Antagonistic narcissism is linked to cold feelings toward psychologists

September 23, 2026 - 00:55

People who display high levels of antagonistic narcissism tend to hold psychologists and psychiatrists in low regard, according to new research. The findings suggest that individuals with this trait profile often approach mental health treatment with suspicion or outright dislike, which can complicate efforts to engage them in care.

Antagonistic narcissism involves a mix of arrogance, exploitativeness, and a lack of empathy. Those who score high on this dimension are more likely to see therapists as threats rather than helpers. They may resist opening up, dismiss clinical advice, or drop out of treatment early.

The picture changes when researchers look at self-promotional narcissism. This form centers on a need for admiration and a desire to be seen as successful. People with these traits may actually view therapy more favorably, possibly because they see it as a tool for self-improvement or a way to maintain a positive image.

The study highlights that narcissism is not a single, uniform condition. Different facets of the trait can push people in opposite directions when it comes to seeking help. Understanding these distinctions could help clinicians tailor their approach and reduce the risk of dropout among clients who might otherwise reject mental health support.