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  • What Is a Somatic Narcissist?What Is a Somatic Narcissist?
  • 7 Signs7 Signs
  • How to Deal With a Somatic NarcissistHow to Deal With a Somatic Narcissist
  • Can It Be Treated?Can It Be Treated?
  • Treatment OptionsTreatment Options
  • In My ExperienceIn My Experience
  • InfographicsInfographics
  • Additional ResourcesAdditional Resources

Somatic Narcissists: Definition, Signs, & How to Deal With One

Tricia Johnson_LCSW_Headshot

Author: Tricia Johnson, LCSW

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Tricia Johnson LCSW

Tricia provides empathetic therapy in Illinois, focusing on anxiety, depression, and relationship challenges, empowering clients with collaborative and mindful methods.

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Headshot of Naveed Saleh MD, MS

Medical Reviewer: Naveed Saleh, MD, MS Licensed medical reviewer

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Naveed Saleh MD, MS

Dr. Saleh is an experienced physician and a leading voice in medical journalism. His contributions to evidence-based mental health sites have helped raise awareness and reduce stigma associated with mental health disorders.

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Published: April 8, 2025
  • What Is a Somatic Narcissist?What Is a Somatic Narcissist?
  • 7 Signs7 Signs
  • How to Deal With a Somatic NarcissistHow to Deal With a Somatic Narcissist
  • Can It Be Treated?Can It Be Treated?
  • Treatment OptionsTreatment Options
  • In My ExperienceIn My Experience
  • InfographicsInfographics
  • Additional ResourcesAdditional Resources

People with narcissistic personality disorder (NPD) have an inflated sense of self-importance and a deep need for admiration, often at the expense of others’ feelings or well-being.1 The term “somatic” refers to the body, so a somatic narcissist is someone whose narcissism is focused on their physical appearance, using their body and looks as a primary source of validation.

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What Is a Somatic Narcissist?

Somatic narcissists crave attention based on their physical appearance and are often competitive about the way they look. This may result in them procuring personal feelings of worth from their physique. The character Gaston from Beauty and the Beast is a perfect example of a somatic narcissist. It was Gaston’s opinion that he was stronger, fitter, and more attractive than all others around him.

In clinical terms, Narcissistic Personality Disorder (NPD) is a personality disorder; although there are no formal types of NPD, various patterns of behavior present in people with certain narcissistic traits. Often with this disorder, character traits can appear from all of these categories. For example, a somatic narcissist may also present as a vulnerable narcissist, if it fits his or her needs. Or, they may more closely resemble a grandiose narcissist, with a major red flag being that they are solely focused on their own successes.

Common traits of a somatic narcissist include:

  • Obsession over food and weight
  • Obsession with physical appearance and working out
  • Obsessive need for admiration
  • Lack of empathy
  • Hyper-focused on clothing and the latest styles
  • Fixation on makeup, “treatments,” and even plastic surgery
  • Use of sex to get their own needs met, without awareness of their partner’s feelings

Somatic Narcissists vs. Sexual Narcissists

Somatic narcissists and sexual narcissists can present similarly. However, the primary difference is that sexual narcissists have an inflated sense of their own sex appeal and sexual skills.2 These traits may also be present in a somatic narcissist, but their narcissism doesn’t  exclusively revolve around their sexual behavior. Somatic narcissists may use sex as a way to heighten their ego, but they don’t use it in their favor against others, like a sexual narcissist does.

A sexual narcissist will frequently demonstrate behaviors such as sexual exploitation, a lack of sexual empathy, sexual entitlement, and an exaggerated sense of sexual skills.2 All narcissists tend to target those who are vulnerable in order to meet their own needs. The act of doing so is often referred to as their narcissistic supply. Somatic narcissists feed off of compliments about their body and the way they look, whereas sexual narcissists get their supply from egocentric sexual encounters. Regardless, sexual encounters with narcissists can often be very one-sided.

Somatic Narcissists vs. Cerebral Narcissists

As discussed earlier, the word somatic relates to the body. Therefore, somatic narcissists are obsessed with their physical appearance and weight, often securing self-worth from their body image. On the other hand, cerebral narcissists gain their sense of value from their intellect. They believe that they are smarter than everyone around them, and will make every effort to win arguments or put people in their place by using big words or talking about their Ivy League education. Cerebral narcissists fulfill their supply by being the smartest person in the room, and they don’t care if feelings get hurt along the way. However, a somatic narcissist will try to impress you with their six-pack abs, not their brains.

