Sociopath VS Narcissistic Sociopath

By: Sarah Cocchimiglio

Updated September 07, 2021

Medically Reviewed By: Wendy Boring-Bray, DBH, LPC

Having a loved one who often acts as a narcissistic sociopathic is not always easy. Do you think you have been exposed to the behaviors of a narcissist, sociopath, or narcissistic sociopath?

What is a Narcissistic Sociopath?

There Are Key Differences Between A Sociopath And A Narcissistic Sociopath
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Narcissistic sociopaths have a mental condition that involves an individual exhibiting an exaggerated sense of self-importance, a total lack of concern or empathy for others, and an unrelenting desire to receive admiration or adoration. Narcissistic sociopaths often experience disruptions in both personal and professional relationships. When the behavioral characteristics of a narcissist and a sociopath are combined, the narcissistic sociopath will generally react aggressively to any negative criticism. 


Dealing with narcissistic sociopaths can be difficult for anyone, especially when it’s someone who is close to you.   It’s important to keep in mind that, although you may not want to hurt the narcissistic sociopath, you should place your own safety and well-being as priority. Although there are no medications dedicated to treat narcissistic sociopathy, there are medications that may be prescribed to treat some of the symptoms. Seeking the help of a professional is necessary to determine if medication management is necessary for narcissistic sociopaths and to evaluate what type of medication, if any, should be prescribed.

How BetterHelp Can Help Narcissistic Sociopaths

There Are Key Differences Between A Sociopath And A Narcissistic Sociopath
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If you are concerned about someone who may be a narcissistic sociopath, or if you are experiencing narcissistic sociopath symptoms that make you uncomfortable, reach out to a mental health professional. Talking to a counselor or therapist can help you make sense of narcissistic sociopath traits you are experiencing or witnessing. A mental health professional can help you establish a plan to protect your safety and well-being.

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“Kelly has shown me how to be accountable for my thoughts and how to navigate them in a healthy manner. Though the knowledge was somewhat there she has a way of helping me understand what or why I’m going through what I am. I appreciate all the time we’ve spent together so far and look forward to learning how and being a healthier version of myself through our sessions.”

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