10 Things to Know About Narcissistic Personality Disorder

July 9, 2020

Lack of empathy is a commonly known feature of narcissistic personality disorder. Relationships are typically shallow and difficult to maintain. What are some other features of NPD? More in this case presentation. Based on “Narcissistic Personality Disorder: Rethinking What We Know,” by Giancarlo Dimaggio, MD, published in Psychiatric Times.

Narcissistic personality disorder (NPD) is characterized by complex self-experiences. Points 1 through 3.

NPD Points 4 through 7

NPD Points 8 through 10

Case Vignette

“Fred” (name and identity changed) was a brilliant manager in his late 20s who had NPD.

Fred wanted his girlfriend to be “perfect” and criticized her when she gained weight.

The therapist adopted a validating stance and encouraged Fred to relax rather than strive to be accepted only when he reached the highest standards.

With therapy, Fred’s ability to empathize increased.

Case based on “Narcissistic Personality Disorder: Rethinking What We Know,” by Giancarlo Dimaggio, MD, published in Psychiatric Times.

_{This article was originally posted on May 14, 2014, and has since been updated. -Ed}