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Signs and symptoms of narcissistic personality disorder and the severity of symptoms vary. People with the disorder can:
>Have an exaggerated sense of self-importance
>Have a sense of entitlement and require constant, excessive admiration
>Expect to be recognized as superior even without achievements that warrant it
>Exaggerate achievements and talents
>Be preoccupied with fantasies about success, power, brilliance, beauty or the perfect mate
>Believe they are superior and can only associate with equally special people
>Monopolize conversations and belittle or look down on people they perceive as inferior
>Expect special favors and unquestioning compliance with their expectations
>Take advantage of others to get what they want
>Have an inability or unwillingness to recognize the needs and feelings of others
>Be envious of others and believe others envy them
>Behave in an arrogant or haughty manner, coming across as conceited, boastful and pretentious
>Insist on having the best of everything — for instance, the best car or office
At the same time, people with narcissistic personality disorder have trouble handling anything they perceive as criticism, and they can:
>Become impatient or angry when they don't receive special treatment
>Have significant interpersonal problems and easily feel slighted
>React with rage or contempt and try to belittle the other person to make themselves appear superior
>Have difficulty regulating emotions and behavior
>Experience major problems dealing with stress and adapting to change
>Feel depressed and moody because they fall short of perfection
>Have secret feelings of insecurity, shame, vulnerability and humiliation
