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by Dr Andrew Williams and
Dr Jessica Yakeley
Published: August 2019
Narcissistic personality disorder (NPD) often
remains undiagnosed despite the fact that the disorder usually
causes significant suffering to patients and their families.
People with NPD often present to services
following acts of harm towards themselves or others, or with
coexisting addiction, depression or anxiety disorders. As with the
relationship between deliberate self-harm and borderline
personality disorder, being able to understand the individual's
presentation as symptomatic of a particular form of personality
disorder can be immensely helpful for the treating clinician.
Diagnosing problematic narcissistic traits or personality disorder
can enhance the therapeutic relationship, aid risk assessment and
help determine appropriate management.
As well as enabling you to recognise the key
features of NPD, this module will develop your understanding
of how a diagnosis of NPD can affect the way in which patients
relate to services. We will also look at the recognised treatments
for NPD and their effectiveness.
If you like this module, you may also be interested in:
and safely managing paranoid personality disorder by Dr Andrew
Carroll and Dr Clare McInerney
Quickbite Asking for a psychodynamic
psychotherapy opinion in general psychiatry by Dr Jon
Download take-home notes to print and
Yakeley J (2018) Current understanding of narcissism and
narcissistic personality disorder. BJPsych Advances,
24: 305–315. [abstract]