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Narcissistic personality disorder

Narcissistic personality disorder

Narcissistic personality disorder is a mental disorder in which people have an excessive sense of their own importance, deeply require appreciation and contain a lack of empathy for others. But behind this mask of ultra confidence lies an insecure self-esteem that’s vulnerable to the slightest criticism


A narcissistic personality disorder creates issues in many aspects of life, such as relationships, work, school or financial affairs. You may be unhappy and disappointed when you're not given the special attention or admiration you desire and believe you deserve. Others may not find enjoyment being around you, and you may find your relationships unfulfilling.


DSM-5 criteria for narcissistic personality disorder include these features:
  • An exaggerated sense of self-importance
  • Expecting to be recognized as superior even without achievements that provides it
  • Exaggerating your achievements and talents
  • Being preoccupied with fantasies about success, power, brilliance, beauty or the perfect mate
  • Believing that you are superior and can only be understood by or associate with equally special people
  • Requiring constant admiration and attention
  • Having a sense of entitlement
  • Expecting special favors
  • Taking advantage of others to get what you want
  • Having an inability or unwillingness to recognize the needs and feelings of others
  • Being envious of others and believing others envy you
  • Behaving in an arrogant manner


It's not understood what exactly causes narcissistic personality disorder. As with other mental disorders, the cause is likely complex and has various influences. Narcissistic personality disorder might be linked to:

  • Mismatches in parent. Child relationships with either excessive pampering or excessive criticism.
  • Genetics or psychobiology. The connection between the brain, behavior and thinking.


Psychotherapy Narcissistic personality disorder treatment is centered on talk therapy, also known as psychotherapy. Psychotherapy can help you:

  • Learn to relate better with others so your relationships are more intimate, enjoyable and rewarding
  • Understand the causes of your emotions and what influences you to compete, to distrust others, and perhaps to dislike yourself and others
Since personality traits can be tricky to change, therapy may take several years. Sections of change are directed at assisting you welcome responsibility and learn to:
  • Accept and maintain real personal relationships and collaboration with co-workers
  • Recognize and accept your actual competence and potential so you can permit criticisms or failures
  • Expand your abilities to understand and regulate your emotions
  • Understand and endure the impact of issues related to your self-esteem
  • Release your desire for unattainable goals and ideal state and acquire an acceptance of what's attainable and what you can accomplish
Medications There are no known medications specifically designed to treat narcissistic personality disorder. Although, if you have symptoms of depression, anxiety or other conditions, medications such as antidepressants or anti-anxiety drugs can be helpful.

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