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What is Narcissistic Personality Disorder? Learn the Warning Signs.

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black narcissistic man looking upwards outside sitting on a bench

You may have heard the term narcissist from time to time, and may even be seeing and hearing it more often lately as the term spiked in the early 90’s. However, there’s a deeper dive behind a narcissism, Narcissistic Personality Disorder. 

Narcissistic Personality Disorder (NPD) is a mental health condition characterized by a pervasive pattern of grandiosity, a need for admiration, and a lack of empathy for others. It falls under the category of Cluster B personality disorders in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which is a widely accepted classification system for mental health conditions. Here are some key basics of Narcissistic Personality Disorder:

1. Grandiosity: Individuals with NPD typically have an inflated sense of self-importance. They often exaggerate their achievements and talents, expecting others to recognize and admire them for their accomplishments. They may believe that they are special or unique and deserve special treatment.

2. Need for Admiration: People with NPD have an excessive need for admiration and validation from others. They often seek constant attention and approval. They may be preoccupied with fantasies of success, power, beauty, or ideal love.

3. Lack of Empathy: One of the defining characteristics of NPD is a lack of empathy for others. People with NPD struggle to understand or identify with the feelings and needs of others. They may be dismissive of others’ emotions and often act in a self-centered and exploitative manner.

4. Fragile Self-Esteem: Paradoxically, individuals with NPD can have fragile self-esteem beneath their grandiose exterior. Criticism or perceived slights can be deeply distressing to them, leading to anger or withdrawal. This can make them hypersensitive to criticism.

5. Manipulative Behavior: Narcissists often engage in manipulative behavior to maintain their self-image and control over others. They may use tactics such as gaslighting (making someone doubt their perception or reality), manipulation, or emotional abuse to achieve their goals.

6. Interpersonal Difficulties: NPD can lead to strained relationships with family, friends, and coworkers. Due to their self-centeredness and lack of empathy, narcissists often have trouble maintaining healthy, mutually satisfying relationships.

7. Comorbidity: Narcissistic Personality Disorder can co-occur with other mental health issues, such as depression, anxiety, and substance use disorders. It can also overlap with other personality disorders, like borderline or histrionic personality disorders.

8. Diagnosis and Treatment: A mental health professional, such as a psychiatrist or psychologist, can diagnose NPD based on a thorough evaluation of the individual’s history and behavior. Treatment may involve psychotherapy, particularly modalities like cognitive-behavioral therapy (CBT) or dialectical behavior therapy (DBT). Medications may be prescribed for associated symptoms or comorbid conditions, but there is no specific medication to treat NPD itself.

9. Prognosis: NPD can be challenging to treat because individuals with the disorder may be resistant to therapy or not perceive their behavior as problematic. Some may seek treatment due to other associated issues, like depression or relationship problems. With therapy and self-awareness, some people with NPD can make progress and improve their relationships and overall functioning.

It’s important to note that narcissism exists on a spectrum, and not everyone who exhibits narcissistic traits has NPD. Additionally, NPD should be diagnosed by a qualified mental health professional. If you or someone you know is struggling with issues related to narcissism or NPD, seeking professional help is advisable.

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