Narcissistic personality disorder

Reviewed:

7 months ago

Our articles are medically reviewed and medically fact-checked by board-certified specialists to ensure that all factual statements about medical conditions, symptoms, treatments, procedures and tests, standards of care, and typical protocols are accurate and reflect current guidelines and the latest research.
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Overview

The symptoms of narcissistic personality disorder vary in severity, and affected individuals may:

  • Exhibit an unreasonably high sense of self-importance, constantly seeking excessive admiration.
  • Believe they are entitled to privileges and special treatment without necessarily achieving anything significant.
  • Exaggerate their achievements and talents, presenting an inflated self-image to the world.
  • Obsessively daydream about success, power, brilliance, beauty, or an ideal partner.
  • Perceive themselves as superior, only associating with equally special individuals.
  • Harbor disdain for those they consider unimportant or inferior.
  • Expect special favors without question and exploit others to fulfill their desires.
  • Display an inability or unwillingness to understand the needs and feelings of others.
  • Experience envy towards others while believing that others envy them as well.
  • Exhibit arrogance, frequent bragging, and a conceited demeanor.
  • Insist on possessing only the best things in life, such as the finest car or office.

However, individuals with narcissistic personality disorder struggle immensely when confronted with criticism, often reacting in the following ways:

  • Display impatience or anger when not receiving special recognition or treatment.
  • Encounter significant difficulties in interpersonal interactions, feeling easily offended.
  • React with rage or contempt to belittle others and maintain their illusion of superiority.
  • Find it challenging to manage their emotions and behavior effectively.
  • Experience difficulty coping with stress and adapting to change.
  • Withdraw from situations where they fear failure.
  • Feel depressed and moody due to their inability to achieve perceived perfection.
  • Harbor secret feelings of insecurity, shame, humiliation, and a fear of exposure as a failure.

Seeking Help and Treatment

Individuals with narcissistic personality disorder often resist the idea that something might be wrong, leading them to avoid seeking treatment. In some cases, they might seek help for other symptoms like depression, substance abuse, or other mental health issues. This resistance stems from their fragile self-esteem, making it challenging to accept and follow through with treatment.

If you identify with traits of narcissistic personality disorder or find yourself overwhelmed by sadness, consider reaching out to a trusted healthcare or mental health professional. Timely intervention and appropriate treatment can lead to a more fulfilling and rewarding life.

Unraveling the Origins

The exact cause of narcissistic personality disorder remains a mystery, but researchers suggest that it may arise from a combination of factors:

  • Environmental factors, such as parent-child relationships characterized by excessive adoration or relentless criticism that don't align with the child's actual experiences and achievements.
  • Genetic predisposition, as certain personality traits might be inherited.
  • Neurobiological factors, which involve the intricate interplay between brain function, behavior, and thought patterns.

Identifying Risk Factors

While the precise cause of narcissistic personality disorder remains uncertain, some researchers speculate that overprotective or neglectful parenting could influence children born with a predisposition for the disorder. Additionally, genetics and other factors might play a significant role in its development.

Understanding Potential Complications

Narcissistic personality disorder can lead to various complications, and it may coexist with other conditions, including:

  • Difficulties in maintaining healthy relationships.
  • Problems at work or school due to interpersonal challenges.
  • Coexisting depression and anxiety.
  • Other personality disorders.
  • Anorexia, an eating disorder.
  • Physical health problems arising from neglect or self-absorption.
  • Substance abuse.
  • Suicidal thoughts or behaviors.

Can We Prevent Narcissistic Personality Disorder?

As the exact cause of this disorder remains elusive, there is no known way to prevent its development. However, some measures that may prove beneficial include:

  • Seeking prompt treatment for childhood mental health issues.
  • Participating in family therapy to foster healthy communication and conflict resolution skills.
  • Attending parenting classes and seeking guidance from therapists or social workers if necessary.

Medically Reviewed
Brian Richards, MD

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