Les narcissiques savent-ils qu’ils sont narcissiques ? Signes et soutien

18 juillet 2025

Le trouble de la personnalité narcissique (TPN) altère généralement la conscience de soi, de sorte qu'il est difficile pour les individus de reconnaître leurs traits narcissiques, mais une thérapie professionnelle peut les aider à développer leur perspicacité, à améliorer leurs relations et à mettre en place des mécanismes d'adaptation plus sains grâce à des approches thérapeutiques fondées sur des données probantes.

Avez-vous déjà remarqué la facilité avec laquelle nous repérons certains comportements chez les autres, alors que nous avons du mal à les reconnaître chez nous ? Comprendre le narcissisme, ce n'est pas seulement identifier des traits chez quelqu'un d'autre, c'est aussi mieux comprendre les schémas qui affectent les relations et la conscience de soi, que ce soit pour soi-même ou pour quelqu'un que l'on aime.

person seeking support

Les personnes narcissiques savent-elles qu’elles sont narcissiques ? Chercher du soutien pour le narcissisme

Lorsqu’une personne de votre entourage présente des comportements narcissiques, ses traits peuvent vous sembler évidents. Cependant, vous pouvez vous demander si cette personne est consciente de ces caractéristiques en elle-même. Les personnes souffrant d’un trouble de la personnalité narcissique (TPL) n’ont souvent pas conscience d’elles-mêmes, ce qui fait qu’il leur est difficile de reconnaître qu’il y a quelque chose à régler. Leur sens élevé de l’importance de soi peut les empêcher de chercher de l’aide. Que vous pensiez souffrir d’un trouble de la personnalité narcissique ou que vous connaissiez quelqu’un qui présente des traits narcissiques, la thérapie par télésanté peut être une excellente ressource et un excellent système de soutien.

Veuillez noter que l’utilisation des mots « narcissique » et « narcissisme » dans cet article se réfère aux personnes vivant avec un trouble de la personnalité narcissique.

Signes de narcissisme

Selon le Manuel diagnostique et statistique des troubles mentaux (DSM-V), le trouble de la personnalité narcissique se caractérise typiquement par des schémas de comportement anormal à long terme découlant d’un sentiment exagéré de suffisance, d’un besoin excessif d’admiration et d’un manque d’empathie.

Ces traits de caractère peuvent conduire les personnes atteintes de ce trouble à profiter de leur entourage. Malgré l’idée reçue selon laquelle les personnes souffrant de NPD ont une énorme estime de soi, elles peuvent en réalité se sentir peu sûres d’elles-mêmes et vides à l’intérieur, en raison de leur incapacité à établir des relations avec les autres et de leur manque d’estime de soi.

Les personnes souffrant de NPD présentent généralement les traits suivants

  • Un besoin excessif d’admiration de la part des autres
  • Un énorme sentiment de suffisance
  • Pensées constantes sur le fait d’être plus puissant, d’avoir plus de succès, d’être plus attirant, d’être plus intelligent ou plus aimé que les autres.
  • un sentiment d’avoir droit à quelque chose
  • une volonté de profiter des autres pour atteindre ses propres objectifs
  • une attitude arrogante à l’égard des autres
  • un manque de compréhension ou de considération à l’égard des sentiments ou des besoins d’autrui
  • un sentiment de supériorité et une tendance à ne vouloir fréquenter que des personnes de haut rang.

Les comportements associés peuvent inclure le fait de monopoliser les conversations, de devenir dédaigneux lorsque les autres parlent d’eux-mêmes et de réagir avec une colère disproportionnée lorsqu’on les corrige ou qu’on leur reproche un comportement inapproprié.

De nombreuses personnes souffrant de NPD considèrent les sentiments blessés des autres comme un signe de faiblesse et peuvent les traiter avec mépris. Elles peuvent tenter de contrôler les autres et les insulter ou les blâmer si leur propre ego est blessé.

