Narcissists are notoriously difficult clients—often intelligent, charming, and self-confident, they also tend to be arrogant, condescending, incapable of empathy, and possessed of a sense of entitlement that just won't quit. How can we summon compassion for these clients and engage them in therapy, when they're more likely to attack us than cooperate with us? In this workshop, we'll discuss how to use empathic confrontation to gain and keep leverage in therapy and avoid power struggles, maintain compassion through curiosity, and help the client begin to understand his or her own behavior and its impact on other people. These are applied strategies from schema therapy, an active and integrated approach that focuses on changing lifelong psychological and behavioral patterns through cognitive restructuring, attachment and reparenting work, behavioral-skills training, and experiential techniques. The workshop will include didactic and video presentations, clinical group exercises, and customized "scripts" illustrating the use of empathic confrontation for handling particularly challenging moments in therapy.