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Effective URL: https://www.mayoclinic.org/diseases-conditions/narcissistic-personality-disorder/symptoms-causes/syc-20366662
Submission: On October 31 via manual from US — Scanned from DE
Effective URL: https://www.mayoclinic.org/diseases-conditions/narcissistic-personality-disorder/symptoms-causes/syc-20366662
Submission: On October 31 via manual from US — Scanned from DE
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<a href="/appointments" class="cmp-anchor--plain cmp-button cmp-button__link " id="button-be649aa4dd" data-cmp-data-layer="{"target":"Request Appointment","category":"global-header","action":"top_header"}" data-di-id="#button-be649aa4dd"><span aria-hidden="false" class="cmp-button__inner cmp-button__inner--width-full cmp-button__inner--type-navigation cmp-button__inner--focus-primary "><span class="cmp-button__inner-wrapper"><span class="cmp-button__inner-main"><span role="text" class="cmp-button__text"> <!-- -->Request appointment</span></span><span class="cmp-icon icon__chevron-right cmp-icon--size-16"><svg data-name="32x32-Guides" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 16 16" data-di-res-id="db90174b-37b4270" data-di-rand="1698782269573"><path d="M5.707 13.707L4.293 12.293 8.586 8 4.293 3.707 5.707 2.293 11.414 8 5.707 13.707z"></path></svg></span></span></span></a>
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<a href="https://philanthropy.mayoclinic.org/donateMC" class="cmp-anchor--plain cmp-button cmp-button__link " id="button-3148371114" data-cmp-data-layer="{"target":"Donate","category":"global-header","action":"top_header"}" data-di-id="#button-3148371114"><span aria-hidden="false" class="cmp-button__inner cmp-button__inner--width-full cmp-button__inner--type-navigation cmp-button__inner--focus-primary "><span class="cmp-button__inner-wrapper"><span class="cmp-button__inner-main"><span role="text" class="cmp-button__text"> <!-- -->Donate</span></span><span class="cmp-icon icon__chevron-right cmp-icon--size-16"><svg data-name="32x32-Guides" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 16 16" data-di-res-id="24b4ed3c-abdae2ff" data-di-rand="1698782269573"><path d="M5.707 13.707L4.293 12.293 8.586 8 4.293 3.707 5.707 2.293 11.414 8 5.707 13.707z"></path></svg></span></span></span></a>
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<a href="/appointments" class="cmp-anchor--plain cmp-button cmp-button__link cmp-button__button--width-full" id="button-fe79ff8297" data-cmp-data-layer="{"target":"Request appointment","category":"global-header","action":"landing_state"}" data-di-id="#button-fe79ff8297"><span aria-hidden="false" class="cmp-button__inner cmp-button__inner--width-full cmp-button__inner--type-mobile-navigation-cta cmp-button__inner--color-primary "><span class="cmp-button__inner-wrapper"><span class="cmp-button__inner-main"><mc-icon icon-name="calendar-date-range" icon-size="medium" class="cmp-icon icon_calendar-date-range left-aligned hydrated"></mc-icon><span role="text" class="cmp-button__text"> <!-- -->Request appointment</span></span><span class="cmp-icon icon__chevron-right cmp-icon--size-16"><svg data-name="32x32-Guides" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 16 16" data-di-res-id="b963d585-ce40538" data-di-rand="1698782269574"><path d="M5.707 13.707L4.293 12.293 8.586 8 4.293 3.707 5.707 2.293 11.414 8 5.707 13.707z"></path></svg></span></span></span></a>
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<a href="https://philanthropy.mayoclinic.org/donateMC" class="cmp-anchor--plain cmp-button cmp-button__link cmp-button__button--width-full" id="button-34f6db6296" data-cmp-data-layer="{"target":"Donate","category":"global-header","action":"landing_state"}" data-di-id="#button-34f6db6296"><span aria-hidden="false" class="cmp-button__inner cmp-button__inner--width-full cmp-button__inner--type-mobile-navigation-cta cmp-button__inner--color-primary "><span class="cmp-button__inner-wrapper"><span class="cmp-button__inner-main"><mc-icon icon-name="giving-charity" icon-size="medium" class="cmp-icon icon_giving-charity left-aligned hydrated"></mc-icon><span role="text" class="cmp-button__text"> <!-- -->Donate</span></span><span class="cmp-icon icon__chevron-right cmp-icon--size-16"><svg data-name="32x32-Guides" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 16 16" data-di-res-id="b963d585-c24ce52d" data-di-rand="1698782269574"><path d="M5.707 13.707L4.293 12.293 8.586 8 4.293 3.707 5.707 2.293 11.414 8 5.707 13.707z"></path></svg></span></span></span></a>
