Instructions: Below is a list of questions that relate to life experiences common among people who have been diagnosed with narcissistic personality disorder (NPD). Please read each question carefully, and indicate how often you have experienced the same or similar challenges in the past few months.

This quiz is NOT a diagnostic tool. Mental health disorders can only be diagnosed by qualified mental health professionals.  If you'd like to learn more about NPD, read Tell Me All I Need to Know About Narcissistic Personality Disorder.

Psycom believes assessments can be a valuable first step toward getting treatment. All too often people stop short of seeking help out of fear their concerns aren't legitimate or severe enough to warrant professional intervention.

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Do you experience an exaggerated sense of self-importance?
Do you expect to be seen as superior to other people?
Do you ever exaggerate your talents or accomplishments?
Do you require constant admiration from others?
Do you engage in fantasies about being successful, powerful, or beautiful?
Do you expect total compliance from others
Do you struggle to recognize the emotions and needs of other people?
Do others perceive you as arrogant or haughty?
How likely are you to expect special treatment or favors from others?
How likely are you to experience heightened jealousy about the success or accomplishments of others?
How likely are you to insist on having the best of everything (office, car, home, etc.)?
How likely are you to assume that others are jealous of your talents and success?

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If you think you or someone you care about may be suffering from Narcissistic Personality Disorder or any other mental health condition, PsyCom.net strongly recommends that you seek help from a mental health professional in order to receive a proper diagnosis and support. For those in crisis, we have compiled a list of resources (some even offer free or low-cost support) where you may be able to find additional help.​

Narcissistic Personality Disorder FAQs

What is narcissistic personality disorder?

Narcissistic personality disorder (NPD) is a type of personality disorder in which a person has an inflated sense of self-importance. Other hallmark characteristics of the disorder include an excessive need for admiration, an inability to accept criticism, a tendency to exaggerate achievements, and an inclination for taking advantage of others.

What causes narcissistic personality disorder?

The exact cause of narcissistic personality disorder is unknown, though some theories point to an unhealthy early parent-child relationship as an important factor. Biological, psychological, social, and environmental factors all likely play a role, but further research to confirm what causes narcissistic personality disorder.

How is narcissistic personality disorder diagnosed?

To be diagnosed with narcissistic personality disorder, a person must meet at least 5 of the following 9 criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5):
o a grandiose sense of self-importance; a preoccupation with fantasies of unlimited success, power, brilliance, beauty, or ideal love;
o a belief that he or she is special and unique and can only be understood by, or should associate with, other special or high-status people or institutions;
o a need for excessive admiration;
o a sense of entitlement;
o taking advantage of others;
o a lack of empathy;
o envy of others or a belief that others are envious of him or her;
o demonstration of arrogant and haughty behaviors or attitudes.

Only a licensed mental health professional can diagnose NPD.

How is narcissistic personality disorder treated?

Treatment for narcissistic personality disorder (NPD) typically involves a combination of both psychotherapy (talk therapy) and medication management. While there is no cure for NPD, therapy can help narcissists to better relate to and treat others, as well as increase their ability to understand and regulate their feelings. Therapy may be used in the short term or provided on an ongoing basis.

Which medications are used in the treatment of narcissistic personality disorder?

There are currently no medications used specifically to treat narcissistic personality disorder (NPD), though individuals with NPD may be prescribed other medications if they demonstrate symptoms of depression, anxiety, or another mental health disorder. Medications that may be considered include antidepressants, antipsychotics, and mood stabilizers.

How common is narcissistic personality disorder?

While many people may exhibit varying degrees of narcissistic traits, narcissistic personality disorder is in fact very uncommon. It is estimated that only around 0.5% of the general U.S. population have the disorder. NPD is more common among males, who make up around 75% of those diagnosed.

At what age does narcissistic personality disorder develop?

Narcissistic personality disorder (NPD) typically presents by young adulthood (late teens to middle 20s). Narcissistic traits may be exhibited in adolescence, but may not ultimately develop into NPD. Individuals with NPD are often vain with regard to their physical appearance, and so NPD can worsen with age as a consequence of declining attractiveness or physical ailments. Although other, psychologically healthy people may adjust well to these changes, older adults with NPD may feel threatened by them.

Do narcissists feel remorse?

Narcissistic individuals tend to demonstrate a lack of remorse and empathy, as well as an inability to accept criticism. They also typically view themselves as all powerful and knowing, lending to a refusal to admit wrongdoing or feel guilt. Narcissists may put on a show of remorse when it is to their advantage to do so. For example, to get ahead in the workplace or manipulate others.

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Last Updated: Apr 12, 2021