Narcissistic personality disorder
- By sahlhealth
- May 18, 2021
- 28 views
Narcissistic personality disorder — one of several types of personality disorders — is a mental condition in which people have an inflated sense of their own importance, a deep need for excessive attention and admiration, troubled relationships, and a lack of empathy for others. But behind this mask of extreme confidence lies a fragile self-esteem that's vulnerable to the slightest criticism.
A narcissistic personality disorder causes problems in many areas of life, such as relationships, work, school or financial affairs. People with narcissistic personality disorder may be generally unhappy and disappointed when they're not given the special favors or admiration they believe they deserve. They may find their relationships unfulfilling, and others may not enjoy being around them.
Treatment for narcissistic personality disorder centers around talk therapy (psychotherapy).
Signs and symptoms of narcissistic personality disorder and the severity of symptoms vary. People with the disorder can:
Have an exaggerated sense of self-importance
Have a sense of entitlement and require constant, excessive admiration
Expect to be recognized as superior even without achievements that warrant it
Exaggerate achievements and talents
Be preoccupied with fantasies about success, power, brilliance, beauty or the perfect mate
Believe they are superior and can only associate with equally special people
Monopolize conversations and belittle or look down on people they perceive as inferior
Expect special favors and unquestioning compliance with their expectations
Take advantage of others to get what they want
Have an inability or unwillingness to recognize the needs and feelings of others
Be envious of others and believe others envy them
Behave in an arrogant or haughty manner, coming across as conceited, boastful and pretentious
Insist on having the best of everything — for instance, the best car or office
At the same time, people with narcissistic personality disorder have trouble handling anything they perceive as criticism, and they can:
Become impatient or angry when they don't receive special treatment
Have significant interpersonal problems and easily feel slighted
React with rage or contempt and try to belittle the other person to make themselves appear superior
Have difficulty regulating emotions and behavior
Experience major problems dealing with stress and adapting to change
Feel depressed and moody because they fall short of perfection
Have secret feelings of insecurity, shame, vulnerability and humiliation
Treatment for narcissistic personality disorder is talk therapy (psychotherapy). Medications may be included in your treatment if you have other mental health conditions.
Narcissistic personality disorder treatment is centered around talk therapy, also called psychotherapy. Psychotherapy can help you:
Learn to relate better with others so your relationships are more intimate, enjoyable and rewarding
Understand the causes of your emotions and what drives you to compete, to distrust others, and perhaps to despise yourself and others
Areas of change are directed at helping you accept responsibility and learning to:
Accept and maintain real personal relationships and collaboration with co-workers
Recognize and accept your actual competence and potential so you can tolerate criticisms or failures
Increase your ability to understand and regulate your feelings
Understand and tolerate the impact of issues related to your self-esteem
Release your desire for unattainable goals and ideal conditions and gain an acceptance of what's attainable and what you can accomplish
Therapy can be short term to help you manage during times of stress or crisis, or can be provided on an ongoing basis to help you achieve and maintain your goals. Often, including family members or significant others in therapy can be helpful.
There are no medications specifically used to treat narcissistic personality disorder. However, if you have symptoms of depression, anxiety or other conditions, medications such as antidepressants or anti-anxiety drugs may be helpful.