Can you have a healthy relationship with a narcissist?
Well, if you trust many social media posts, then the answer would be a resounding "No". Narcissistic is - apparently - a synonym for abusive, and of course you can't have a healthy relationship with an abusive partner!
But, well, social media is not always right. A lot of topics get oversimplified, terms get misused and black-or-white thinking is rampant - and "narcissistic means abusive" falls into all three of those pits.
Let's look at it a bit closer: "Abusive" describes a set of behaviors - while narcissistic personality disorder (NPD) describes, well, a personality disorder. It's a mental health condition.
I am not a trained mental health professional, so I'll use a medical source here. According to mayoclinic.org (link to article), symptoms and their intensity may vary from one affected person to the next (just like the exact symptoms and severity of depression or anxiety may vary!). A person with NPD may
- have an unreasonably high sense of their own importance
- have an excessive need for attention and admiration
- have low/no empathy (struggle to understand or care about the feelings of others)
- have low self-worth
- be easily upset by criticism
- struggle with social interactions
- have difficulty managing their emotions
- experience major problems dealing with stress
And, again just like with other mental health conditions, NPD can negatively affect the person in a lot of areas of life. For example, struggling to manage their emotions and stress levels may make it hard for them to hold down a job and cause financial worries, or they may avoid participating in social events, which may lead to them becoming isolated and depressed etc. And yes, of course some symptoms may also lead to problems in romantic relationships.
Therapy for NPD usually centers around talk therapy, with the goal of helping the person to better understand and manage their emotions, to learn how to cope with self-worth issues, and to create/maintain healthy fulfilling relationships and communication with the people around them.
Now, you can look at all this and go "See? The social media posts are right! They are self-centered, have no empathy and are easily upset! That's abusive!" - but that'd be jumping to conclusions. None of those things are behaviors.
An autistic person may also easily get upset and they may also feel low empathy. So could a person with major depression. Yet, we do not treat "autistic" or "depressed" as a synonym for abusive. We do not assume that their symptoms will definitely lead to abusive behavior. So, why would that be different for people with NPD?
Am I saying no person with NPD has ever been abusive? Of course not. That'd be black-or-white thinking, too. What I am saying is: People with NPD are people. And people can show abusive behavior or they can not.
If someone who easily feels upset hits you, that's abuse... but hitting would be abuse, even if they didn't feel easily upset. A partner with or without NPD shouldn't be hitting you. If someone with no empathy degrades and insults you, that's abusive... but that would be abuse regardless of their ability to feel empathy. A partner with or without NPD shouldn't be degrading and insulting you.
A person could have NPD and behave abusive - but "some people are X and Y, so all people who are X must be Y" is a flawed logic.
So, let's circle back to the beginning: can you have a healthy relationship with a narcissist? Yeah. It will be a relationship with someone who has a mental health condition and that's something to be aware of because mental health conditions do affect everyday life (duh?).
You should set boundaries and take warning signs of abuse seriously - like you should do when you date anyone, regardless of health status.