You may further think that people who suffer from narcissistic personality disorder (NPD) never enter the therapy room, as they consider themselves superior. So why would they humiliate themselves by asking for help? This popular, vilifying narrative is not helpful for people who actually have NPD. And although their attitudes and behaviours can indeed cause harm to those who are close to them – their partners, children, colleagues – these are tragic side effects of their maladaptive ways of managing their self-esteem. Vilifying them is not helpful for those individuals, either.