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Has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements).

Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love.

Believes that he or she is "special" and unique and can only be understood by, or should associate with, other special or high-status people (or institutions).

Requires excessive admiration.

Has a sense of entitlement, i.e., unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations.

Is interpersonally exploitative, i.e., takes advantage of others to achieve his or her own ends.

Lacks empathy: is unwilling to recognize or identify with the feelings and needs of others.

Is often envious of others or believes that others are envious of him or her.

Shows arrogant, haughty behaviors or attitudes.

Jealousy and possessiveness.

Excessive need to feel special, adored, loved, appreciated, or admired.

Rage attacks when you do not sufficiently meet his/her needs.

Controlling behaviors (trying to control how you spend your time, who you talk to, how you dress, etc.)

Inflated self-esteem, or grandiosity (bragging, "fishing" for compliments).

Dramatic, insecure behaviors.

Expecting you to take responsibility for making him/her feel better about him/herself.

Blaming you for behaviors or feelings (i.e., "YOU made me do this," or "YOU made me feel this way.")

Not taking responsibility for angry behavior and justifying angry outbursts.

An attitude that demonstrates "the world revolves around me" and "you need to cater to my ideas, opinions, thoughts, and feelings."

An unwillingness to reflect on his/her own behaviors.

Believing that you're better than others.

Fantasizing about power, success and attractiveness.

Exaggerating your achievements or talents.

Expecting constant praise and admiration.

Believing that you're special.

Failing to recognize other people's emotions and feelings.

Expecting others to go along with your ideas and plans.

Taking advantage of others.

Expressing disdain for those you feel are inferior.

Being jealous of others.

Believing that others are jealous of you.

Trouble keeping healthy relationships.

Setting unrealistic goals.

Being easily hurt and rejected.

Having a fragile self-esteem.

Appearing as tough-minded or unemotional.

An exaggerated sense of one’s own abilities and achievements.

A constant need for attention, affirmation, and praise.

Persistent fantasies about attaining success and power.

Exploiting other people for personal gain.

A sense of entitlement and expectation of special treatment.

A lack of empathy for others.

Reacts to criticism with rage, shame, or humiliation.

Takes advantage of other people to achieve his or her own goals.

Has feelings of self-importance.

Exaggerates achievements and talents.

Is preoccupied with fantasies of success, power, beauty, intelligence, or ideal love.

Has unreasonable expectations of favorable treatment.

Requires constant attention and admiration.

Disregards the feelings of others, lacks empathy.

Has obsessive self-interest.

Pursues mainly selfish goals.

Are self-centered and boastful.

Are easily hurt but may not show it.

Arrogant behavior and/or attitude.

Envy of others or a belief that others are envious of him or her.

Preoccupation with fantasies that focus on unlimited success, power, intelligence, beauty, or love.

Belief that he or she is "special" and unique, and can only be understood by other special people.

Expectation that others will automatically go along with what he or she wants.

Inability to recognize or identify with the feelings, needs, and viewpoints of others.

 

 

 

Narcissistic Personality Disorder

SYMPTOMS

The essential feature of Narcissistic Personality Disorder is a pervasive pattern of grandiosity (either in fantasy or actual behavior), need for admiration, and lack of empathy that begins by early adulthood and is present in a variety of situations and environments.

In order for a person to be diagnosed with narcissistic personality disorder (NPD) they must meet five or more of the following symptoms:

Narcissistic Personality Disorder In-Depth

Individuals with narcissistic personality disorder have a grandiose sense of self-importance. They routinely overestimate their abilities and inflate their accomplishments, often appearing boastful and pretentious. People with narcissistic personality disorder may blithely assume that others attribute the same value to their efforts and may be surprised when the praise they expect and feel they deserve is not forthcoming. Often implicit in the inflated judgments of their own accomplishments is an underestimation (devaluation) of the contributions of others.

People with narcissistic personality disorder are often preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love. They may ruminate about "long overdue" admiration and privilege and compare themselves favorably with famous or privileged people.

Individuals with Narcissistic Personality Disorder believe that they are superior, special, or unique and expect others to recognize them as such. They may feel that they can only be understood by, and should only associate with, other people who are special or of high status and may attribute "unique," "perfect," or "gifted" qualities to those with whom they associate. Individuals with narcissistic personality disorder believe that their needs are special and beyond the ken of ordinary people. They are likely to insist on having only the "top" person (doctor, lawyer, hairdresser, instructor) or being affiliated with the "best" institutions, but may devalue the credentials of those who disappoint them.

Individuals with narcissistic personality disorder generally require excessive admiration. Their self-esteem is almost invariably very fragile. They may be preoccupied with how well they are doing and how favorably they are regarded by others. This often takes the form of a need for constant attention and admiration. They may expect their arrival to be greeted with great fanfare and are astonished if others do not covet their possessions. They may constantly fish for compliments, often with great charm.

A sense of entitlement is evident in these individuals' unreasonable expectation of especially favorable treatment. They expect to be catered to and are puzzled or furious when this does not happen. For example, they may assume that they do not have to wait in line and that their priorities are so important that others should defer to them, and then get irritated when others fail to assist "in their very important work."

This sense of entitlement combined with a lack of sensitivity to the wants and needs of others may result in the conscious or unwitting exploitation of others. They expect to be given whatever they want or feel they need, no matter what it might mean to others. For example, these individuals may expect great dedication from others and may overwork them without regard for the impact on their lives. They tend to form friendships or romantic relationships only if the other person seems likely to advance their purposes or otherwise enhance their self-esteem. They often usurp special privileges and extra resources that they believe they deserve because they are so special.

Individuals with Narcissistic Personality Disorder generally have a lack of empathy and have difficulty recognizing the desires, subjective experiences, and feelings of others. They may assume that others are totally concerned about their welfare. They tend to discuss their own concerns in inappropriate and lengthy detail, while failing to recognize that others also have feelings and needs. They are often contemptuous and impatient with others who talk about their own problems and concerns. When recognized, the needs, desires, or feelings of others are likely to be viewed disparagingly as signs of weakness or vulnerability. Those who relate to individuals with Narcissistic Personality Disorder typically find an emotional coldness and lack of reciprocal interest.

These individuals are often envious of others or believe that others are envious of them. They may begrudge others their successes or possessions, feeling that they better deserve those achievements, admiration, or privileges. They may harshly devalue the contributions of others, particularly when those individuals have received acknowledgment or praise for their accomplishments. Arrogant, haughty behaviors characterize these individuals.

People with narcissistic personality disorder often display snobbish, disdainful, or patronizing attitudes. For example, an individual with this disorder may complain about a clumsy waiter's "rudeness" or "stupidity" or conclude a medical evaluation with a condescending evaluation of the physician.

Narcissistic Personality Disorder Resources