An overt narcissist uses couples therapy to improve on the outside. However, the inner traits of narcissism remain and in fact become more refined. Putting on the mask to hide the narcissism simply shows up now as passive aggressiveness and covert narcissism.

Narcissists can appear to be doing the work and getting better. Sometimes this just means they are hiding the entitlement, arrogance, superiority and contempt more effectively. The underlying issues still exist. Therapy often helps them to become more covert, keeping us trapped in the belief that they are getting better for years to come.