Doctor insights on:
Narcissistic Borderline Couple
Needing attention?: "needing attention" is not enough to make up your mind about a personality disorder. But if it is true, after you do your own research about it, then you have to search your heart. How does she make you feel? How attached to her are you? How would you feel if you stay with her? How would you feel if you walk away? Out the good and the bad in this relationship in a balance and see where it leads. ...Read more
A pervasive sense of grandiosity in fantasy or behavior, lack of empathy, need for admiration, fantasies o unlimited success, sense of entitlement, envious of others, often arrogant, exploitive of others as well as other characteristics. Person would definitely benefit by therapy but often by nature of the condition the person doesn't believe that there is ...Read more
There is always hope: If you open yourself to feedback from a therapist who is willing to give you honest & direct information about how you relate to others, & put that feedback into practice by challenging your evaluations of people & situations & acting differently, there is always hope. The biggest challenge with the disorders you mention is defensiveness. Put your fear aside! Most of our fears are not real! ...Read more
Can you tell me docs, is it a borderline or narcissistic trait for someone to bite your head off when you ask for respect?
Difficult question: This is an interpersonal question and I don't know that there's really a direct answer to this without evaluating both you and the other person involved. When two people interact what occurs is called an emergent property that may or may not be present when the two of you are separated. I can tell you that it is not normal for that scenario that you described to occur. There's not enough information however to diagnose the other person involved nor would it be ethical in this context. It sounds like you have access to diagnostic criteria and I will have to leave that up to your own conscience and discretion to decide what type of pathology if any is involved. Best wishes. ...Read more
I got a diagnoses of dsm axis 2 personality disorder with features of narcissistic, borderline, ocd, dependent and histrionic. Why such a loose defini?
"Features" only: Key word here is "features" of various personality types. The interviewer noted that you have a fixed pattern of relating to the world and others no matter what the situation (personality disorder). This apparently includes features found in several personality disorders but no definitive one stood out. Firmer delineation may come over time, but characteristics of these disorders may overlap. ...Read more
What's the difference between a psychopath, sociopath, borderline personality disorder, and narcissism?
Personality problems: Psychopath and sociopath describe someone who lies, cheats, steals, exploits others, and has no remorse -- like antisocial personality disorder. Narcissistic pd exploits others too, but they feel entitled and there's not so much lying. Antisocial does it b/c he feels everyone else does it. Borderline pd needs others desperately & falls apart when rejected. Dramatic, unstable, self-injuring. ...Read more
What is the difference between narcissitic personality disorder and borderline personality disorder I have borderline personality disorder and my girlfriend has narcissistic personality disorder and she says we are exactly alike only I never want to hurt
A person with a borderline personality disorder and a person with a narcissistic personality disorder may have a lot in common. The major similarity is difficulty with their relationships with others. An individual with a personality disorder perceives their world and interacts with it in a way that causes them impairment and distress.
A person with a borderline personality disorder can experience strong changes in their moods. They may become depressed or anxious, with dramatic anger or rage. They may engage in self injury such as cutting or burning their skin. At times of stress they might threaten to kill them self or may attempt suicide. Risky and impulsive behaviors such as promiscuity, having sex without protection, reckless driving, gambling, over-spending, drug use or abuse of alcohol may occur. Someone who is borderline is usually very fearful of losing the people that are important in their life; of being abandoned.
An individual with a narcissistic personality disorder usually is egocentric. They tend to think about their own needs before the needs of others. They may believe that they are superior to others and that they are unique. They may expect special treatment as well as praise from others. Their lack of empathy can lead to problems in their relationships with others. Sometimes they take advantage of others and envy is not uncommon.
As you and your girlfriend go through therapy, you should both gain progressively more knowledge about each of your conditions. I hope this information is helpful. ...Read more
What are the main differences between a psychopath, sociopath, borderline personality disorder, and narcissistic personality disorder?
