Invictus01: The psychiatrist essentially said he was comorbid BPD/npd, but wouldnt diagnose npd part. His insurance paid for dbt, with a BPD diagnosis. Add npd tho and no pay. The BPD alone maybe I could have handled, its the npd part I was in denial about. I know BPDs have empathy and feel shame they just are so overwhelmed with emotions they can't control themselves. But this felt different. I got the feeling he almost enjoyed hurting me, and it was deliberate. Not characteristic of a BPD right? The odds of him shamelessly returning, however are relatively high IF he needs something again. But who wants to be a temporary bandaid? Hitting bottom again could take years do I want to really wait? NPDs do not care and do not miss you. I should also add quite a lot of narcissistic injury took place thanks to the mutual friend so its possible he is gone for good. A blessing I am sure, but a painful one. How are you today?
I am not sure why the psychiatrist would even bother with the therapy if he saw traits strong enough for an "unofficial" NPD diagnose. There is a reason why insurance won't cover DBT for NPD/sociopaths - a virtually zero success rate (not that it is THAT much better with BPDs but that's a whole different conversation). NPDs/sociopaths are just too far gone emotionally to improve from any therapy. A therapist would do anybody a favor and suggest you pull the plug on a NPD relationship instead of trying to keep it on an indefinite life support with pretty much no chance of recovery.
