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docs(notes): add 2025-04-26-npd-en.md
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notes/2025-04-26-npd-en.md

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---
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title: Narcissistic Personality Disorder
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lang: en
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---
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Narcissistic Personality Disorder (NPD) is characterized by a pervasive pattern of grandiosity, a need for admiration, and a lack of empathy, beginning by early adulthood. Below are the key symptoms, based on the DSM-5 criteria and clinical understanding:
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1. **Grandiosity**: Exaggerated sense of self-importance, believing they are superior or unique compared to others.
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2. **Fantasies of Success**: Preoccupation with fantasies of unlimited power, success, beauty, or ideal love.
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3. **Need for Admiration**: Constant craving for attention, praise, and validation from others.
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4. **Sense of Entitlement**: Expecting special treatment or automatic compliance with their wishes.
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5. **Exploitative Behavior**: Taking advantage of others to achieve their own goals, often without guilt.
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6. **Lack of Empathy**: Inability or unwillingness to recognize or care about others' feelings and needs.
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7. **Envy**: Feeling envious of others or believing others are envious of them.
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8. **Arrogant Attitude**: Displaying haughty, patronizing, or condescending behaviors.
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9. **Fragile Self-Esteem**: Despite outward confidence, they may react strongly to criticism or perceived slights, often with anger or shame.
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These symptoms must cause significant distress or impairment in social, occupational, or other areas of functioning to meet the diagnostic criteria. Not everyone with narcissistic traits has NPD; a diagnosis requires a professional evaluation.
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If you’re seeking more specific details or suspect NPD in yourself or someone else, a licensed mental health professional can provide a thorough assessment. Would you like resources or further clarification?

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