Read LaterThe treatment of narcissism and narcissistic personality disorders (NPD) is challenging for clinicians because of their complexity and limited empirical evidence to guide treatment. This chapter provides an overview of the state of the field of psychotherapeutics for NPD. Interest in the treatment of NPD was stimulated by Heinz Kohut who developed a theory of self-psychology and developed methods for treating what he termed disorders of the self. Kohut did not articulate a specific approach for treating NPD, so much as articulating principles for how to create a therapeutic relationship, using empathy and mirroring to mend structural deficits in the self-system. While there is substantial support demonstrating the efficacy of psychotherapy in general, and growing empirical evidence for the treatment of personality disorders, there is limited evidence for NPD