Symptoms
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
When to see a doctor
People with narcissistic personality disorder may not want to think that anything could be wrong, so they may be unlikely to seek treatment. If they do seek treatment, it's more likely to be for symptoms of depression, drug or alcohol use, or another mental health problem. But perceived insults to self-esteem may make it difficult to accept and follow through with treatment.
If you recognize aspects of your personality that are common to narcissistic personality disorder or you're feeling overwhelmed by sadness, consider reaching out to a trusted doctor or mental health provider. Getting the right treatment can help make your life more rewarding and enjoyable.
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
When to see a doctor
People with narcissistic personality disorder may not want to think that anything could be wrong, so they may be unlikely to seek treatment. If they do seek treatment, it's more likely to be for symptoms of depression, drug or alcohol use, or another mental health problem. But perceived insults to self-esteem may make it difficult to accept and follow through with treatment.
If you recognize aspects of your personality that are common to narcissistic personality disorder or you're feeling overwhelmed by sadness, consider reaching out to a trusted doctor or mental health provider. Getting the right treatment can help make your life more rewarding and enjoyable.
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