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Narcissistic personality disorder

Definition

Narcissistic personality disorder is a condition in which there is an inflated sense of self-importance and an extreme preoccupation with one's self.

Causes

The cause of this disorder is unknown. Narcissistic personality disorder usually begins by early adulthood.

Symptoms

A person with narcissistic personality disorder:

• 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

Exams and Tests

Personality disorders are diagnosed based on a psychological evaluation and the history and severity of the symptoms.

Treatment

Psychotherapy may help the affected person relate to others in a more positive and compassionate manner.

Outlook (Prognosis)

The outcome varies with the severity of the disorder.

Possible Complications

• Relationship and family problems
• Alcohol or other drug dependence

References

Moore DP, Jefferson JW. Narcissistic personality disorder. In: Moore DP, Jefferson JW, eds. Handbook of Medical Psychiatry. 2nd ed. Philadelphia, Pa: Mosby Elsevier; 2004: chap 140.

Young JQ. Narcissistic personality disorder. In: Ferri FF, ed. Ferri's Clinical Advisor 2008: Instant Diagnosis and Treatment. 1st ed. Philadelphia, Pa: Mosby Elsevier; 2008.

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