Mental condition in which people have an inflated sense of self, a deep need for admiration and a lack of empathy for others.


  1.  Conceited, boastful or pretentious
  2. Secret feelings of insecurity, shame, vulnerability and humiliation
  3. Unfulfilling relationships
  4. Exaggerated sense of self-importance
  5. Inability or unwillingness to recognize the needs and feelings of others
  6. Arrogant or haughty manner
  7. A lack of empathy


  1. Genetics or psychobiology 
  2. Mismatches in parent-child relationships
  3. Childhood abuse or neglect
  4. Excessive pampering or excessive criticism
  5. Sexual promiscuity

Risk Factors

  • Overemphasize the child’s specialness and criticize fears 
  • Child may hide low self-esteem
  • Superficial sense of perfection and behavior

Diagnostic Tests

  • Toxicology screen to rule out drugs
  • Personality tests
  • Personality Diagnostic Questionnaire–4 (PDQ-4)
  • Millon Clinical Multiaxial Inventory III (MCMI-III)
  • International Personality Disorder Examination (IPDE)


  • Pscyocotherapy : group therapy, family therapy, couples therapy
  • Maintain real personal relationships
  • Understand and manage feelings
  • Cope with self esteem issues
  • Recognise the strengths and weakness


  • Antidepressants of the selective serotonin reuptake inhibitor (SSRI)
  • Antipsychotics (eg, risperidone)
  • Mood stabilizers (eg, lamotrigine)
  • Anti anxiety drugs

Lifestyle Management

  • Learn relaxation and stress management
  • Stay focused on your goal.
  • Avoid alcohol and drugs
  • Yoga and meditation
  • Excersice regularly

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