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"Thank you for this information. I can now make a comprehensive plan in dealing with a member of my family who has had this disorder for over 60 years. At first, I thought I was the one that was delusional! But, now that I am researching her disorder, I can begin creating boundaries with this person so I can have my own life, while expressing my love and concern for her."

~ Stacy

Recommended Reading

The Wizard of Oz and Other Narcissists: Coping with the One-Way Relationship in Work, Love, and Family

Disarming the Narcissist: Surviving & Thriving With the Self-Absorbed, by Wendy T. Behary

More Books >

Narcissistic Personality Disorder Diagnosis

A proper narcissistic personality disorder diagnosis can be hard to complete satisfactorily, as patients have been known to be unhelpful in a clinical setting and may wish to hide some of their symptoms and beliefs. There are, however, several key symptoms that are indicated in the Narcissistic Personality Disorder DSM, a number of these found in a partner, friend, co-worker, or indeed in your own responses could be seen as key indicators.

  • An ongoing sense of ‘grandiosity’, in any sense

  • A requirement for being admired by others. Tasks or events are not seen as worthy without this factor

  • An absence of sympathy or empathy in the feelings or struggles of others

  • A high sense of self importance.

  • Tends to make out that what they have reached or are possible of is somehow greater than in reality – a sense of exaggeration in terms of status.

  • Needs to be recognized as a highly important person, particularly if this does not rest on objective evidence.
  • Can daydream or make believe an imagined reality where he or she is much more attractive, loved, high achieving, or important than one really is.

  • Only connecting with the best and the brightest, as if these organizations or individuals are the only people who can match their inner worth, or make it worthwhile.

  • Can be incapable of seeing their own errors – honest and sincere self avowal and self delusion. A narcissistic person will often honestly have no knowledge of doing any bad deeds. This is because their self image is inherently ‘good’ – if told they have acted obviously “beyond the pale”, the other individual simply must be mistaken.
  • Expects to have special treatment, or instant obeyance to instructions given.
  • Needs to be told is great, or what they do is appreciated, to an unusual degree.

  • Can be arrogant to others, or ‘snobbish’.

  • Can manipulate others to get to where they wish to be.

  • Jealous of others, sometimes has an abnormal belief that others are jealous or conspiring against oneself.

To better diagnose a NPD sufferer, and to know how to survive and even thrive with such a person, we recommend the following self-help books.