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Narcissistic
Personality Disorder
Presented to Ma’am Aiman Shahzad
Group members
Syeda Hadeesa Zahra
Mamun Fazal Karim
Arooj Iftikhar
Benish Mushtaq
Nubila Ijaz
Ms. Maida
Brief introduction
Disorder criteria
Presented by Syeda Hadeesa zahra
F2019141021
2
Brief introduction
Narcissism is a term commonly used to
describe those who seem more
concerned with themselves than with
others.
But not all people with these traits have a
personality disorder. While narcissistic
traits may be common at times, such as
during adolescence, this does not
necessarily mean people will go on to
develop NPD.
People with narcissistic personality
disorder are typically described as
arrogant, conceited, self-centered, and
haughty. Because they imagine
themselves as superior to others, they
often insist on possessing items that
reflect a successful lifestyle.
3
Background
Do you know the story of
Narcissus?
figure of Greek mythology
4
A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack
of empathy, beginning by early adulthood and present in a variety of contexts, as
indicated by five (or more) of the following:
1. Has a grandiose sense of self-importance (e.g., exaggerates achievements and
talents, expects to be recognized as superior without commensurate
achievements).
2. Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or
ideal love.
3. Believes 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).
4. Requires excessive admiration.
Diagnostic Criteria
5
5. Has a sense of entitlement (unreasonable expectations of especially favorable
treatment or automatic compliance with his or her expectations). 670 Personality
Disorders
6. Is interpersonally exploitative (takes advantage of others to achieve his or her
own ends).
7. Lacks empathy: is unwilling to recognize or identify with the feelings and
needs of others.
8. Is often envious of others or believes that others are envious of him or her.
9. Shows arrogant, haughty behaviors or attitudes
Diagnostic Criteria
6
Diagnostic Features Of Narcissistic
Personality
Presented by Mamun Fazal Karim
f2019141001
7
Diagnostic Features
What Basically Narcissistic personality is
?
A personality disorder with a long term
pattern of abnormal behavior marked by
an inflated feeling of self importance.
Deep need of attention and admiration.
Lack of empathy for others.
8
Diagnostic
Features
9
• Causes problems in many area’s including.
• Work place.
• School
• And Relationships.
• Affected one have high love for self, having high
self esteem and believing that they are superior
and special than others.
• Unhappy and disappointed when not given special
favor or praise they think they deserve.
• This is generally appears to occur more often in
males than females and affect young people more
than older people.
Diagnostic
Features
10
• Causes: Exact cause is not known but it is believe
that it can be gene linked.
• Neurobiology: the connection between the brain and
behavior and thinking.
• Sometime environment factors also cause the
disorder such as
• Childhood abuse
• Neglect
• Excessive parental pampering
• Unrealistic expectations from parents.
Symptoms.
1- Exaggerated sense of the self importance.
2- Exaggerating achievements and talents.
3- Taking advantage of others to get what they want.
4- Extreme sense of entitlement and constant
excessive admiration.
5- Difficulty maintaining healthy relationships.
6- Expect to be recognized as superior even without
achievement.
7- Be preoccupied with fantasies about success,
power, brilliance and results.
8- They have secret feeling of insecurity, shame,
vulnerability and humiliation.
9- React negatively to criticism.
11
Associated Features
of Narcissistic
Personality Disorder
Presented by Arooj Iftikhar
f2019141045
12
• Vulnerability in self-esteem makes individuals with NPD very sensitive to "injury"
from criticism or defeat.
• May not show it outwardly but criticism may haunt these individuals.
• Leave them feeling humiliated, degraded, hollow, and empty.
• React with disdain, rage, or defiant counterattack.
• Such experiences lead to social withdrawal or an appearance of humility.
• Interpersonal relations are typically impaired because of,
• Problems derived from entitlement
• Need for admiration
• The relative disregard for the sensitivities of others.
Associated Features
13
• Disruption in performance and achievement due to intolerance of criticism or defeat.
• Low vocational functioning- an unwillingness to take a risk in competitive or other
situations.
• Sustained feelings of shame or humiliation.
• Association of self-criticism with social withdrawal, depressed mood, and persistent
depressive disorder or major depressive disorder.
• Association of sustained periods of grandiosity with a hypomanic mood.
• NPD is also associated with anorexia nervosa and substance use disorders
(especially related to cocaine).