Psychopath= a person who exploits others without concern for whether they are hurting the person (i.e. Not having a conscience) ("sociopath" is an outdated term for psychopath)
borderline personality=is typically a long-standing set of traits that cause extreme and chronic relationship problems
narcissistic personality=long-standing belief and acting that one is superior to others. ...Read more
Never satisfied: Needy and demanding, no matter how much love or attention they get, they feel they deserve more. Can be charming if convenient for them. Arrogant and out of touch with reality. In the rare moments of reality check, they behave like victims. Envious, they feel they deserve special love and privileges. Angry at the loved ones because they are not giving them enough. Don't care about others feeling. ...Read more
Psychotherapy: Narcissitic personality traits are common and do not necessarily require treatment, however narcissistic personality disorder treatment involves psychotherapy-cognitive behavioral as well as possibly group or family therapy. Because change can take time the therapy may continue for several years. Comorbid symptoms of depression, anxiety or substanc e dependence may benefit from medications. ...Read more
Unknown: There is no general consensus of agreement on the causes of narcissism, but one viewpoint maintains that injuries to one's sense of self during formative years, such as neglectful or highly critical, parents, can instill a pervasive sense of inferiority and insignificance in the child. The injured person then later compensates for this underlying inferiority with grandiosity and omnipotence. ...Read more
Narcissist: Therapy for narcissists is often arduous, painful for both patient and therapist, as the narcissist is eventually brought to a place of what is known as profound narcissistic injury, which is the beginning of his poor self esteem that the narcissism resolutely defends against. I would opt for psychoanalysis. Living with a narcissist often means constant devaluation and being objectified. ...Read more
Not necessarily: There are no typical physical symptoms of narcissism that I know of. But, narcissistic vulnerability brings with it extreme sensitivity to how one's body appears to others. As they age, narcissistic people feel great distress about appearance because it conflicts with their self-view of superiority. They are very envious of others, especially those whom they view as more beautiful, thin, etc. ...Read more
" I am the greatest":
A pervasive sense of grandiosity in fantasy or behavior, lack of empathy, need for admiration, fantasies o unlimited success, sense of entitlement, envious of others, often arrogant, exploitive of others as well as other characteristics.
Person would definitely benefit by therapy but often by nature of the condition the person doesn't believe that there is anything wrong with them ...Read more
No empathy: Npd people are self serving. They have their own agenda they follow regardless. They have hatred and envy, upset not getting that special treatment, attention, love. They can be charming when it's convenient. Arrogant but needy. Live in their own grandiose universe. Occasionally, the reality breaks through. Then they become victims. They torture the people who love them. Hard to treat. ...Read more
Narcissistic people: As a therapist, I try to empathize with their suffering, build trust, and gradually help them see how their patterns of treating others interfere with their relationships & enjoyment of life. This is tedious, long-term work. As a friend/ family member, I do not offer advice unless asked, as I know how sensitive they are to that. I try to be present, while caring for myself also. ...Read more
Narcissism: Yes, especially when they hear this comment from many people, for instance group therapy is most effective as it is difficult to tell all 10 people they are misperceiving. Best. ...Read more
Yes: By definition, narcissistic people have highly inflated opinions of themselves and would be considered vane. However, not all vane people would be considered narcissistic. ...Read more
Healthy & unhealthy: Important to remember that there is healthy narcissism and unhealthy narcissism. When it's healthy, the person has appropriate self-esteem and good feelings about herself. When it's unhealthy, the person is very self-involved and/or needs a lot of "stroking" and external reinforcement in order to feel ok about herself -- and, even then, the need goes so deep that it's almost insatiable. ...Read more
One is a disorder: Narcissistic personality disorder is by definition a disorder, meaning it has to cause signficant dysfunction in one's life, health, employment etc. It involves not so much confidence as self-love, meaning to be infatuated with who you are and one's accomplishments to the excusion fo all others. Self-confidence is more a healthy knowledge of one's own abilities and would be considered a good thing. ...Read more
Healthy & unhealthy: Having the capacity to feel good about yourself for the things that you can do well is a sign of maturity and healthy development. Narcissism per se can be either unhealthy (a person who is "full of" herself) or healthy (as you suggested, a person who has appropriate confidence in herself). ...Read more
Different dimemsions: Narcisssm has to do with a personality style that over-estimates one sense of power and importance and uniqueness. It is not necessarily accompanied by true self-confidence, because often such individuals recurrently find themselves not living up to their dreams and expectations--almost always because of actions of others, of course. True self-confidence is based on past successes. ...Read more
Narcissism: "So are you."Get a more detailed answer ›
I've been diagnosed with narcissistic pd, why is it a big deal? Is there something wrong with it?
It can be a big deal: I do not know the specifics of your situation, but it can cause depression and anxiety, behavior tat is toxic to others, and a failure to empathize with others that leads to unhappiness in those close to you. There is often a failure to prioritize, with the narcissist placing job and money above family. It can alienate people from you. Please get therapy as it can be helped. Empathy is key to tx. ...Read more
Get Help: I'm sorry about your experiences. It's hard to pinpoint what kind of mental health provider you might need due to limited info provided. Find a mental health provider who will help you with figuring out how to proceed in terms of therapy. The therapy will help you learn new coping skills: self-care routine, meditation, relaxation, setting up achievable goals. Good Luck! ...Read more
Not advisable: Tapping or tft (thought field therapy) has more direct connections to anxiety, pain, weight loss and ptsd. Narcissistic behavior or narcissistic personality disorder are best treated with psychoanalysis, psychodynamic approaches or interpersonal therapies that get at the root problems with superiority and diminished empathy. ...Read more
NPD does: The dsm-iv diagnosis of narcissistic personality disorder (npd) does, more info here: http://www. Behavenet. Com/narcissistic-personality-disorder. But narcissism is used as an everyday, non-psychiatric label too. In an informal sense it may mean someone who is self-important or too proud of themselves. Many psych terms have a technical meaning and are used in casual speech too. ...Read more
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