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<a href="/diseases-conditions" class="cmp-anchor--plain cmp-button cmp-button__link cmp-button__button--width-full" id="button-6091e014d5" data-cmp-data-layer="{"target":"Diseases & conditions","category":"global-header","action":"landing_state"}" data-di-id="#button-6091e014d5"><span aria-hidden="false" class="cmp-button__inner cmp-button__inner--width-full cmp-button__inner--type-mobile-navigation-cta cmp-button__inner--color-primary "><span class="cmp-button__inner-wrapper"><span class="cmp-button__inner-main"><mc-icon icon-name="bacteria" icon-size="medium" class="cmp-icon icon_bacteria left-aligned hydrated"></mc-icon><span role="text" class="cmp-button__text"> <!-- -->Diseases & conditions</span></span><span class="cmp-icon icon__chevron-right cmp-icon--size-16"><svg data-name="32x32-Guides" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 16 16" data-di-res-id="a6bfc7e-3b529634" data-di-rand="1698782269574"><path d="M5.707 13.707L4.293 12.293 8.586 8 4.293 3.707 5.707 2.293 11.414 8 5.707 13.707z"></path></svg></span></span></span></a>
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<a href="/appointments/find-a-doctor" class="cmp-anchor--plain cmp-button cmp-button__link cmp-button__button--width-full" id="button-b1413f780c" data-cmp-data-layer="{"target":"Find a doctor","category":"global-header","action":"landing_state"}" data-di-id="#button-b1413f780c"><span aria-hidden="false" class="cmp-button__inner cmp-button__inner--width-full cmp-button__inner--type-mobile-navigation-cta cmp-button__inner--color-primary "><span class="cmp-button__inner-wrapper"><span class="cmp-button__inner-main"><mc-icon icon-name="stethoscope" icon-size="medium" class="cmp-icon icon_stethoscope left-aligned hydrated"></mc-icon><span role="text" class="cmp-button__text"> <!-- -->Find a doctor</span></span><span class="cmp-icon icon__chevron-right cmp-icon--size-16"><svg data-name="32x32-Guides" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 16 16" data-di-res-id="b963d585-60241b64" data-di-rand="1698782269574"><path d="M5.707 13.707L4.293 12.293 8.586 8 4.293 3.707 5.707 2.293 11.414 8 5.707 13.707z"></path></svg></span></span></span></a>
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<div class="cmp-accordion__title-grid"><button aria-expanded="false" aria-controls="accordion-c23f922fa3-0" type="button" data-testid="cmp-button"
class="cmp-button cmp-button__button cmp-accordion__title-column cmp-accordion__button" data-di-id="di-id-32d93014-75a5550f"><span class="cmp-accordion__button-inner"><span
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<a href="/patient-centered-care" class="cmp-anchor--plain cmp-button cmp-button__link " id="button-941206d5b9" data-cmp-data-layer="{"target":"Patient-Centered Care","category":"global-header","action":"expanded|care at mayo clinic"}" data-di-id="#button-941206d5b9"><span aria-hidden="false" class="cmp-button__inner cmp-button__inner--width-full cmp-button__inner--type-text cmp-button__inner--focus-primary "><span class="cmp-button__inner-wrapper"><span class="cmp-button__inner-main"><span role="text" class="cmp-button__text"> <!-- -->Patient-Centered Care</span></span><span class="cmp-icon icon__chevron-right cmp-icon--size-16"><svg data-name="32x32-Guides" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 16 16" data-di-res-id="1dfb2e0-98c748d9" data-di-rand="1698782269575"><path d="M5.707 13.707L4.293 12.293 8.586 8 4.293 3.707 5.707 2.293 11.414 8 5.707 13.707z"></path></svg></span></span></span></a>
