rejection or disappointment, an MAOI (Monoamine Oxidase Inhibitor) may be considered. MAOIs can help regulate emotions and reduce emotional reactivity. Additionally, psychotherapy, specifically insight-oriented psychotherapy, can be beneficial. This type of therapy focuses on gaining insight into one's thoughts, feelings, and behaviors, and can help individuals with narcissistic personality disorder develop healthier coping mechanisms and improve their emotional regulation. It's important to note that treatment plans should be tailored to each individual's specific needs and may vary depending on the severity of symptoms and the individual's response to treatment. It is recommended to consult with a mental health professional for a comprehensive evaluation and personalized treatment plan.
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