Oh yes, if we all just vented to therapists we'd be All Better[emoji769]
It's not like the two diagnosed narcissists here, NothingPeopleDo and myself, have already tried this completely useless approach.
It's useless because therapists work with and are trained to work with people who are really blatantly dysfunctional but still have their capacity for empathy mostly intact.
Most narcissists aren't in crisis in the traditional sense of the word, and it's well established that we simply don't feel empathy. Our minds work in a fundamentally different way than those who do feel empathy.
While I'm not as bad as I used to be, I improved largely on my own with little outside help outside of the two friends I hadn't chased off somehow. I didn't improve because of therapy. I'm in therapy now, but not for NPD. I'm in therapy for an extensive trauma history that as much as I loathe admitting it, I can't deal with it on my own.
But therapy for NPD that's actually effective?
Next time I see a unicorn I'll let you know.