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A narcissistic personality disorder is characterized by an excessive urge to highlight oneself in a beneficial way and to be in the spotlight as the one who is best, prettiest, strongest and so on. Here you can read more about narcissistic personality disorder.

 



Photo: by Fares Hamouche on Unsplash

 

Symptoms of narcissistic personality disorder

A personality disorder is characterized by abnormalities in the personality. The condition manifests itself already in adolescence and continues into adulthood.

The following symptoms characterize a narcissistic personality disorder: 





  

  1. Has a grandiose perception of self-importance (eg exaggerates companies and talents, expects to be perceived as better than others without this being based on similar achievements). 
  2. Is preoccupied with fantasies about unlimited fame, success, power, brilliance, beauty or ideal love. 
  3. Believe that he or she is "special" and unique and and can only be understood by, or should be with, special or high-status people (or institutions). 
  4. Requires excessive admiration.
  5. Have a feeling of being particularly justified, e.g. unreasonable expectations of particularly favorable treatment, or that others should readily meet his or her expectations. 
  6. Is exploitative in interpersonal relationships, ie seeks benefits through others to achieve their own goals. 
  7. Lack of empathy; is not willing to acknowledge or identify with other people's feelings and needs. 
  8. Is often jealous of others or thinks that others are jealous of him or her. 
  9. Shows arrogant, arrogant behavior or attitudes. 

Source: SCID-II

 

What helps with narcissistic personality disorder?

The treatment of personality disorders generally aims to create better social functioning and adaptation. In addition, attempts are made to reduce acute symptoms, such as psychosis. Furthermore, support is provided to ride out crises in relation to those closest to them.





In the treatment context, the personality disorders are divided into two groups: mild and severe personality disorders. The mild personality disorders include evasive, obsessive-compulsive and dependent personality disorders, while the rest are considered among the most severe.

The main treatment for the mild personality disorders is long-term conversational therapy (long-term psychotherapy). This is done by a specialist. Some will need additional treatment for depression and anxiety.

In the case of severe personality disorders, hospitalization and medical treatment in crises may be necessary, in addition to long-term psychotherapy. Support talks with a general practitioner may also be relevant.

The treatment for narcissistic personality disorder is demanding because most people will perceive treatment in itself as a provocation against self-esteem. If the person is interested in treatment, which can be seen in the wake of repeated work conflicts or difficulties in relationships, psychotherapy is the most important form of treatment.

Medication can help with marked anxiety or depression.

 

Investigation / screening for narcissistic personality disorder 

SCID-II is often used to diagnose personality disorders, and is a structured interview to be done by a therapist, usually at an adult psychiatric outpatient clinic (DPS).

 

Covert narcissism

HSNS - The Hypersensitive Narcissism Scale (HSNS), is the most well-known scale for detecting covert narcissism.

HSNS is answered by scoring 10 questions on a scale from 1 (false) to 5 (true). Please answer the following questions by determining the extent to which each link is typical of your emotions and behaviors. Choose a number from 1-5 on the scale below.

1 = false, completely disagree

2 = atypical

3 = neutral

4 = typical

5 = true, completely agree

 

  1. I can be completely engrossed in thinking about personal things, my health, my career and my relationship with others.
  2. I am easily hurt by criticism or hurtful remarks from others.
  3. When I enter a room, I often feel self-focused and feel that others are looking at me.
  4. I do not like to share the credit for my own achievements with others.
  5. I feel I have enough worries if I should not worry about others as well.
  6. I feel my temperament differs from others.
  7. I often interpret other people's comments in a personal way.
  8. I often get preoccupied with my own interests and forget the presence of others.
  9. I dislike groups, unless I know I will be accepted by at least one of those present.
  10. I feel anxious when other people come to me with their problems and ask for my time and sympathy.

A score above 35 is considered a high score and a number below 23 is considered a low score.

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