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7 Signs of a Somatic Narcissist

A narcissist is typically defined as a person with an inflated sense of self-worth who behaves in a self-centered manner.  With somatic narcissists, this personal conceited ideation revolves primarily around physical appearance.

Here are seven signs of a somatic narcissist:

1. They Obsess Over Their Diet, Beauty, & Exercise Routines

Somatic narcissists are focused on their own appearance and will do whatever it takes to make sure that they look impressive. This may include plastic surgery, injections, and spending obscene amounts of money on makeup, clothing, and fitness related items. They hold their “healthy” lifestyle over others by keeping conversations focused on themselves and how great they look and feel. Often an inflated sense-of-self can mask an underlying insecurity or lack of self-confidence. The constant need of a somatic narcissist to fix or alter their body may be related to issues with body image, body dysmorphia, or muscle dysmorphia.

2. They Lash Out at Criticism

In general, narcissists struggle with accepting criticism, even when given in a constructive manner. They often lash out in a defensive or hurtful manner as a way to wound the other person. This is known as a narcissistic injury and can result in the narcissist feeling viciously targeted, even if the critique was minor. They often react with extreme rage and seek out revenge on the other person. For somatic narcissists, this occurs when they receive a critique related to their body or appearance, which is then perceived as a personal attack.

3. They Criticize the Appearances of Others

Somatic narcissists will often put down others who they believe are physically inferior to them. They do this by making jokes about a person’s weight, physical characteristics that they consider flaws (such as acne, scars, or birthmarks), or by laughing at how someone’s age is affecting their appearance. This type of behavior can be considered body shaming.

Somatic narcissists may also become overly consumed by other people’s appearances, and try to tell them what to wear, how to eat, and the best way to work out. This may appear to be in the interest of another person, but is actually a form of narcissistic manipulation.

4. They Ignore Your Needs

The somatic narcissist is always going to be number one in their eyes. They will prioritize their own needs and do not understand how this behavior impacts others. As a result, they struggle to relate emotionally to others because of this hyperfixation on themselves. This type of behavior may leave you with feelings of uncertainty about yourself and your relationship with this person.

5. They Are Often Unfaithful Partners

Somatic narcissists are often unfaithful partners, due to their inability to form emotional connections. The act of sex and showing off their body becomes a pursuit, as does looking for another “perfect body” to enjoy. Sex for the somatic narcissist is often a form of manipulation or a way to get their supply–to confirm that they look good and thus receive an ego boost.

6. They Take Credit for Your Accomplishments

Narcissists will often take credit for any achievements made by people they associate with, especially partners. They tend to latch onto others’ accomplishments to bolster their own self-worth and value. This is especially true in regards to physical appearance with somatic narcissists, as any “improvement” their partner has made in their physique must be due to the narcissist’s encouragement, persuasion, or desires.

7. They Gaslight You

Gaslighting has recently become a popular term that describes when someone denies your reality to maintain their own, often resulting in the victim “feeling crazy”. Narcissists use gaslighting as a strategy to maintain their control and influence over others and to consistently affirm their world view. For somatic narcissists, this can look like body shaming towards others and denying or invalidating your concerns about the relationship or their mental health.

How to Deal With a Somatic Narcissist

In our current appearance and fashion obsessed culture, somatic narcissists are pervasive. If you know someone whose physical appearance is monopolizing their life, it could be time to take necessary steps and learn how to approach their behavior.

Here are some ways that you can deal with a somatic narcissist:

Practice Self-Care

Your own needs are important, especially when dealing with those who have inflated egos or are prone to offering criticism. Practicing self-care is a way that you can tend to yourself physically, spiritually, and emotionally. In doing so, you may be able to challenge and overcome any negative emotions that come up when interacting with a somatic narcissist.

Encourage Therapy (With Caution)

Narcissism is a complex disorder that often causes problems in relationships and at school or work, as well as lead to other mental health concerns.1 As a result, it’s often very difficult to have a “healthy” relationship with a somatic narcissist. They typically don’t see a problem with their behavior and will be reluctant to seek out treatment. Therapy can be helpful if a somatic narcissist is fully invested and interested in changing. Narcissists can change if they are genuinely committed to their own personal growth and development.