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<a href="/about-mayo-clinic" class="cmp-anchor--plain cmp-button cmp-button__link " id="button-f5a5e388d3" data-cmp-data-layer="{"target":"About Mayo Clinic","category":"global-header","action":"expanded|care at mayo clinic"}" data-di-id="#button-f5a5e388d3"><span aria-hidden="false" class="cmp-button__inner cmp-button__inner--width-full cmp-button__inner--type-text cmp-button__inner--focus-primary "><span class="cmp-button__inner-wrapper"><span class="cmp-button__inner-main"><span role="text" class="cmp-button__text"> <!-- -->About Mayo Clinic</span></span><span class="cmp-icon icon__chevron-right cmp-icon--size-16"><svg data-name="32x32-Guides" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 16 16" data-di-res-id="1dfb2e0-be532027" data-di-rand="1698782269575"><path d="M5.707 13.707L4.293 12.293 8.586 8 4.293 3.707 5.707 2.293 11.414 8 5.707 13.707z"></path></svg></span></span></span></a>
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<a href="/appointments" class="cmp-anchor--plain cmp-button cmp-button__link " id="button-3172dbf3c1" data-cmp-data-layer="{"target":"Request appointment","category":"global-header","action":"expanded|care at mayo clinic"}" data-di-id="#button-3172dbf3c1"><span aria-hidden="false" class="cmp-button__inner cmp-button__inner--width-full cmp-button__inner--type-text cmp-button__inner--focus-primary "><span class="cmp-button__inner-wrapper"><span class="cmp-button__inner-main"><span role="text" class="cmp-button__text"> <!-- -->Request Appointment</span></span><span class="cmp-icon icon__chevron-right cmp-icon--size-16"><svg data-name="32x32-Guides" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 16 16" data-di-res-id="1dfb2e0-6bcc7dff" data-di-rand="1698782269575"><path d="M5.707 13.707L4.293 12.293 8.586 8 4.293 3.707 5.707 2.293 11.414 8 5.707 13.707z"></path></svg></span></span></span></a>
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<a href="/appointments/find-a-doctor" class="cmp-anchor--plain cmp-button cmp-button__link " id="button-20f3a740fa" data-cmp-data-layer="{"target":"Find a doctor","category":"global-header","action":"expanded|care at mayo clinic"}" data-di-id="#button-20f3a740fa"><span aria-hidden="false" class="cmp-button__inner cmp-button__inner--width-full cmp-button__inner--type-text cmp-button__inner--focus-primary "><span class="cmp-button__inner-wrapper"><span class="cmp-button__inner-main"><span role="text" class="cmp-button__text"> <!-- -->Find a Doctor</span></span><span class="cmp-icon icon__chevron-right cmp-icon--size-16"><svg data-name="32x32-Guides" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 16 16" data-di-res-id="1dfb2e0-7d9cef3e" data-di-rand="1698782269575"><path d="M5.707 13.707L4.293 12.293 8.586 8 4.293 3.707 5.707 2.293 11.414 8 5.707 13.707z"></path></svg></span></span></span></a>
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<a href="/locations" class="cmp-anchor--plain cmp-button cmp-button__link " id="button-bb2e71f694" data-cmp-data-layer="{"target":"Locations","category":"global-header","action":"expanded|care at mayo clinic"}" data-di-id="#button-bb2e71f694"><span aria-hidden="false" class="cmp-button__inner cmp-button__inner--width-full "><span class="cmp-button__inner-wrapper"><span class="cmp-button__inner-main"><span role="text" class="cmp-button__text"> <!-- -->Locations</span></span><span class="cmp-icon icon__chevron-right cmp-icon--size-16"><svg data-name="32x32-Guides" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 16 16" data-di-res-id="1dfb2e0-d4c3c77d" data-di-rand="1698782269575"><path d="M5.707 13.707L4.293 12.293 8.586 8 4.293 3.707 5.707 2.293 11.414 8 5.707 13.707z"></path></svg></span></span></span></a>
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<a href="https://www.mayo.edu/research/clinical-trials" class="cmp-anchor--plain cmp-button cmp-button__link " id="button-dfc2de4642" data-cmp-data-layer="{"target":"Clinical Trials","category":"global-header","action":"expanded|care at mayo clinic"}" data-di-id="#button-dfc2de4642"><span aria-hidden="false" class="cmp-button__inner cmp-button__inner--width-full cmp-button__inner--type-text cmp-button__inner--focus-primary "><span class="cmp-button__inner-wrapper"><span class="cmp-button__inner-main"><span role="text" class="cmp-button__text"> <!-- -->Clinical Trials</span></span><span class="cmp-icon icon__chevron-right cmp-icon--size-16"><svg data-name="32x32-Guides" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 16 16" data-di-res-id="ba99649-7d51baa5" data-di-rand="1698782269575"><path d="M5.707 13.707L4.293 12.293 8.586 8 4.293 3.707 5.707 2.293 11.414 8 5.707 13.707z"></path></svg></span></span></span></a>
