As a combination ofnarcissistic personality disorderandantisocial personality disorder, malignant narcissism is considered the most severetype of narcissism.
Malignant narcissists tend to want things like power, control over others, money, and fame.
Narcissistic personality disorder and antisocial personality disorder are both cluster B personality disorders.

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Symptoms of paranoia can be present.
Causes
Specific causes of malignant narcissism and related personality disorders are not entirely understood.
Genetic and environmental factors may lead to these conditions.
Treatment
Malignant narcissism can be treated and managed with psychotherapy (talk therapy).
Telehealthappointments generally involve approved platforms for video conferencing.
Choosing a Specialist
Psychotherapy can be provided by a mental health professional such as a psychologist orpsychiatrist.
Healthcare professionals, including primary care physicians, can provide referrals to mental health professionals.
Some professionals specialize in certain types of therapy and focus on treating specific conditions.
Approaching the subject with someone with malignant narcissism can require strategic approaches.
These characteristics can be harmful to those with the condition and those around them, especially intimate partners.
Treatment is available and talk therapy can help.
Shafti SS.Malignant narcissism: concealed side of psychopathy.BJSTR.
2019;22(1):16310-16315. doi:10.26717/BJSTR.2019.22.003686
American Psychological Association.Antisocial personality disorder.
American Psychological Association.Narcissistic personality disorder.
2017;9(2):64-71.
2021;49(1):66-76. doi:10.29158/JAAPL.200060-20
American Psychological Association.What causes personality disorders?
2015;172(5):415-422. doi:10.1176/appi.ajp.2014.14060723
American Psychological Association.Online therapy is here to stay.
American Psychological Association.How to choose a psychologist.