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Personality

Narcissistic personality disorder

A pattern of grandiosity, need for admiration and lack of empathy, which often hides a fragile self-esteem.

Common signs

Feeling specialNeed for admirationReacts badly to criticism

Tips

For you

  1. Long-term therapy
  2. Work on empathy and self-esteem
  3. If you live with someone like this, look after your boundaries

For family and friends

  1. Set clear limits and look after your self-esteem
  2. Avoid getting into power struggles

When to ask for help

  1. If there is depression after a failure
  2. If you live with psychological abuse: 016

Guidance test

Answer thinking about the last few weeks. There are 8 questions and you get your result straight away. Your answers are not saved or sent.

0 of 8
1. I feel I'm special and deserve special treatment
2. I need admiration
3. I find it hard to put myself in others' shoes
4. Criticism affects me a lot or makes me angry
5. I fantasise about success or power
6. I feel envious or believe others envy me
7. I hate having to wait or follow rules
8. My relationships end in conflict
Also take the full self-esteem test →

Free resources

Downloadable PDF sheetSigns, tips and resources to print or saveConfederación SALUD MENTAL ESPAÑA (Spanish mental health confederation)Free external resourceAll our free guidesFree resource from Clínica Vivaldi

Related disorders

Paranoid personality disorderPersonalitySchizoid personality disorderPersonalitySchizotypal personality disorderPersonalityAntisocial personality disorderPersonality

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Reviewed by María Teresa Fernández Vicente, health psychologist and neuropsychologist (registration no. CV17304), in November 2026. Educational information prepared by the Clínica Vivaldi team based on the DSM-5-TR classification. It does not replace a professional assessment and cannot be used to diagnose.