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<div><!-- googleon: all --></div>
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<div><!-- googleoff: all --></div>
<div class="aem-container " id="">
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<div class="cmp-link" data-testid="cmp-button">
<a href="https://connect.mayoclinic.org" class="cmp-anchor--plain cmp-button cmp-button__link " id="button-96c25bf3fa" data-cmp-data-layer="{"target":"Connect to Support Groups","category":"global-header","action":"expanded|care at mayo clinic"}" data-di-id="#button-96c25bf3fa"><span aria-hidden="false" class="cmp-button__inner cmp-button__inner--width-full "><span class="cmp-button__inner-wrapper"><span class="cmp-button__inner-main"><span role="text" class="cmp-button__text"> <!-- -->Connect to Support Groups</span></span><span class="cmp-icon icon__chevron-right cmp-icon--size-16"><svg data-name="32x32-Guides" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 16 16" data-di-res-id="1dfb2e0-f9a28ef1" data-di-rand="1698782269575"><path d="M5.707 13.707L4.293 12.293 8.586 8 4.293 3.707 5.707 2.293 11.414 8 5.707 13.707z"></path></svg></span></span></span></a>
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<a href="/patient-visitor-guide" class="cmp-anchor--plain cmp-button cmp-button__link " id="button-6f33b1b234" data-cmp-data-layer="{"target":"Patient & visitor guide","category":"global-header","action":"expanded|care at mayo clinic"}" data-di-id="#button-6f33b1b234"><span aria-hidden="false" class="cmp-button__inner cmp-button__inner--width-full cmp-button__inner--type-text cmp-button__inner--focus-primary "><span class="cmp-button__inner-wrapper"><span class="cmp-button__inner-main"><span role="text" class="cmp-button__text"> <!-- -->Patient & Visitor Guide</span></span><span class="cmp-icon icon__chevron-right cmp-icon--size-16"><svg data-name="32x32-Guides" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 16 16" data-di-res-id="ba99649-6b6f1207" data-di-rand="1698782269575"><path d="M5.707 13.707L4.293 12.293 8.586 8 4.293 3.707 5.707 2.293 11.414 8 5.707 13.707z"></path></svg></span></span></span></a>
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<a href="/patient-visitor-guide/billing-insurance" class="cmp-anchor--plain cmp-button cmp-button__link " id="button-d4aac85105" data-cmp-data-layer="{"target":"Insurance & billing","category":"global-header","action":"expanded|care at mayo clinic"}" data-di-id="#button-d4aac85105"><span aria-hidden="false" class="cmp-button__inner cmp-button__inner--width-full cmp-button__inner--type-text cmp-button__inner--focus-primary "><span class="cmp-button__inner-wrapper"><span class="cmp-button__inner-main"><span role="text" class="cmp-button__text"> <!-- -->Insurance & Billing</span></span><span class="cmp-icon icon__chevron-right cmp-icon--size-16"><svg data-name="32x32-Guides" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 16 16" data-di-res-id="1dfb2e0-4a33fd" data-di-rand="1698782269575"><path d="M5.707 13.707L4.293 12.293 8.586 8 4.293 3.707 5.707 2.293 11.414 8 5.707 13.707z"></path></svg></span></span></span></a>
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<div class="aem-container " id="">
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<div data-cmp-hook-accordion="item" data-cmp-expanded="false" class="cmp-accordion__item">
<div class="cmp-accordion__title-grid"><button aria-expanded="false" aria-controls="accordion-c23f922fa3-2" type="button" data-testid="cmp-button"
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<div class="aem-container " id="">
