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Narcissistic Personality Disorder (11 point guide)

In this guide, the Narcissistic Personality Disorder personality will be explained along with the signs of Narcissistic Personality Disorder and the diagnostic criteria of Narcissistic Personality Disorder given in the Diagnostic and Statistical Manual of Mental Disorder 5.

What is Narcissistic Personality Disorder?

Narcissistic Personality Disorder is not similar to a self-absorbed person.  In layman language, the Narcissistic Personality Disorder term usually used when the person is complimenting themselves excessively in the conversations, as well as sharing their qualities and traits with a boost of self-esteem are seen as Narcissistic Personality Disorder.

In formal terms, the Narcissistic Personality Disorder has a personality disorder named as Narcissistic Personality Disorder (NPD). This is a mental condition and it requires few particular symptoms to be diagnosed in Narcissistic Personality Disorder. Those important symptoms of Narcissistic Personality Disorder will be discussed in the following guide, before going to Narcissistic Personality Disorder we need to know what personality disorders are, and how we categorize any pattern into a personality disorder.

Characteristics of Narcissistic Personality Disorder

There are a few characteristics of Narcissistic Personality Disorder which are:

  1. They may seem charming at first because of the overly exaggerated self-image they cast on others. They may complement the other only to seek attention towards their own capabilities and abilities.
  2. They keep on going with their endless stories of achievements and grandiosity keeps on flourishing. They feel batter and smarter than anyone else around and seems self-assured, this aspect is very marked in cerebral narcissists.
  3. They strive hard to win the compliments of others and show empathy which is not actually present to supply their sense of self-worth in you. They use others to increase their own self-esteem and sense of self.
  4. They severely lack empathy and can dramatize the empathy to validate their emotional sensitivity. This is the reason for the lack of established relations in Narcissistic Personality Disorder.
  5. They lack real friends and always complaining about others not to giving them enough time.
  6. They may pass criticising and teasing comments and maybe in problem with your likes and dislikes. They will joke about you, and try to shatter your self-esteem, as this gives their self-esteem a boost.
  7. They consider their action to be right always, and consider others are at wrong, because of their this behaviour they never apologize or accept the mistakes they make. Fighting with a Narcissistic Personality Disorder and winning the fight is almost impossible, as they never hear you, they never understand you, they never take the responsibility of their actions, they never try to compromise.
  8. They get stressed whenever anyone close to them, or in relation with them tries to break-up as they are unable to handle a lack of appreciation from their environment. They can easily get disturbed on the slightest criticism.
  9. Once you are done with them, they will make every effort to hurt you, and make sure that you are not satisfied in your own life as well. In this way, their rage and hatred gets settled.

What are Personality Disorders?

Person with a personality disorder thinks, feels, and behaves differently. There are several different types of personality disorders clustered into different categories on the basis of their characteristics.

Personality disorder is a persistent pattern of behaving and feeling, which is altered. Initially in DSM IV, personality disorder used to be diagnosed on Axis-II, but in DSM 5 (2013), the axial system has been changed and now single diagnosis with co-occurring symptoms use to be given.

Symptoms of Personality Disorder

There are a number of different personality disorders, such as the cluster A is categorized as suspicious, delusional, not interested in social interactions or not having social skills to maintain the social relationships, as well as inability to consider the consequences of their actions and lead towards illegal, and risky behaviour.

Similarly, Cluster B is categorized on the basis of dramatic symptoms. The person experiencing cluster B personality condition will report feelings of emptiness, self-harm incidents or multiple failed suicide attempts, overly impressionistic, having fragile self-esteem, and excessively praising oneself in situations.

Whereas, Cluster C, is categorized on the basis of anxious symptoms. They are sometimes overly clingy to other person, are overly concerned with order, or tries to avoid social situations because of fear of criticism.

Types of Personality Disorder

The personality disorders are clustered into three:

Cluster A: Odd, Eccentric

In this cluster there are three disorders named:

1.     Paranoid Personality Disorder

2.     Schizoid Personality Disorder

3.     Schizotypal Personality Disorder

Cluster B: Dramatic, or Unpredictable

1.     Antisocial Personality Disorder

2.     Borderline Personality Disorder

3.     Histrionic Personality Disorder

4.     Narcissistic Personality Disorder

Cluster C: Anxious, or Fearful

1.     Avoidant Personality Disorder

2.     Dependent Personality Disorder

3.     Obsessive Personality Disorder

Narcissistic Personality Disorder

They consider themselves to be superior than others. They consider as they are special and more deserving than the others. They have fragile self-esteem, as well as depend on others to acknowledge their importance and value. They are selfish and think about themselves, tries to take benefit from others, and feels sad about the achievements of others.

Diagnostic Criteria of Narcissistic Personality Disorder

There is an enduring pattern of grandiosity, self-appraisal, and lack of empathy, along with onset in early adulthood. Five or more the following needs to present for the diagnosis of Narcissistic Personality Disorder.

  1. Increased sense of self-importance, and exaggeration of self accomplishments.
  2. Having unending fantasies about their own success, power and idealism.
  3. Consider themselves unique, special and of high-status
  4. Need bundle of admiration
  5. Needs a sense of entitlement
  6. Exploitative in relationships
  7. Unable to take into account the feelings of others
  8. Jealous of others and consider others are jealous of them
  9. Extremely arrogant and rude

Causes of Narcissistic Personality Disorder

There are a number of causes of personality disorder, but there is no one clear cause of personality disorder. The factors contribute to personality disorders are biological, psychological, physical and socio-cultural.

