Narcissistic Personality Disorder - What You Need to Know (2024)

Medically reviewed by Drugs.com. Last updated on Apr 2, 2024.

What is narcissistic personality disorder?

Narcissistic personality disorder (NPD) is a long-term, mental health condition. NPD causes you to think that you are more important than other people. You need to be the center of attention and to be admired by others. You want to control the people and events in your life. It is hard for you to stop your behaviors, even when you hurt others. You have trouble asking for help and trusting other people. These thoughts and behaviors cause problems with your relationships and daily activities.

What causes NPD?

The exact cause of NPD is not known. NPD commonly occurs in early adulthood. NPD may develop if you did not have a secure relationship with your parents, or if that security was disrupted. Without secure attachment, you may not have learned how to respond appropriately to events and emotions.

What are the symptoms of NPD?

  • Feeling of uniqueness and superiority
  • Extremely high sense of self-importance and a desire for high status
  • Preoccupation with beauty, power, or success
  • Requiring extreme admiration and envy
  • Sense of entitlement
  • Lack of caring for others
  • Arrogance or egotistical behavior

What other behaviors might I have with NPD?

  • Mood or anxiety disorders
  • Substance abuse
  • Self-harm
  • Bipolar disorder
  • Depression
  • Obsessive-compulsive disorder

How is NPD diagnosed?

Your healthcare provider will ask about your history. Your provider will also ask if you have ever wanted to hurt yourself or others. Tell your provider if you have people in your life who support you. Your provider will ask about your behaviors, feelings, and relationships with others.

How is NPD treated?

Medicines can help decrease anxiety or depression and make you feel more stable.

How can I manage my symptoms?

You may need any of the following types of therapy:

  • Psychodynamic therapy helps increase your ability to see yourself clearly. It also helps you understand your emotions and how you interact with others.
  • Cognitive behavior therapy (CBT) helps you understand why you are narcissistic. Your therapist will help you learn how to cope with your disorder.
  • Family therapy helps you and your family communicate and teaches your family how they can best support you.
  • Group therapy helps you improve your attitudes and behaviors in a group of people with similar problems.

When should I contact my healthcare provider?

  • You are depressed.
  • You begin to drink alcohol, or you drink more than usual.
  • You take illegal drugs.
  • You take medicines that are not prescribed to you.
  • You have questions or concerns about your condition or care.

When should I seek immediate care or call 911?

  • You have severe depression.
  • You want to hurt yourself or others.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

© Copyright Merative 2024 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.

Further information

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Narcissistic Personality Disorder - What You Need to Know (2024)

FAQs

What is life like for someone with narcissistic personality disorder? ›

They only want to associate and be associated with other high-status people, places, and things. Narcissists also believe that they're better than everyone else and expect recognition as such—even when they've done nothing to earn it. They will often exaggerate or outright lie about their achievements and talents.

How to get a narcissist to realize they are a narcissist? ›

Four ways to talk to a narcissist about narcissistic behavior.
  1. Ask Clarifying Questions. A good way to diplomatically call someone's attention to his or her narcissistic behavior is to ask clarifying questions. ...
  2. Use Humor and Wit. ...
  3. Separate the Behavior from the Person. ...
  4. Ask Directly Whether the Individual Is a Narcissist.
May 28, 2017

What makes a narcissist angry? ›

People with narcissistic personality disorder (NPD) require constant admiration. When they face perceived threats to their self-image, they may react with disproportionate anger and aggression. Narcissistic rage arises from a deep-seated fear of exposure as less than the idealized self they portray.

Does a narcissist apologize? ›

Although narcissistic people can apologize, they're more likely to do so for their own benefit rather than out of genuine remorse. For example, a narcissist might offer an insincere apology to get something in return.

What words destroy narcissists? ›

By using words like “no,” “accountability,” “consequences,” and “empathy,” you can challenge a narcissist's sense of superiority and hold them accountable for their behavior. Remember, setting boundaries and standing up for yourself is essential when dealing with a narcissist.

How to frustrate a narcissist? ›

How to Make a Narcissist Miserable
  1. Ignore them.
  2. Act indifferent toward them.
  3. Tell them how happy you are.
  4. Speak in facts, not emotions.
  5. Set boundaries and stick to them.
  6. Tell them no.
  7. Confront them about their mistakes.
  8. Call out their manipulation.

What do narcissists say in arguments? ›

Here are some common tactics narcissists use in arguments and abusive relationships, with examples of things they say to people they abuse:
  • “It's your fault I'm like this.”
  • “You're being irrational.”
  • “You're too sensitive.”
  • “You have to earn my affection.”
  • “You'll regret it if you ever cross me.”
Sep 1, 2023

What kind of person stays with a narcissist? ›

In fact, narcissists prefer to target someone who is strong-willed, and who has talents or characteristics they admire, because they believe it makes them shine too. "Narcissists are drawn to those who can boost their own self-esteem and validate their sense of importance," Wasser told Insider.

What is an example of a narcissist text message? ›

Narcissists often use guilt to manipulate others. They might send messages like, “You never care about me,” “I always put you first, but you never appreciate it,” or “I'm so hurt that you're not here for me when I need you.” These messages aim to make you feel responsible for their emotions, even when it's unwarranted.

Do narcissists live happy lives? ›

Not all people with narcissism are unhappy, but many can't find contentment when they aren't the center of attention. They may seem unhappy or insecure unless they get their way and receive praise.

How do you finally outsmart a narcissist? ›

9 little-known psychological tricks to outsmart a narcissist
  1. 1) Establish your boundaries. ...
  2. 2) Reflect, don't absorb. ...
  3. 3) Use the 'grey rock' method. ...
  4. 4) Practice mindful observation. ...
  5. 5) Stay focused on your needs. ...
  6. 6) Practice self-compassion. ...
  7. 7) Seek supportive networks. ...
  8. 8) Keep communication clear and concise.
Mar 14, 2024

Does a narcissist cry? ›

Narcissistic traits are most often self-serving rather than altruistic, but the person can still feel emotions. People with narcissistic personality disorder or narcissistic traits may laugh and cry like everyone else, though they may have different reasons for doing so.

What happens when a narcissist realizes you figured them out? ›

The first thing you can expect the narcissist to do is hit you with tons and tons of gaslighting. If they believe you're onto them, they're going to do whatever they can to change and manipulate your new beliefs, and they do that with gaslighting.

What not to say to someone with narcissistic personality disorder? ›

8 Things You Should Never Say to a Narcissist
  • Don't say, "It's not about you." ...
  • Don't say, "You're not listening." ...
  • Don't say, "Ina Garten did not get her lasagna recipe from you." ...
  • Don't say, "Do you think it might be your fault?" ...
  • Don't say, "You're being a bully." ...
  • Don't say, "Stop playing the victim."
Dec 15, 2017

How to convince someone to leave a narcissist? ›

Talk to them nonjudgmentally about their relationship, and listen without criticism or blame. Avoid telling them what to do or getting involved in their relationship. Offer to help them come up with a safety plan if/when they want to leave.

What to say to a narcissist to make them feel bad? ›

Be firm, but be gentle, and avoid insulting them or raising your voice. Let them know how their behavior made you feel, and use “I” statements to avoid coming off overly judgmental or accusatory: “I felt really terrible when you didn't pick me up from work like you said you would.”

Does a narcissist know they are a narcissist? ›

While most people with NPD are not aware that they are narcissists, it's important to remember that no abuse is acceptable or excusable.

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