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<a href="https://www.mayocliniclabs.com" class="cmp-anchor--plain cmp-button cmp-button__link " id="button-930be844e5" data-cmp-data-layer="{"target":"Mayo Clinic Laboratories","category":"global-header","action":"expanded|for medical professionals"}" data-di-id="#button-930be844e5"><span aria-hidden="false" class="cmp-button__inner cmp-button__inner--width-full cmp-button__inner--type-text cmp-button__inner--focus-primary "><span class="cmp-button__inner-wrapper"><span class="cmp-button__inner-main"><span role="text" class="cmp-button__text"> <!-- -->Mayo Clinic Laboratories</span></span><span class="cmp-icon icon__chevron-right cmp-icon--size-16"><svg data-name="32x32-Guides" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 16 16" data-di-res-id="abd67a6b-df08fe66" data-di-rand="1698782269577"><path d="M5.707 13.707L4.293 12.293 8.586 8 4.293 3.707 5.707 2.293 11.414 8 5.707 13.707z"></path></svg></span></span></span></a>
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<a href="https://medprofvideos.mayoclinic.org" class="cmp-anchor--plain cmp-button cmp-button__link " id="button-7770a32fe3" data-cmp-data-layer="{"target":"Video center","category":"global-header","action":"expanded|for medical professionals"}" data-di-id="#button-7770a32fe3"><span aria-hidden="false" class="cmp-button__inner cmp-button__inner--width-full cmp-button__inner--type-text cmp-button__inner--focus-primary "><span class="cmp-button__inner-wrapper"><span class="cmp-button__inner-main"><span role="text" class="cmp-button__text"> <!-- -->Video Center</span></span><span class="cmp-icon icon__chevron-right cmp-icon--size-16"><svg data-name="32x32-Guides" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 16 16" data-di-res-id="abd67a6b-305d2d9a" data-di-rand="1698782269577"><path d="M5.707 13.707L4.293 12.293 8.586 8 4.293 3.707 5.707 2.293 11.414 8 5.707 13.707z"></path></svg></span></span></span></a>
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<h1><a href="/diseases-conditions/narcissistic-personality-disorder/symptoms-causes/syc-20366662" data-di-id="di-id-b64da3e-b6935328">Narcissistic personality disorder</a></h1>
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<h2>Overview</h2><!--googleon: all-->
<p>Narcissistic personality disorder is a mental health condition in which people have an unreasonably high sense of their own importance. They need and seek too much attention and want people to admire them. People with this disorder may
lack the ability to understand or care about the feelings of others. But behind this mask of extreme confidence, they are not sure of their self-worth and are easily upset by the slightest criticism.</p>
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<p>A narcissistic personality disorder causes problems in many areas of life, such as relationships, work, school or financial matters. People with narcissistic personality disorder may be generally unhappy and disappointed when they're
not given the special favors or admiration that they believe they deserve. They may find their relationships troubled and unfulfilling, and other people may not enjoy being around them.</p>
<p>Treatment for narcissistic personality disorder centers around talk therapy, also called psychotherapy.</p>
<p> Narcissistic personality disorder affects more males than females, and it often begins in the teens or early adulthood. Some children may show traits of narcissism, but this is often typical for their age and doesn't mean they'll go
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<h2>Symptoms</h2>
<p>Symptoms of narcissistic personality disorder and how severe they are can vary. People with the disorder can:</p>
<ul>
<li>Have an unreasonably high sense of self-importance and require constant, excessive admiration.</li>
<li>Feel that they deserve privileges and special treatment.</li>
<li>Expect to be recognized as superior even without achievements.</li>
<li>Make achievements and talents seem bigger than they are.</li>
<li>Be preoccupied with fantasies about success, power, brilliance, beauty or the perfect mate.</li>
<li>Believe they are superior to others and can only spend time with or be understood by equally special people.</li>
<li>Be critical of and look down on people they feel are not important.</li>
<li>Expect special favors and expect other people to do what they want without questioning them.</li>
<li>Take advantage of others to get what they want.</li>
<li>Have an inability or unwillingness to recognize the needs and feelings of others.</li>
<li>Be envious of others and believe others envy them.</li>
