The narcissist is the author of his/her own reality. S/he is the ‘expert’ on everything that s/he says s/he is an expert on.
In my experience, that means that narcissists don’t believe that doctors know anything. They would rather read an article on Google and self-diagnose than deal with a doctor who they might have to admit is smarter and more knowledgeable than they are about their medical condition.
So, if narcissist's friend, family member, or spouse said “I think you should see a psychologist about your situation,” that would cause an injury[1] to the narcissist’s sense of being perfect, being an expert, and being in control.
They would very likely spin into a DARVO : Deny, Attack, Reverse Victim & Offender. “I don’t need a shrink, I don’t need psych meds, YOU are the sick one! YOU are the crazy one!”…and, for a cluster B, it makes more sense to have literally everyone around them telling them the same thing and ALL of them being wrong, rather than the Narcissist him/herself being wrong. Being wrong just isn’t possible, in a narc’s mind.
What’s funny/sick/sad is that if, after asking the Narcissist to see a mental health professional and having the Narc refuse repeatedly, if the Narcisssist’s supply (victim) goes to counseling and begins to heal and see the relationship for what it really is, then the Narc will tell everyone how the Supply is “lying” to the counselor, how they are fooling the counselor into siding with them against the Narcissist, etc. More fuel for the “Doctors are idiots who don’t know anything!” argument that the Narc likes to make constantly.
Bottom line: Narcissists don’t go to counselors, because the main part of their malfunction is believing that there is nothing wrong with them. There’s no way to get past that part and delve into helping them. If they won’t believe they need help, won’t seek help, and , if somehow forced into seeing a mental health professional, they would rather believe the professional is evil, wrong, and/or stupid, rather than accept anything that they say as factual or helpful.
Footnotes
Editing to add: Posts tagged 'quora' were originally my answers to peoples' questions on quora.com. They were monetized but I am giving them away for free here.
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