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Mental Health Center

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Narcissistic Personality Disorder

It’s human nature to be selfish and boastful now and then, but true narcissists take it to an extreme. They don’t just have extra self-confidence, they don’t value others’ feelings or ideas and ignore others’ needs.

But there’s a difference between being self-absorbed, often called a narcissist, and having narcissistic personality disorder, which is a mental illness.   

Recommended Related to Mental Health

Somatoform Disorders

Somatoform disorders are mental illnesses that cause bodily symptoms, including pain. The symptoms can't be traced back to any physical cause. And they are not the result of substance abuse or another mental illness. People with somatoform disorders are not faking their symptoms. The pain and other problems they experience are real. The symptoms can significantly affect daily functioning. Doctors need to perform many tests to rule out other possible causes before they diagnose a somatoform...

Read the Somatoform Disorders article > >

If you can recognize a few of the traits below, that’s someone who’s self-absorbed. If he has most of them, he might have the disorder. A therapist can get to the bottom of it.

What You Might See

The word comes from a Greek myth in which a handsome young man named Narcissus sees his own reflection in a pool of water and falls in love with it.

Sound like someone you know? Are people often upset with him? Is it hard for him to keep relationships? Does he tend put himself first and think he knows the only “right” way? He might also:   

  • Think about himself most of the time and talk about himself a lot
  • Crave attention and admiration
  • Exaggerate his talents and achievements
  • Believe he’s special
  • Set unrealistic goals
  • Have wide, fast mood swings
  • Have a hard time taking others’ feelings seriously
  • Strive to win, whatever it takes
  • Fantasize about unlimited success, money, and power

Someone like this may appear to have high self-esteem, but the opposite is probably true. There’s a deep sense of insecurity underneath that grand exterior. He wants others to be envious, but often he’s the jealous one. He’s competitive and threatened by others’ achievements. His relationships are often stormy and short-lived. He leaves a trail of hurt feelings in his wake.

He’s easily hurt, but either chooses to not show it or overreacts in rage. He can’t stand criticism. He makes excuses and refuses to take responsibility for his flaws and failures. He sees himself as a natural leader who can easily sway others. He doesn’t listen and often interrupts. It’s a one-way street -- all take, no give.

Someone can be a narcissist and not have the disorder. For example, Bill Gates has been called a narcissist, but not to the extent that it disrupts his daily life.

It’s proven that most people are drawn to narcissists and find them attractive, likeable, and exciting. Confidence is charming. And successful leaders are often more assertive and demanding.

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