Facteurs de risque du narcissisme

Les signes de narcissisme apparaissent généralement au début de l’âge adulte et peuvent toucher jusqu’à 5 % de la population. Bien qu’il n’y ait pas de consensus sur la cause exacte de la NPD, la recherche suggère qu’elle peut résulter d’une combinaison de facteurs :

  • Dysfonctionnement dans les relations précoces avec les parents, les membres de la famille ou d’autres êtres chers
  • Génétique
  • Traumatismes de l’enfance, comme les abus physiques, verbaux ou sexuels
  • Sensibilité sensorielle (comme la sensibilité à la lumière, au bruit ou aux textures) dans l’enfance
  • Personnalité ou tempérament prédisposé

La NPD s’accompagne souvent d’autres troubles mentaux. A person with NPD may experience episodes of depression and might also live with bipolar disorder, substance use disorder, or other personality disorders, such as borderline, histrionic, antisocial, and paranoid personality disorders.

Si vous ou l’un de vos proches êtes victime d’abus, contactez le service d’assistance téléphonique contre la violence domestique au 1-800-799-SAFE (7233). Une assistance est disponible 24 heures sur 24 et 7 jours sur 7.

Diagnostiquer le narcissisme

La difficulté d’aider une personne atteinte de NPD consiste souvent à lui faire admettre qu’elle pourrait bénéficier d’un soutien. En raison de la fragilité potentielle de son ego et de sa volonté d’éviter toute critique, il peut lui être difficile d’admettre qu’elle a besoin d’aide.

Souvent, le diagnostic de NPD n’est posé qu’après avoir cherché de l’aide pour d’autres problèmes de santé mentale. Elles peuvent également accepter de consulter un professionnel de la santé sur l’insistance de leurs amis et de leur famille.

Un traitement est possible pour les personnes souffrant de NPD si elles reconnaissent qu’elles peuvent en bénéficier. Les professionnels de la santé mentale utilisent généralement une combinaison d’approches thérapeutiques pour le traitement. Il est important de rappeler que les travailleurs sociaux cliniciens de ReachLink ne prescrivent pas de médicaments, mais qu’ils peuvent orienter les personnes concernées vers des professionnels de santé qualifiés si nécessaire.

Thérapie pour le narcissisme

La thérapie peut aider les personnes atteintes de NPD à apprendre des stratégies positives pour établir des relations avec les autres. Avec les conseils d’un travailleur social clinique agréé, elles peuvent travailler à développer une meilleure estime de soi, apprendre à avoir des attentes plus réalistes vis-à-vis des autres, cultiver la conscience de soi et développer des mécanismes d’adaptation pour gérer les symptômes de la dépression ou de l’anxiété.

Les amis ou les membres de la famille d’une personne souffrant de NPD peuvent également bénéficier d’une thérapie, même s’ils sont par ailleurs en bonne santé. Cela peut être particulièrement vrai pour ceux qui ont été victimes d’abus émotionnels de la part d’une personne souffrant de NPD.

Souvent, les personnes en relation avec un narcissique ont été une source d’approvisionnement narcissique, un terme qui fait généralement référence à l’attention requise par la personne souffrant de NPD. Être une source d’approvisionnement peut être épuisant sur le plan émotionnel et peut être considéré comme une forme de paiement que la personne atteinte de ce trouble exige pour que vous soyez en relation avec elle.

La thérapie peut aider les personnes liées à une personne souffrant d’un trouble obsessionnel-compulsif en leur donnant des informations sur ce trouble et sur la manière d’interagir avec une personne souffrant d’un trouble obsessionnel-compulsif, en les guidant éventuellement vers des moyens de communication plus efficaces et en leur proposant des stratégies pour fixer des limites afin de protéger leur santé mentale.

Les services de télésanté tels que ReachLink peuvent s’avérer particulièrement bénéfiques dans le cadre d’une thérapie pour un trouble obsessionnel-compulsif. Notre thérapie vidéo sécurisée vous met en contact avec des travailleurs sociaux cliniques agréés depuis le confort de votre domicile, ce qui vous offre commodité et confidentialité. Cette option peut s’avérer utile à la fois pour les personnes souffrant de TPL et pour leurs proches.

