Narcissism is not about self love. It's a clinical trait that belies a deep sense of emptiness, low self-esteem, emotional detachment, self-loathing, extreme problems with intimacy.
Patrick Melrose' is a frantically accurate exploration of the addict mind tormented by trauma, magnificently brought to life by Benedict Cumberbatch. At its core, it is a story that has a timeless quality with echoes of Cervantes.
Narcissism is the result of longstanding behavioral patterns that reflect fixed brain functioning. It requires a lot of motivation to change these patterns.