Start Therapy Yourself

A relationship with a somatic narcissist is full of highs and lows, and is generally very complicated. They are often loving and sweet in the beginning–then the other shoe drops, and they become critical and demanding. If there are signs of narcissistic abuse in your relationship, it’s important to get support and find a therapist. Therapy can be done both in-person or through online therapy platforms, but is beneficial either way. A therapist will help you recognize the red flags and patterns that came up in the relationship, and help facilitate healing.

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Set Healthy Boundaries

One of the best ways to protect yourself in any relationship, but particularly with a somatic narcissist, is by setting clear boundaries. Learning how to set healthy boundaries will provide you with the tools to get started. It’s important to understand in advance what you need in a relationship, but to also be realistic in what you can expect from a somatic narcissist. Once you recognize your limits, you can then decide (either on your own or with the help of a trusted friend or therapist) if boundary violations are acceptable and if your relationship is worth saving.

Consider Leaving the Relationship

If your personal boundaries are repeatedly violated, it may be time to consider ending your relationship with a somatic narcissist. Some personal boundaries may include, being physically, sexually, or emotionally abused, being humiliated or talked down to, or gaslighting. Ending a relationship with a narcissist isn’t easy, but with support and guidance from loved ones or a therapist, it is possible.

Can Somatic Narcissism Be Treated?

Narcissism is challenging to treat, largely due to the person’s resistance to acknowledging fault or accepting feedback. Therapy often feels threatening to narcissists because it involves vulnerability, accountability, and a willingness to change—things that may contradict their core self-image.

Still, with commitment and the right therapeutic approach, change is possible.

Somatic Narcissism Treatment Options

While there are barriers to a narcissist beginning and remaining in treatment, there are multiple options to consider once they decide to take the leap. Ideally, they will find a therapeutic style that addresses all of the components that contribute to their diagnosis. A holistic approach that focuses on thoughts, emotions, behaviors, relationships, and environmental factors tends to be the most effective.

Group & Family Therapy

At first glance, encouraging a narcissist to participate in a group therapy setting may seem unproductive due to the nature of group feedback. Group therapy, including family therapy, can be effective in helping the narcissist see that their actions impact more than just one person. In group therapy, the shared experiences among the group members can be very validating and make the participants feel more at ease sharing their thoughts and feelings.

Cognitive Behavioral Therapy (CBT)

All forms of narcissism are identifiable by thoughts and behaviors seen in the afflicted person, and cognitive behavior therapy (CBT) addresses both of these components. CBT aims to identify problematic core beliefs and attempts to revise them into more realistic and reasonable values. CBT also focuses on emotional and environmental factors of mental health symptoms to form a holistic approach to healing. If the somatic narcissist can manage the inner work required by CBT, it can be a very effective treatment for improving their life and relationships.

In My Experience

“In today’s society, it is normal to care about one’s appearance. However, it’s important to be cautious of those who are overly preoccupied with the way they look, the appearance of others, or who judge people based solely on appearance. Somatic narcissists tend to use their physical appearance to manipulate and control their relationships. If you find yourself struggling to deal with their behaviors, consider reaching out for professional support.”

Tricia Johnson_LCSW_Headshot Tricia Johnson, LCSW

Somatic Narcissists Infographics

What Is a Somatic Narcissit   Signs of a Somatic Narcissist   How to Deal with a Somatic Narcissist

Sources Update History

ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • Mayo Clinic. (n.d.) Narcissistic Personality Disorder. Retrieved from https://www.mayoclinic.org/

  • Medical News Today. (n.d.) What to Know About Sexual Narcissim. Retrieved from https://www.medicalnewstoday.com/

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We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.

April 8, 2025
Author: No Change
Reviewer: No Change
Primary Changes: Edited for readability and clarity. Added “ They Take Credit for Your Accomplishments”, “They Gaslight You”, “Can Somatic Narcissism Be Treated?” New material written by Faith Watson Doppelt, LPC, LAC, and medically reviewed by Kristen Fuller, MD. Added narcissism worksheets.
December 12, 2022
Author: Tricia Johnson, LCSW
Reviewer: Naveed Saleh, MD, MS
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