The question of whether narcissists ever stop being narcissistic is a complex one, and it's important to approach it with a nuanced understanding of what narcissism is and how it manifests.

Narcissistic Personality Disorder (NPD) is a mental health condition characterized by an inflated sense of self-importance, a deep need for excessive attention and admiration, troubled relationships, and a lack of empathy for others. It's not just about being self-absorbed; it's a pervasive pattern of behavior that can cause significant problems in many areas of life.

The first thing to understand is that narcissism, like many personality traits, exists on a spectrum. On one end, you have healthy narcissism – the kind that helps you maintain self-esteem and assertiveness. On the other end, you have pathological narcissism, which includes NPD. People with NPD often have trouble recognizing that they have a problem, as their distorted self-image may lead them to perceive their behavior as normal or even superior.

Now, to the crux of the question: Can narcissists change? The answer is not straightforward.

Change for anyone requires self-awareness, desire to change, and consistent effort over time. For individuals with NPD, this process can be particularly challenging due to the very nature of their disorder. Their lack of insight into their behavior and its impact on others makes it difficult for them to recognize the need for change. Moreover, their inflated self-image often leads them to perceive criticism or feedback as an attack rather than an opportunity for growth.

However, this doesn't mean change is impossible. With professional help such as psychotherapy or counseling, individuals with NPD can learn healthier ways of relating to others and managing their emotions. Cognitive Behavioral Therapy (CBT), for instance, can help them challenge their distorted thought patterns and develop more realistic self-perceptions.

Therapy can also help them cultivate empathy – a crucial skill that many narcissists lack. By learning to understand and share the feelings of others, they can start to build more meaningful and reciprocal relationships.

It's important to note that this process is often long and arduous. It requires a significant commitment from the individual, and progress can be slow. Relapses are common, and some individuals may never fully overcome their narcissistic tendencies. However, even small changes can lead to significant improvements in their quality of life and relationships.

In conclusion, while narcissists face significant challenges in overcoming their narcissism, change is possible with professional help and sustained effort. However, it's crucial to approach this issue with realistic expectations and patience. It's not about 'curing' narcissism but rather about managing it – learning healthier ways of thinking and behaving that can lead to more fulfilling relationships and a better quality of life.