Narcissism is often portrayed as an all-or-nothing label — but the reality is far more complex.
Rather than a rigid diagnosis, narcissistic traits can be seen across a broad spectrum, ranging from healthy confidence to extreme grandiosity and vulnerability.
The Spectrum of Narcissism:
- Healthy Narcissism: Pride in achievements, self-advocacy, a stable sense of worth
- Vulnerable Narcissism: Hypersensitivity to criticism, emotional fragility, hidden shame
- Grandiose Narcissism: Inflated self-image, entitlement, and external validation-seeking
Why It Matters
Narcissistic traits often represent adaptations to trauma or unmet emotional needs.
When we understand this, we can hold space for both the defensive behaviours and the wounded parts underneath.
Therapeutic Approaches:
- Prioritise safety and trust-building
- Validate the protective nature of defences
- Explore identity and emotional regulation gently
Final Thought:
These clients aren’t broken — they’re protective. And protection can soften in the presence of consistent, respectful connection.