The biological causes include the genes, heredity, family history, functioning of neurotransmitters and chemical substances.

The psychological causes of personality disorders are childhood trauma, stress, adverse family environment, low self-esteem, child neglect and parental rejection.

Physical causes include brain dysfunction and psychiatric pathology.

The sociocultural causes include divorce, being deserted, deprivation of relationships, assault, abuse death and separation.

Risk Factors in Narcissistic Personality Disorder 

The with Narcissistic Personality Disorder personality traits is more prevalent in male than females, as well as Narcissistic Personality Disorder has its onset in teenage or early adulthood.

Children show Narcissistic Personality Disorder traits is related to their age, not the Narcissistic Personality Disorder personality trait.

The real cause of Narcissistic Personality Disorder is not known, the overprotective and neglectful parental styles often leads towards the Narcissistic Personality Disorder personality traits and disorders.

Complications for Narcissistic Personality Disorder

The complications and other conditions which can cooccur with the Narcissistic Personality Disorder are:

Relationship disturbances prevail in Narcissistic Personality Disorder, which can escalate easily by the constant acknowledgement of one’s own capabilities and capacities, while criticizing, ignoring and inability to compliment others around.

Problems at work or school, the problems escalate in the outside activities, especially when they come across the job or position they consider themselves as special and superior to others around which cause a lot of negativity at their workplace.

Depression and anxiety also take a boost when the person is unable to get themselves adjusted in the environment. This feeling of misfit causes anxiety about the future and depression about the past events.

Physical Health problems are related to the mental health and wellbeing when the person is unable to cope well with his environment then they are unable to settle in the life and starts experiencing stress which causes health issues like blood pressure, cardiovascular diseases etc.

Drug or Alcohol misuse also escalates when the person is striving to be unique, special and superior. In their constant efforts either they take up this habit for the distinction they need or to cope with the environmental pressures.

Suicidal thoughts or behaviour is present in Narcissistic Personality Disorder as their high standards are not being met in their environment and causes them to feel remorse and failure.

Treatment of Narcissistic Personality Disorder 

There are different forms of treatment for Narcissistic Personality Disorder.

1.  Psychotherapy

2.      Medication


It is one form of treatment, in this a mental health professional especially a psychologist deal with the client experiencing the personality disorder symptoms. This is also called ‘talk-therapy’, this usually takes up to three months and sometimes more. There are different therapies which can be used for personality disorder.

Dialectic Behaviour Therapy

This is the evidence-based therapy for personality disorders, especially for the treatment of borderline disorder. In this treatment approach, the skills to manage one’s emotions, as well as mindfulness is discussed in detail.

Arts Therapy

This type of therapy is useful to uncover the unconscious pattern and understand the person’s emotions, and feelings in a non-threatening environment. It includes the use of dance, art, drama and music.

Cognitive Behaviour Therapy

In CBT, the clinician looks for the discrepancy in the thoughts, emotions and behaviour of the person along with the automatic thought patterns.

Schema Therapy

It is a long term talking therapy, which is based on the model of CBT, and goes further deep into the core beliefs and schemas of the person, which influence their thoughts, behaviours and actions.


There are no specific drugs made for personality disorders, but the combination of drugs for the symptoms of depression, anxiety, and psychosis are used for particular symptoms.

Frequently Asked Questions for Narcissistic Personality Disorder

What are the traits of a narcissist?

The main common traits of a Narcissist can be explained in terms of Narcissistic Personality Disorder, such as grandiosity, fantasy living, constant praise and acknowledgement, sense of entitlement, have feelings of guilt and shame, and bulling others.

What are the 9 traits of a narcissist?

The 9 traits of a Narcissist are, exaggerated sense of self-importance, sense of entitlement, excessive admiration, consider themselves superior, exaggerate achievements and talents, preoccupied with the fantasies of success, power and brilliance.

How do I deal with a narcissist?

To deal with a narcissist, you just have to avoid confrontations, and if they have power over you, fight may make it worse. You have to get in the flow with them as opposing them make them against you.

Do narcissists love their children?

Narcissists are unable to empathize and develop feelings of empathy and love, so it is unfortunate for them to love someone else other than themselves. Narcissistic Personality Disorder only see their children as possession which can be used in future to their advantage.



Recommended Readings

Becoming the Narcissistic Personality Disorder’s Nightmare: How to Devalue and Discard the Narcissistic Personality Disorder While Supplying Yourself

How to Handle a Narcissistic Personality Disorder: Understanding and Dealing with a Range of Narcissistic Personality Disorderic Personalities (Narcissism Books)

 The Narcissistic Personality Disorder You Know: Defending Yourself Against Extreme Narcissistic Personality Disorders in an All-About-Me Age

HOW TO TAKE REVENGE ON A Narcissistic Personality Disorder: Take your power back by using the secret techniques of emotional manipulators – against them

Narcissistic Personality Disorder: The Ultimate Guide: This Book Includes: Narcissistic Personality Disorderic Abuse & Dealing with a Narcissistic Personality Disorder. Healing after emotional/psychological abuse. Disarming the Narcissistic Personality Disorder and understanding Narcissism

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