<li>Behave in an arrogant way, brag a lot and come across as conceited.</li>
<li>Insist on having the best of everything — for instance, the best car or office.</li>
</ul>
<p>At the same time, people with narcissistic personality disorder have trouble handling anything they view as criticism. They can:</p>
<ul>
<li>Become impatient or angry when they don't receive special recognition or treatment.</li>
<li>Have major problems interacting with others and easily feel slighted.</li>
<li>React with rage or contempt and try to belittle other people to make themselves appear superior.</li>
<li>Have difficulty managing their emotions and behavior.</li>
<li>Experience major problems dealing with stress and adapting to change.</li>
<li>Withdraw from or avoid situations in which they might fail.</li>
<li>Feel depressed and moody because they fall short of perfection.</li>
<li>Have secret feelings of insecurity, shame, humiliation and fear of being exposed as a failure.</li>
</ul>
<h3>When to see a doctor</h3>
<p>People with narcissistic personality disorder may not want to think that anything could be wrong, so they usually don't seek treatment. If they do seek treatment, it's more likely to be for symptoms of depression, drug or alcohol
misuse, or another mental health problem. What they view as insults to self-esteem may make it difficult to accept and follow through with treatment.</p>
<p> 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 health care provider or mental health provider. Getting the
right treatment can help make your life more rewarding and enjoyable.</p>
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<h2>Causes</h2>
<p>It's not known what causes narcissistic personality disorder. The cause is likely complex. Narcissistic personality disorder may be linked to:</p>
<ul>
<li><strong>Environment</strong> — parent-child relationships with either too much adoration or too much criticism that don't match the child's actual experiences and achievements.</li>
<li><strong>Genetics</strong> — inherited characteristics, such as certain personality traits.</li>
<li><strong>Neurobiology</strong> — the connection between the brain and behavior and thinking.</li>
</ul>
<h2>Risk factors</h2>
<p>Although the cause of narcissistic personality disorder isn't known, some researchers think that overprotective or neglectful parenting may have an impact on children who are born with a tendency to develop the disorder. Genetics and
other factors also may play a role in the development of narcissistic personality disorder.</p>
<h2>Complications</h2>
<p>Complications of narcissistic personality disorder, and other conditions that can occur along with it include:</p>
<ul>
<li>Relationship difficulties</li>
<li>Problems at work or school</li>
<li>Depression and anxiety</li>
<li>Other personality disorders</li>
<li>An eating disorder called anorexia</li>
<li>Physical health problems</li>
<li>Drug or alcohol misuse</li>
<li>Suicidal thoughts or behavior</li>
</ul>
<h2>Prevention</h2>
<p>Because the cause of narcissistic personality disorder is unknown, there's no known way to prevent the condition. But it may help to:</p>
<ul>
<li>Get treatment as soon as possible for childhood mental health problems.</li>
<li>Participate in family therapy to learn healthy ways to communicate or to cope with conflicts or emotional distress.</li>
<li>Attend parenting classes and seek guidance from a therapist or social worker if needed.</li>
</ul>
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<li>Narcissistic personality disorder. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5-TR. 5th ed. American Psychiatric Association; 2022. https://dsm.psychiatryonline.org. Accessed Sept. 9, 2022.</li>
<li>Narcissistic personality disorder (NPD). Merck Manual Professional Version. https://www.merckmanuals.com/professional/psychiatric-disorders/personality-disorders/narcissistic-personality-disorder-npd. Accessed Sept. 8, 2022.</li>
<li>Overview of personality disorders. Merck Manual Professional Version. https://www.merckmanuals.com/professional/psychiatric-disorders/personality-disorders/overview-of-personality-disorders#v25246292. Accessed Sept. 9, 2022.</li>
