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Created with Fabric.js 1.4.5 Narcissistic Personality Disorder Lauren Peebles Narcissistic personality disorder is a mental disorder in whichpeople have an inflated sense of their own importance, a deep need for admiration and a lack of empathy for others. But behind thismask of ultraconfidence lies a fragile self-esteem that's vulnerableto the slightest criticism. A person with narcissistic personality disorder may:React to criticism with rage, shame, or humiliationTake advantage of other people to achieve his or her own goalsHave excessive feelings of self-importanceExaggerate achievements and talentsBe preoccupied with fantasies of success, power, beauty, intelligence, or ideal loveHave unreasonable expectations of favorable treatmentNeed constant attention and admirationDisregard the feelings of others, and have little ability to feel empathyHave obsessive self-interestPursue mainly selfish goals Prevalence of lifetime narcissistic personality disorder(NPD) is on average 6.2% with rates greater for men(7.7%) than for women (4.8%). NPD was significantlymore prevalent among black men and women andHispanic women, younger adults, and separated/divorced/widowed and never married adults. NPD wasassociated with mental disability among men but notwomen. High co-occurrence rates of substance use,mood, and anxiety disorders and other personalitydisorders were observed. With additional comorbiditycontrolled for, associations with bipolar I disorder, post-traumatic stress disorder, and schizotypal and borderlinepersonality disorders remained significant, but weakened,among men and women. Similar associations wereobserved between NPD and specific phobia, generalizedanxiety disorder, and bipolar II disorder among women andbetween NPD and alcohol abuse, alcohol dependence, drugdependence, and histrionic and obsessive-compulsivepersonality disorders among men. Dysthymic disorder wassignificantly and negatively associated with NPD. Narcissistic personality disorder (NPD) has a prevalence rate of 6.2%with rates greater for men (7.7%) than for women (4.8%). NPD wassignificantly more prevalent among black men and women andHispanic women, younger adults, and separated/divorced/widowedand never married adults. NPD was associated with mental disabilityamong men but not women. High co-occurrence rates of substance use,mood, and anxiety disorders and other personality disorders wereobserved. With additional comorbidity controlled for, associations withbipolar I disorder, post-traumatic stress disorder, and schizotypal andborderline personality disorders remained significant, but weakened,among men and women. Similar associations were observed betweenNPD and specific phobia, generalized anxiety disorder, and bipolar IIdisorder among women and between NPD and alcohol abuse, alcoholdependence, drug dependence, and histrionic and obsessive-compulsivepersonality disorders among men. Dysthymic disorder was significantlyand negatively associated with NPD. Treatment: Counseling - Narcissistic personality disordertreatment is centered around talk therapy, alsocalled psychotherapy. Psychotherapy can help to:Learn to relate better with others so thatrelationships are more intimate, enjoyable andrewardingUnderstand the causes of emotions and whatdrives them to compete, to distrust others, andperhaps to despise themself and othersBecause personality traits can be difficult tochange, therapy may take several years. Areas ofchange are directed at helping them acceptresponsibility and learning to:Accept and maintain real personal relationshipsand collaboration with co-workersRecognize and accept their actual competenceand potential so you can tolerate criticisms orfailuresIncrease their ability to understand and regulatetheir feelingsUnderstand and tolerate the impact of issuesrelated to their self-esteemRelease their desire for unattainable goals andideal conditions and gain an acceptance of what'sattainable and what they can accomplish Medication - no drugs exist to combat NPDIf not treated, NPD can lead to alcohol/drug abuse, depression,suicidal thoughts and actions, damaged relationships, etc. Additional facts: Most children/teens show some narcissistic tendenciesat some pointMost people suffering from NPD grew up in householdswhere they were excessively pampered or criticizedSome people hypothesize that Genetics or psychobiology the connection between the brain and behavior andthinking plays a role in the development of NPD.
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