• Histrionic, borderline, antisocial, and paranoid personality disorders may be
associated with NPD.
Associated Features
14
Etiology
There are Three Factors in Narcissistic:
1.Biology : Genetics
2.Sociology: Environment
3.Psychology: Brain
Presented by Benish Mushtaq
F2019141098
15
Etiological Factors
It’s not known what causes narcissistic personality disorder. As with
personality development and with mental health disorders, the cause of
narcissistic personality disorder is likely complex. Narcissistic personality
disorder may be linked to.
Environment
Mismatches in parent, child
relationship with either
excessive abortion or
excessive criticism that is
poorly attuned to the
child’s experience.
Genetics
Inherited
characteristics.
Neurobiology
The connection
between the brain
and behavior and
thinking.
16
Differential Diagnosis
Presented by Nubila Ijaz
f2019141092
17
Differential
Diagnosis
• Other Personality Disorder and Personality Traits
The differential diagnosis often includes prevailing mood or anxiety
disorders. Often persons with grandiose narcissism can present with
heightened mood and more energy when excited by a new idea, Which
may initially point to a hypomanic/ manic presentations; However, the
personality aspect would be prominent in their interaction with others. On
the other extreme, persons with vulnerable narcissism may present with
salient features of dysthymia, depression and anhedonia .However, the
grandiosity and need for admiration would be prominent despite the
affective symptoms, which would differentiate it from a major depressive
disorder.
• Mania or hypomania
Grandiosity may emerge as part of manic or hypomanic episodes, but the
association with mood change or functional impairments helps distinguish
these episodes from narcissistic personality disorder.
• Substance use disorder
Narcissistic personality disorder must also be distinguished from
symptoms that may develop in association with persistent substance use.
18
More Information to deal with
Narcissistic Personality
Presented by Ms. Maida
f2019141038
19
Treatments
20
• Treatment can done by talk therapy known
as psychotherapy. It helps
• Improve collaboration with workers or
peers
• Maintain personal relationships
• Understand and manage feelings
• Cope with self-esteem issues
• Set realistic goals for yourself
• Recognize strengths and potential of
bearing faliures
More Information
Avoid alcohol, drugs and other
substance that trigger negative
behaviors.
Exercise at least three times per
week to help boost mood.
Engage in relaxation techniques,
such as yoga and meditation to
reduce stress and anxiety.
21
Thank you
22

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Narcissistic Personality Disorder.pptx

  • 1. Narcissistic Personality Disorder Presented to Ma’am Aiman Shahzad Group members Syeda Hadeesa Zahra Mamun Fazal Karim Arooj Iftikhar Benish Mushtaq Nubila Ijaz Ms. Maida
  • 2. Brief introduction Disorder criteria Presented by Syeda Hadeesa zahra F2019141021 2
  • 3. Brief introduction Narcissism is a term commonly used to describe those who seem more concerned with themselves than with others. But not all people with these traits have a personality disorder. While narcissistic traits may be common at times, such as during adolescence, this does not necessarily mean people will go on to develop NPD. People with narcissistic personality disorder are typically described as arrogant, conceited, self-centered, and haughty. Because they imagine themselves as superior to others, they often insist on possessing items that reflect a successful lifestyle. 3
  • 4. Background Do you know the story of Narcissus? figure of Greek mythology 4
  • 5. A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following: 1. Has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements). 2. Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love. 3. Believes 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). 4. Requires excessive admiration. Diagnostic Criteria 5
  • 6. 5. Has a sense of entitlement (unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations). 670 Personality Disorders 6. Is interpersonally exploitative (takes advantage of others to achieve his or her own ends). 7. Lacks empathy: is unwilling to recognize or identify with the feelings and needs of others. 8. Is often envious of others or believes that others are envious of him or her. 9. Shows arrogant, haughty behaviors or attitudes Diagnostic Criteria 6
  • 7. Diagnostic Features Of Narcissistic Personality Presented by Mamun Fazal Karim f2019141001 7
  • 8. Diagnostic Features What Basically Narcissistic personality is ? A personality disorder with a long term pattern of abnormal behavior marked by an inflated feeling of self importance. Deep need of attention and admiration. Lack of empathy for others. 8
  • 9. Diagnostic Features 9 • Causes problems in many area’s including. • Work place. • School • And Relationships. • Affected one have high love for self, having high self esteem and believing that they are superior and special than others. • Unhappy and disappointed when not given special favor or praise they think they deserve. • This is generally appears to occur more often in males than females and affect young people more than older people.
