Narcissistic Personality Disorder (NPD)

This overview is for educational purposes only and not to be used for self diagnosis. (Source – Psychology Today)

Narcissistic Personality Disorder (NPD) is a condition which is characterized by an extreme nature, a lack of empathy for other people, and a need for admiration. People with this condition are frequently described as arrogant, self-centred, manipulative, and demanding. They may also feel as if they are deserving of special treatment. People with this disorder only tend to socialize with other people that they deem unique or gifted, and they have difficulty accepting criticism or defeat.

 

DISCLAIMER: This information is for educational purposes only and not to be used for self-diagnosis. If you or a loved one can relate to a number of features listed below, then please do use our therapist directory to find a psychiatrist, psychologist or therapist that is right for you to receive a professional diagnosis.

What are the primary symptoms/signs of the condition?

  • An extravagant sense of self-importance
  • Obsession with fantasies of unlimited success, power, brilliance, beauty, or love
  • Belief that one is special and can only be understood by or associate with special people or institutions
  • A need for excessive admiration
  • A sense of entitlement (to special treatment)
  • Exploitation of others
  • A lack of empathy
  • Envy of others or the belief that others are envious of them
  • Arrogant, condescending behavior or attitudes
  • Individuals with NPD can be easily stung by criticism or defeat and may react condescendingly or with anger— but they also may withdraw socially, or put on a false act of humility.
  • A sense of privilege, disregard for other people, and other aspects of NPD can damage relationships. 
  • While a person with NPD may be a high-achiever, the personality disorder can also have a negative impact on performance (due to, for instance, one’s sensitivity to criticism).
  • Researchers have reported associations between NPD and high rates of substance abuse, mood, and anxiety disorders. These may be attributable to characteristics such as impulsivity and the increased experience of shame in people with NPD.
  • The presence of narcissistic traits in adolescence does not necessarily imply that a person will have NPD as an adult.

 

Please Note: This information is for educational purposes only and not to be used for self-diagnosis. If you or a loved one can relate to a number of features listed below, then please do use our therapist directory to find a psychiatrist, psychologist or therapist that is right for you to receive a professional diagnosis.

What factors can be contributing causes? 

  • Causes of narcissistic personality disorder are not yet well-understood. 
  • Genetic and biological factors as well as environment and early life experiences are all thought to play a role in the development of this condition.
  • Risk factors in childhood are thought to include poor parenting, excessive praise and pampering, criticism, trauma, and high expectations. (Sourced from Health Direct).

What is the recommended treatment?

  • Treatment for this disorder can be challenging because people with this condition find it difficult to acknowledge their problems and vulnerabilities. 
  • Psychotherapy may be useful in helping people with narcissistic personality disorder relate to others in a healthier and more compassionate way.

  • A general practitioner (GP) or psychologist can usually diagnose NPD by asking questions about a person’s medical history and symptoms.
  • The GP/psychologist will also inquire about a patient’s physical health to ensure that the narcissistic behaviour is not caused as a result of other underlying medical conditions, or by factors such as drug or alcohol use.
  • The GP/psychologist will then check the symptoms that the patient presents with against the standard criteria for NPD before making a diagnosis.

  • Rates of narcissistic personality disorder are estimated at 1% in the general population; and between 2% to 16% in the clinical population. (Sourced from Wikipedia).

If you are experiencing any of these signs, here are some activities you can do at home until you are able to consult a professional

    • Exercise
    • Engage in creative outlets such as writing, painting, or music
    • Keep a gratitude journal
    • Talk to a family member or friend about how you are feeling
    • Practice Mindfulness
    • Practice Yoga
    • Engage in a well-balanced diet
    • Maintain a good sleep schedule 
    • Recognise what you can and can’t handle