Doctor insights on:
Psychotic Narcissistic Personality Disorder
Are mental illnesses narcissistic personality disorder and psychotic depression related to one another?
It can happen: The 2 conditions are not directly related. But narcissistic personality-disordered people can become very depressed -- sometimes even psychotically so. This may happen due to perceived failures in empathy, to which they are exquisitely sensitive. Rather than being a little hurt and getting over it like less impaired people might, an npd person may lose his/her entire feeling of self-hood. ...Read more
Psychotic disorders (such as schizophrenia) are major mental disorders that cause abnormal thinking. Psychotic people lose touch with reality and have symptoms of delusions and hallucinations. Delusions are false beliefs, such as thinking that a TV is sending you personal messages. Hallucinations are false perceptions, such as hearing, seeing, or feeling something that ...Read more
Generally Not: Personality disorders are generally not curable. They can be modified in some cases with a lot of therapy over a long time. However, since those with narcissistic pd are likely to think that if there is a problem then it someone else and not themselves, they often are not very amenable to therapy actually working. ...Read more
Perhaps some: Often people who are (unhealthily) narcissistic are very charming and impress people enough with their self-confidence and capacity that they manage to rise high in the ranks. Ultimately, such people are rather self-involved, do not tend to appreciate others, and have difficulty participating in mutually satisfying relationships. Many of our politicians are quite narcissistic! ...Read more
It is hard to know: Without more details. What makes you think they might have this disorder? You can read more about the disorder and see if their personality fits the description, but we can't make that diagnosis online without meeting the perdon. ...Read more
Well....: Are you entitled? Indignant? Do you feel superior & look down on others? Do you fantasize about a "perfect" mate? Do you think you walk on water but others are not quite so impressed? Do you demand lots of admiration? Do you think you are special & not well understood by all the comon slobs on the street? Does it make you feel good to put others down? If many +'s - consider getting a psych eval. ...Read more
Narcissistic: Because you care about yourself?Get a more detailed answer ›
Absolutely: There are subtypes of narcissistic personality, but in general you will find self-importance and grandiosity masking feelings of emptiness and inferiority. In other words, somewhere in the early years, a parent was insufficiently attuned to the child's emotional needs. ...Read more
Is it possible for someone to have both schizotypical personality disorder and narcissistic personality disorder?
Yes, but look deeper:
One can have two personality disorders, they aren't "mutually exclusive".
However you may consider looking deeper at some treatable cause of these symptoms. For example an untreated anxiety disorder or bipolar disorder can sometimes present with these types of issues, and both of these can be treated more easily than a personality disorder! ...Read more
Is a person with narcissistic personality disorder incapable of directing a conversation from anyone but him or herself?
It's all about him: Narcissistic people treat others as if they're disposable objects. Once your utility is gone, there is no more interest in you. Your separate needs are unrecognized. Relationships with a narcissistic person may vary between sharing the mutual glow of "specialness" while you're useful, and complete disregard when you're not. Things might feel intimate and good for awhile, but then the ice comes. ...Read more
I suspect a relative might have narcissistic personality disorder. What are the most common symptoms/traits and how is it usually diagnosed?
Some obvious signs..: Narcissistic personality disorder: grandiose sense of self-importance, having arrogant behavior or attitude, a need for excessive admiration, having interpersonally exploitive behavior, with a lack of empathy, is envious of others or believes that others are envious of him; has a preoccupation with fantasies of unlimited success, power, brilliance, beauty, etc... ...Read more
How do you get a person w narcissistic personality disorder to seek help to improve quality of life when they can't acknowledge they have an issue?
Narcisstic Tx: This is a tough assignment. There really is no treatment for anyone who does not want treatment no matter the disorder. It could be this or any addiction. They have to hit bottom before they are ready to discuss treatment. If this person comes face-to-face with lossing someone or something of value you can discuss treatment. Don't call it narcissism. Better to take a trait of selfishness to work. ...Read more
Much Self-Importance: It's a condition in which there is an inflated sense of self-importance and an extreme preoccupation with oneself. As with all personality disorders, a mental health professional diagnoses the disorder after a psychological evaluation of the history and severity of the symptoms. Psychotherapy (talk therapy) may help a person with the disorder improve functioning and relationships with others. ...Read more
See below: We all have different personality traits at certain points in our lives. If you need to know your diagnosis, you will have to be evaluated face-to-face by a psychiatrist or a psychologist. Some things just cannot be diagnosed over the internet :) ...Read more
Grandiosity: The hallmark of a narcissist is grandiosity, feelings of being special, inability to empathize with others, and intolerance of criticism of any kind, real or imagined. The core of a narcissist however, believe it or not, is terrible self-esteem that the narcissist cannot bring him or herself to look at. ...Read more
Narcissistic PD: Treating narcissistic pd requires intensive, long-term psychotherapy with an experienced therapist. These people usually don't seek treatment until marital or work relationship problems cause enough distress to force the issue. They are exquisitely sensitive to slights or criticism, and intense shame and scathing rage can disrupt the therapeutic relationship. The therapist walks a thin line. ...Read more
YES: It is for the people in the narcissist's life. Narcissist's are insenstive mates. They invest in others to get something back. When there are two pieces of pie, the narcissist will consistently take the big piece. Narcissists often get off on making other people feel inferior & insignificant. The narcissist needs lots of strokes & admiration. Narcissists cause other pain. ...Read more
Psychotherapists: Many psychotherapists are specifically interested in working with personality disorders and develop a special expertise in this area. Given how prevalent npd is, however, most therapists work with individuals with this diagnosis, or definitely traits of it... ...Read more
Narcissim is the: Condition wherein a person focuses very much on his/her own needs and point of view and has very little concern for the point of view of others. When it is a personality disorder it is more deeply ingrained in the psyche of a person and harder to treat. Narcissim can cause major problems in relationships. Peace and good health. ...Read more
Who is "we"?: Narcissistic personality can be treated effectively in psychotherapy, specifically psychoanalytic or psychodynamic therapy. It is generally long-term therapy. If by "we" you mean friends or family who have to deal with the person (not the person himself/herself), that is a different question. ...Read more
Narcissism History: Reference site: http://psychology. About. Com/od/personalitydisorders/a/narcissisticpd. Htm.Get a more detailed answer ›
Personality DO Dx: 18 years & up.Get a more detailed answer ›
Start Treatment: Recognizing that you have this is the only way to opening the door to treatment. Get treatment from a professional. Then implement this by: praying to god as though everything depends on god, but work as though everything depends on you. ...Read more
Keep a perspective: If you are that person's friend or family member, then you should probably make sure not to take it too personally -- their self-involvement is really more a story about them than about you. If you are that person's therapist, then you should probably work to uncover the early-on psychological traumas that have created the problem to begin with. ...Read more
The best way for: Your friend to know if she or he has a narcissistic personality disorder is via psychiatric or psychological evaluation. Self diagnosis and diagnosis of friends can be fraught with error. Take care. ...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
A mental disorder with fixed and pervasive patterns of inner experience and outer behavior involving grandiosity, need for admiration, and lack of empathy for others. The person expects to be treated as superior, believes s/he is more special than others, and exploits others. Beneath all this lies a fragile self-esteem, vulnerable ...Read more