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Narcissistic personality disorder

Definition:

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

Causes, incidence, and risk factors:

The cause of this disorder is unknown. Narcissistic personality disorder usually begins by early adulthood and is marked by disregard for the feelings of others, grandiosity, obsessive self-interest, and the pursuit of primarily selfish goals.

Symptoms:

A person with narcissistic personality disorder:

Reacts to criticism with feelings or rage, shame, or humiliation
Takes advantage of others to achieve 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
Lacks empathy

Signs 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.

Support Groups:

Expectations (prognosis):

The outcome varies with the severity of the disorder.

Complications:

Relationship and family problems
Alcohol or other drug dependence

Calling your health care provider:

Prevention:

Review Date: 11/15/2006
Reviewed By: Paul Ballas, D.O., Department of Psychiatry, Thomas Jefferson University Hospital, Philadelphia, PA. Review provided by VeriMed Healthcare Network.

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