Diagnosis: NPD

DSM IV-TR: The Diagnostic and Statistical Manual of Mental Disorders.

The American Psychiatric Association brought out a manual that covers all mental health disorders for both children and adults.  This Diagnostic and Statistical Manual of Mental Disorders (or DSM IV-TR as it is better known) is considered the bible of psychiatrists, psychologists and other mental health professionals everywhere, and it specifies the nine diagnostic criteria for identifying narcissistic personality disorder (NPD). By the way, this manual is constantly being updated as more about the condition of narcissism is understood.  At present, for the clinician to make the diagnosis, an individual must fit five or more of the following nine descriptions:

Narcissistic Personality Disorder Criteria:

He or she has a grandiose sense of self-importance (exaggerates accomplishments and demands to be considered superior without real evidence of achievement).
He or she lives in a dream world of exceptional success, power, beauty, genius, or “perfect” love.
He or she thinks of him- or herself as “special” or privileged, and that he or she can only be understood by other special or high-status people.
He or she demands excessive amounts of praise or admiration from others.
He or she feels entitled to automatic deference, compliance, or favorable treatment from others.
He or she is exploitative towards others and takes advantage of them.
He or she lacks empathy and does not recognize or identify with others’ feelings.
He or she is frequently envious of others or thinks that they are envious of him or her.
He or she “has an attitude” or frequently acts in haughty or arrogant ways.

  1. My 26 year experience with a NPD was as follows: it’s all about ME and, MINE… my children, my parents, my friends & my job. I met his representative in the beginning. Once he had me hooked, he began tearing me down. Where I once had friends, he made sure to consume/control my every waking moment, because of this it was too taxing to be my friend any longer. Then, he began picking apart my family members & anyone or anything that he felt took time away from him. Unless you’ve experienced this warped behavior, you cannot wrap your head around “how this happened”. The NPD is so covert even you do not realize what is happening. Your mind has been turned into a “hamster wheel” of emotions you’re dealing with & questions of why if someone has professed to love you, are they so cruel & controlling. WHY? Because they can! It doesn’t matter if you’re a strong willed person or not, I am strong willed & he still managed to make my life a living hell when things were not going his way. One way I know to describe “how” they do it is, a quote from the movie, The Green Mile. The character played by Michael Clarke Duncan says “he killed them with their love”. Yes, that is what a NPD does to you, they take your love for any & everything, use it against you to slowly pick away at your very foundation. I have now divorced him but, struggling to find ME again. To rebuild after this is a daily, hourly struggle and, truly only the strong do survive.

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  2. I need advice just split up with nar bf last nite after 6yr living together n it has been the worst mental abuse need advice

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  3. Seems many claim to be a firmer “Navy Seal”, or other high ranking military officer, and having ex’s who are current porn stars, or is this just my experience?

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  4. Is there a paranoid component? Thinking everyone and everything is out to get them?

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    • I think rather than paranoia, I believe it is more a symptom of the fear of rejection. This fear becomes a habitual way of thinking which you could say is a paranoid component. No matter what there is always an issue because the person has to create and maintain drama. A vicious cycle I experience daily with my mother.

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    • Yes there often is paranoid component present in the narcissist. The one I encountered was constantly accusing others and me of wanting to see her fail. The malignant narcissist (think covert narcissist mixed with antisocial (Sociopath) and paranoid personality disorders) is the trifecta of evil. I was with one for 4 years and she just about drove me to suicide and insanity. This was her goal and she enjoyed every second of my pain. These are very sick people. I hope that you where fortunate enough to get away. Good luck! 🙂

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    • Yes! I believe this is how someone with NPD feels when they are about to get knocked off their pedestal.

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  5. Thank you, sincerely. I have a question, pls. Is this condo tin treatable? There were very rare, fleeting moments of apparent lucidity. Is it possible for them to reform the pattern?

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  6. I’ve come across the perfect description of a previously-thought friend. Do u think this applies, I’ll have to speak to u directly to put the name on the picture, but meantime u might gather the pictures description & find other people who u know that it fits. If you’ve lots of people it fits,I suggest u get help ASAP, as these folks can really screw your brain up & leave u feeling “@ fault”, ready to jump threw ” hoops” to appease them! Then through u back to the trash, with “not good enough” B.S., when UR down & bleeding!

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  1. Pingback: So... I'm basically a superhero (aka single mom)

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