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From a long conversation I had with someone who has legally administered psychedelics to 600+ people and who is one of the most self-aware persons I have ever met: Psychedelics don't treat narcissism. This seems very important to know about. Don't put your hope there.

The typical reaction to psychedelics by a narcissist is to resist their ego dissolving effects, and if ego death does happen, to attribute it to the ego when it's back online. It leads to God-mind type pheomenology. Often to wild claims like having achieved 4th path or Buddhahood just from tripping.

From a different source: MDMA might help a bit increase self-awwreness but they need really optimal conditions. Without a therapeutic process they will just take the MDMA feelings and attach them to their own sense of self. It needs the desire to get better. Worse: they may figure out how to use MDMA for their own selfish goals. This is dangerous.