  • 10. Diagnostic Features 10 • Causes: Exact cause is not known but it is believe that it can be gene linked. • Neurobiology: the connection between the brain and behavior and thinking. • Sometime environment factors also cause the disorder such as • Childhood abuse • Neglect • Excessive parental pampering • Unrealistic expectations from parents.
  • 11. Symptoms. 1- Exaggerated sense of the self importance. 2- Exaggerating achievements and talents. 3- Taking advantage of others to get what they want. 4- Extreme sense of entitlement and constant excessive admiration. 5- Difficulty maintaining healthy relationships. 6- Expect to be recognized as superior even without achievement. 7- Be preoccupied with fantasies about success, power, brilliance and results. 8- They have secret feeling of insecurity, shame, vulnerability and humiliation. 9- React negatively to criticism. 11
  • 12. Associated Features of Narcissistic Personality Disorder Presented by Arooj Iftikhar f2019141045 12
  • 13. • Vulnerability in self-esteem makes individuals with NPD very sensitive to "injury" from criticism or defeat. • May not show it outwardly but criticism may haunt these individuals. • Leave them feeling humiliated, degraded, hollow, and empty. • React with disdain, rage, or defiant counterattack. • Such experiences lead to social withdrawal or an appearance of humility. • Interpersonal relations are typically impaired because of, • Problems derived from entitlement • Need for admiration • The relative disregard for the sensitivities of others. Associated Features 13
  • 14. • Disruption in performance and achievement due to intolerance of criticism or defeat. • Low vocational functioning- an unwillingness to take a risk in competitive or other situations. • Sustained feelings of shame or humiliation. • Association of self-criticism with social withdrawal, depressed mood, and persistent depressive disorder or major depressive disorder. • Association of sustained periods of grandiosity with a hypomanic mood. • NPD is also associated with anorexia nervosa and substance use disorders (especially related to cocaine). • Histrionic, borderline, antisocial, and paranoid personality disorders may be associated with NPD. Associated Features 14
  • 15. Etiology There are Three Factors in Narcissistic: 1.Biology : Genetics 2.Sociology: Environment 3.Psychology: Brain Presented by Benish Mushtaq F2019141098 15
  • 16. Etiological Factors It’s not known what causes narcissistic personality disorder. As with personality development and with mental health disorders, the cause of narcissistic personality disorder is likely complex. Narcissistic personality disorder may be linked to. Environment Mismatches in parent, child relationship with either excessive abortion or excessive criticism that is poorly attuned to the child’s experience. Genetics Inherited characteristics. Neurobiology The connection between the brain and behavior and thinking. 16
  • 17. Differential Diagnosis Presented by Nubila Ijaz f2019141092 17
  • 18. Differential Diagnosis • Other Personality Disorder and Personality Traits The differential diagnosis often includes prevailing mood or anxiety disorders. Often persons with grandiose narcissism can present with heightened mood and more energy when excited by a new idea, Which may initially point to a hypomanic/ manic presentations; However, the personality aspect would be prominent in their interaction with others. On the other extreme, persons with vulnerable narcissism may present with salient features of dysthymia, depression and anhedonia .However, the grandiosity and need for admiration would be prominent despite the affective symptoms, which would differentiate it from a major depressive disorder. • Mania or hypomania Grandiosity may emerge as part of manic or hypomanic episodes, but the association with mood change or functional impairments helps distinguish these episodes from narcissistic personality disorder. • Substance use disorder Narcissistic personality disorder must also be distinguished from symptoms that may develop in association with persistent substance use. 18
  • 19. More Information to deal with Narcissistic Personality Presented by Ms. Maida f2019141038 19
  • 20. Treatments 20 • Treatment can done by talk therapy known as psychotherapy. It helps • Improve collaboration with workers or peers • Maintain personal relationships • Understand and manage feelings • Cope with self-esteem issues • Set realistic goals for yourself • Recognize strengths and potential of bearing faliures
  • 21. More Information Avoid alcohol, drugs and other substance that trigger negative behaviors. Exercise at least three times per week to help boost mood. Engage in relaxation techniques, such as yoga and meditation to reduce stress and anxiety. 21