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What is the suggested treatment for patients with narcissistic personality disorder who experience excessive affective lability? Excessive affecti...

What is the suggested treatment for patients with narcissistic personality disorder who experience excessive affective lability?

Excessive affective lability in patients with narcissistic personality disorder may be treated with lithium carbonate if there is some evidence of autonomous hypomanic or depressive mood swings.
Exaggerated vulnerability to rejection or disappointment may be treated with an MAOI.
Patients with narcissistic personality disorder might be expected to go into more prolonged depressive episodes when they encounter disappointments of defeats in life.
Some of these episodes might be amenable to antidepressant therapy, in conjunction with an insight-oriented psychotherapy approach.

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Emotions and Psychopathology ( PDFDrive )
336 pág.

Psicopatologia Universidad Nacional Mayor de San MarcosUniversidad Nacional Mayor de San Marcos

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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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