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Narcissistic personality disorder - All Information

Definition of Narcissistic personality disorder:

Narcissistic personality disorder is a condition in which there is 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.

Symptoms:

A person with narcissistic personality disorder:

Reacts to criticism with rage, shame, or humiliation
Takes advantage of other people to achieve his or her 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
Disregards the feelings of others, lacks empathy
Has obsessive self-interest
Pursues mainly selfish goals

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.

Expectations (prognosis):

The outcome varies with the severity of the disorder.

Complications:

Relationship and family problems
Alcohol or other drug dependence

Reviewed last on: 10/17/2008
Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Timothy A. Rogge, MD, private practice in Psychiatry, Kirkland, Washington. Also reviewed byDavid Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Moore DP, Jefferson JW. Narcissistic personality disorder. In: Moore DP, Jefferson JW, eds. Handbook of Medical Psychiatry. 2nd ed. Philadelphia, Pa: Mosby Elsevier; 2004: chap 140.

Young JQ. Narcissistic personality disorder. In: Ferri FF, ed. Ferri's Clinical Advisor 2008: Instant Diagnosis and Treatment. 1st ed. Philadelphia, Pa: Mosby Elsevier; 2008.

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