<li>What are personality disorders. American Psychiatric Association. https://psychiatry.org/patients-families/personality-disorders/what-are-personality-disorders. Accessed Sept. 8, 2022.</li>
<li>Lee RJ, et al. Narcissistic and borderline personality disorders: Relationship with oxidative stress. Journal of Personality Disorders. 2020; doi:10.1521/pedi.2020.34.supp.6.</li>
<li>Fjermestad-Noll J, et al. Perfectionism, shame, and aggression in depressive patients with narcissistic personality disorder. Journal of Personality Disorder. 2020; doi:10.1521/pedi.2020.34.supp.25.</li>
<li>Maillard P, et al. Process of change in psychotherapy for narcissistic personality disorder. Journal of Personality Disorders. 2020; doi:10.1521/pedi.2020.34.supp.63.</li>
<li>Scrandis DA. Narcissistic personality disorder: Challenges and therapeutic alliance in primary care. The Nurse Practitioner. 2020; doi:10.1097/01.NPR.0000653968.96547.e7.</li>
<li>Caligor E, et al. Narcissistic personality disorder: Epidemiology, pathogenesis, clinical manifestations, course, assessment, and diagnosis. https://www.uptodate.com/contents/search. Accessed Sept. 9, 2022.</li>
<li>Caligor E, et al. Treatment of narcissistic personality disorder. https://www.uptodate.com/contents/search. Accessed Sept. 9, 2022.</li>
<li>Allen ND (expert opinion). Mayo Clinic. Sept. 27, 2022.</li>
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NARCISSISTIC PERSONALITY DISORDER
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OVERVIEW
Narcissistic personality disorder is a mental health condition in which people
have an unreasonably high sense of their own importance. They need and seek too
much attention and want people to admire them. People with this disorder may
lack the ability to understand or care about the feelings of others. But behind
this mask of extreme confidence, they are not sure of their self-worth and are
easily upset by the slightest criticism.
A narcissistic personality disorder causes problems in many areas of life, such
as relationships, work, school or financial matters. People with narcissistic
personality disorder may be generally unhappy and disappointed when they're not
given the special favors or admiration that they believe they deserve. They may
find their relationships troubled and unfulfilling, and other people may not
enjoy being around them.
Treatment for narcissistic personality disorder centers around talk therapy,
also called psychotherapy.
Narcissistic personality disorder affects more males than females, and it often
begins in the teens or early adulthood. Some children may show traits of
narcissism, but this is often typical for their age and doesn't mean they'll go
on to develop narcissistic personality disorder.
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SYMPTOMS
Symptoms of narcissistic personality disorder and how severe they are can vary.
People with the disorder can:
* Have an unreasonably high sense of self-importance and require constant,
excessive admiration.
* Feel that they deserve privileges and special treatment.
* Expect to be recognized as superior even without achievements.
* Make achievements and talents seem bigger than they are.
* Be preoccupied with fantasies about success, power, brilliance, beauty or the
perfect mate.
* Believe they are superior to others and can only spend time with or be
understood by equally special people.
* Be critical of and look down on people they feel are not important.
* Expect special favors and expect other people to do what they want without
questioning them.
* 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 way, brag a lot and come across as conceited.
* 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 view as criticism. They can:
* Become impatient or angry when they don't receive special recognition or
treatment.
* Have major problems interacting with others and easily feel slighted.
* React with rage or contempt and try to belittle other people to make
themselves appear superior.
* Have difficulty managing their emotions and behavior.
* Experience major problems dealing with stress and adapting to change.
* Withdraw from or avoid situations in which they might fail.
* Feel depressed and moody because they fall short of perfection.