Bien qu’il n’y ait pas de recherche qui montre l’efficacité de la thérapie par télésanté spécifiquement pour les personnes souffrant d’un trouble de la personnalité narcissique ou pour les personnes affectées par une personne narcissique, des études montrent que la thérapie en ligne peut être efficace dans le traitement des troubles de la personnalité. Une revue de 11 essais cliniques randomisés explore les recherches préliminaires sur les effets de la thérapie par internet dans le traitement des symptômes du trouble de la personnalité borderline et du trouble de la personnalité. Sur les 11 études, 45 % ont montré une réduction des symptômes. Ces résultats suggèrent que, bien que des recherches supplémentaires soient nécessaires, la thérapie par télésanté peut être une option de traitement efficace pour les troubles de la personnalité.

À retenir

Le trouble de la personnalité narcissique peut entraîner une perception biaisée et changeante de la valeur personnelle, de mauvaises relations avec les autres et plusieurs autres symptômes de santé mentale. Toutefois, un traitement est possible si les personnes atteintes de ce trouble sont disposées à le rechercher. Si vous pensez présenter certains traits de ce trouble ou si vous êtes proche d’une personne qui en souffre, la thérapie par télésanté de ReachLink peut vous proposer plusieurs stratégies et compétences d’adaptation pour améliorer votre bien-être mental grâce à notre réseau d’assistants sociaux cliniques agréés.


FAQ

  • Une personne présentant des traits narcissiques peut-elle reconnaître son propre comportement ?

    Bien que les personnes présentant des traits narcissiques aient souvent une conscience limitée de leur comportement, elles peuvent apprendre à reconnaître leurs schémas grâce à une intervention thérapeutique. De nombreuses personnes commencent à remarquer leurs tendances narcissiques lorsqu'elles rencontrent des difficultés relationnelles ou émotionnelles.

  • Quelle est l'efficacité de la thérapie pour les traits de personnalité narcissique ?

    La thérapie peut être très efficace pour les personnes présentant des traits de personnalité narcissique, en particulier lorsqu'elle utilise des approches telles que la thérapie cognitivo-comportementale (TCC) et la thérapie psychodynamique. Ces méthodes thérapeutiques aident les individus à développer des modèles relationnels plus sains, à améliorer leur conscience émotionnelle et à développer une véritable estime de soi.

  • Quels sont les avantages de la thérapie en ligne pour les traits narcissiques ?

    La thérapie en ligne sur des plateformes telles que ReachLink offre confidentialité, commodité et accès constant à des thérapeutes agréés. Les séances virtuelles permettent aux individus de travailler sur leurs traits narcissiques dans un environnement confortable, ce qui peut les rendre plus réceptifs au traitement et plus susceptibles de maintenir une présence régulière.

  • Que se passe-t-il lors des séances de thérapie pour les traits narcissiques ?

    Les séances de thérapie sont généralement axées sur le développement de la conscience de soi, l'amélioration des compétences interpersonnelles et le développement de l'empathie. Votre thérapeute vous aidera à identifier vos schémas comportementaux, à comprendre leur impact sur les relations et à apprendre des stratégies d'adaptation plus saines. Les séances peuvent inclure des jeux de rôle, des exercices de prise de conscience émotionnelle et l'acquisition de compétences pratiques.

  • Comment puis-je soutenir une personne qui présente des tendances narcissiques ?

    La meilleure façon de soutenir une personne ayant des tendances narcissiques est de l'encourager à rechercher une aide professionnelle par le biais d'une thérapie. Maintenez des limites saines tout en la soutenant, évitez les approches conflictuelles et concentrez-vous sur des comportements spécifiques plutôt que sur des jugements de caractère. Envisagez une thérapie familiale ou une thérapie de couple si la relation est très affectée.

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