A qualified expert will typically have to administer a standard psychiatric interview to determine if someone has NPD. A person’s aggression typically indicates the severity of the disorder.Īdditionally, people who have NPD often experience other physical and mental health conditions, like substance use disorder and anxiety, which may further complicate close relationships.Īll that said, knowing the “official” diagnostic criteria doesn’t usually make it easier to spot someone with NPD, especially when you’re romantically involved with one. In outpatient settings, for example, people who have a narcissistic personality disorder may be high functioning and relatable, but in the inpatient settings, they can be aggressive and challenging. Fran Walfish, the author of “The Self-Aware Parent.” “Narcissism falls on a spectrum,” says Beverly Hills family and relationship psychotherapist Dr. Like most mental health or personality disorders, there are varying degrees of NPD severity. What it boils down to, according to licensed therapist Rebecca Weiler, LMHC, is selfishness at the expense of others, plus the inability to consider others’ feelings at all.
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