* Have secret feelings of insecurity, shame, humiliation and fear of being
exposed as a failure.
WHEN TO SEE A DOCTOR
People with narcissistic personality disorder may not want to think that
anything could be wrong, so they usually don't seek treatment. If they do seek
treatment, it's more likely to be for symptoms of depression, drug or alcohol
misuse, or another mental health problem. What they view as 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 health care provider or mental health provider. Getting the
right treatment can help make your life more rewarding and enjoyable.
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CAUSES
It's not known what causes narcissistic personality disorder. The cause is
likely complex. Narcissistic personality disorder may be linked to:
* Environment — parent-child relationships with either too much adoration or
too much criticism that don't match the child's actual experiences and
achievements.
* Genetics — inherited characteristics, such as certain personality traits.
* Neurobiology — the connection between the brain and behavior and thinking.
RISK FACTORS
Although the cause of narcissistic personality disorder isn't known, some
researchers think that overprotective or neglectful parenting may have an impact
on children who are born with a tendency to develop the disorder. Genetics and
other factors also may play a role in the development of narcissistic
personality disorder.
COMPLICATIONS
Complications of narcissistic personality disorder, and other conditions that
can occur along with it include:
* Relationship difficulties
* Problems at work or school
* Depression and anxiety
* Other personality disorders
* An eating disorder called anorexia
* Physical health problems
* Drug or alcohol misuse
* Suicidal thoughts or behavior
PREVENTION
Because the cause of narcissistic personality disorder is unknown, there's no
known way to prevent the condition. But it may help to:
* Get treatment as soon as possible for childhood mental health problems.
* Participate in family therapy to learn healthy ways to communicate or to cope
with conflicts or emotional distress.
* Attend parenting classes and seek guidance from a therapist or social worker
if needed.
By Mayo Clinic Staff
Request an appointment
Diagnosis & treatment
April 06, 2023
Print
Show references
1. Narcissistic personality disorder. In: Diagnostic and Statistical Manual of
Mental Disorders DSM-5-TR. 5th ed. American Psychiatric Association; 2022.
https://dsm.psychiatryonline.org. Accessed Sept. 9, 2022.
2. Narcissistic personality disorder (NPD). Merck Manual Professional Version.
https://www.merckmanuals.com/professional/psychiatric-disorders/personality-disorders/narcissistic-personality-disorder-npd.
Accessed Sept. 8, 2022.
3. Overview of personality disorders. Merck Manual Professional Version.
https://www.merckmanuals.com/professional/psychiatric-disorders/personality-disorders/overview-of-personality-disorders#v25246292.
Accessed Sept. 9, 2022.
4. What are personality disorders. American Psychiatric Association.
https://psychiatry.org/patients-families/personality-disorders/what-are-personality-disorders.
Accessed Sept. 8, 2022.
5. Lee RJ, et al. Narcissistic and borderline personality disorders:
Relationship with oxidative stress. Journal of Personality Disorders. 2020;
doi:10.1521/pedi.2020.34.supp.6.
6. Fjermestad-Noll J, et al. Perfectionism, shame, and aggression in
depressive patients with narcissistic personality disorder. Journal of
Personality Disorder. 2020; doi:10.1521/pedi.2020.34.supp.25.
7. Maillard P, et al. Process of change in psychotherapy for narcissistic
personality disorder. Journal of Personality Disorders. 2020;
doi:10.1521/pedi.2020.34.supp.63.
8. Scrandis DA. Narcissistic personality disorder: Challenges and therapeutic
alliance in primary care. The Nurse Practitioner. 2020;
doi:10.1097/01.NPR.0000653968.96547.e7.
9. Caligor E, et al. Narcissistic personality disorder: Epidemiology,
pathogenesis, clinical manifestations, course, assessment, and diagnosis.
https://www.uptodate.com/contents/search. Accessed Sept. 9, 2022.
10. Caligor E, et al. Treatment of narcissistic personality disorder.
https://www.uptodate.com/contents/search. Accessed Sept. 9, 2022.
11. Allen ND (expert opinion). Mayo Clinic. Sept. 27, 2022.
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