Just a Big Ego or Could It Be Narcissistic Personality Disorder?

According to Greek mythology, Narcissus was a handsome Greek youth who fell in love with his own reflection in a pool of water. The concept of a big ego has been recognized throughout history but it has only recently been defined as a psychological diagnosis – Narcissistic Personality Disorder.

Perhaps you think that narcissism is just annoying. However, it is a serious diagnosis. People with this disorder have an inflated sense of their own importance and a deep need for admiration. Complications of Narcissistic Personality Disorder, when untreated can include: substance and alcohol abuse, depression, suicidal thoughts, relationship difficulties and problems at school or work.

Narcissists come across as conceited, boastful and pretentious. This impacts everyone around them as they often monopolize conversations, look down on others as inferior and have a misplaced sense of entitlement. They insist on having “the best” of everything and can become easily angry when thwarted. Click here for a list of common symptoms as outlined by the Mayo Clinic. Or take the Narcissistic Personality Quiz at psychcentral.com.

Can narcissism be confused with strong self-esteem? No. Here’s the difference. Unlike narcissists, people who have healthy confidence and self-esteem don’t value themselves more than they value others.

More than likely, it is the loved ones of a narcissist that see the need for professional help. If you are in a relationship with someone you suspect is a narcissist, get counseling for yourself immediately. A trained mental health professional can help you navigate this difficult relationship so you don’t sink into a dangerous cycle of codependency.

Should they choose to get help, therapy can greatly assist those with Narcissistic Personality Disorder. In the short-term psychotherapy would address issues as substance abuse, depression, and relationship issues. In the long-term goal the idea is to gradually reshape their personality so that they can create a healthier self-image and more enjoyable relationships.

If you need a diagnosis or counseling related to narcissism, in yourself or a loved one, contact my office if you live in the Portland, Oregon/Vancouver, Washington area to make an appointment.