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Me personally? Because I experienced childhood trauma that I had no idea was childhood trauma. All I knew was I kept losing friends in my life and had a lot of conflict and I was clearly doing something wrong.
So I decided to try therapy. Turns out, normal people communicate their problems with people around them and try to find a solution. They hold boundaries to keep themselves happy and safe.
They don't manipulate people into doing things. They're not overly helpful and try to fix every problem around them for every person at the expense of themselves. They don't take little meaningless things as a personal attack and they don't expect others to read their mind.
People didn't want to be around me because I was overly helpful and tried to fix them to the point I was manipulating people and situations and causing harm to myself and others. Turns out when you grow up with a narcissist, even if your intent is good, you still have to unlearn all the fucked up lessons of your life.
That's why I personally went to therapy. My life is significantly better after several years of therapy. I might even go back one day. I'm able to have deep and meaningful relationships now. Therapy didn't make me not feel negative emotions. Actually, it forced me to. Because I had been running away from then my entire life.
Therapy is a wonderful tool if you're willing to actually reflect on yourself.