Narcissistic personality disorder (NPD) is a personality disorder characterized by a long-term pattern of exaggerated feelings of self-importance, an excessive need for admiration, and a lack of empathy toward other people.[2][3] People with NPD often spend much time thinking about achieving power and success, or on their appearance.[3] Typically, they also take advantage of the people around them.[3] Such narcissistic behavior typically begins by early adulthood, and occurs across a broad range of situations.[3]
The causes of narcissistic personality disorder are unknown.[4] The condition of NPD is included in the cluster B personality disorders in the Diagnostic and Statistical Manual of Mental Disorders (DSM).[3] A diagnosis of NPD is made by a healthcare professional interviewing the person in question.[2] The condition of NPD should be differentiated from mania and substance use disorder.[3]
Treatments for narcissistic personality disorder have not been well studied.[2] Therapy is difficult, because people with narcissistic personality disorder usually do not consider themselves to have a mental health problem.[2] About one percent of people are believed to be affected with NPD at some point in their lives.[4] It occurs more often in men than women, and typically affects younger as opposed to older people.[2][3] The narcissistic personality was first described by the psychoanalyst Robert Waelder, in 1925; and the term narcissistic personality disorder (NPD) was coined by Heinz Kohut, in 1968.[5][6]
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