I actually shared my "diagnosis" of NPD with my first T, in a session. He displayed what seemed like an uncomfortable (almost 'get out of here') reaction at first, but proceeded to ask me things like do I think narcissistic people are bad, deserve no compassion, do I think they don't need help? (He must be aware of it on many levels because he chose a whole psychoanalytic modality dealing with it!) I said I do not think any of those things and I fully recognize it as an issue like any other that deserves help. But if it gets in the ways of my so-called therapy and treatment, I will definitely recognize it, will not accept it and will voice it.