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NPD vs. Narcissistic Tendencies: Key Differences

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Written by Zach Miller, Medically Reviewed by Jocelyn Riden November 21, 2024

The word ‘narcissism’ seems to pop up in conversations around personality traits but having narcissistic tendencies and being diagnosed with Narcissistic Personality Disorder are not the same thing. Both certainly represent behavior that may appear to be self-centered or grandiose but are vastly different in their severity, impact, and treatment requirements. In this blog, we shall look at the two, the traits each has, the implications, and how they can be handled.

What is Narcissistic Personality Disorder (NPD)?

Narcissistic Personality Disorder is a DSM5 diagnosed mental health condition. It involves a pervasive and persistent pattern of behaviors such as:

  • Grandiosity: An inflated sense of being special, or superiority.
  • Need for Admiration: Gaining a kind of craving for constant praise, and validation by others.
  • Lack of Empathy: A lack of willingness or ability to recognize and deal with the wants and needs of other people.
  • Fragile Self-Esteem: Even if there’s outward confidence, those with NPD have a vulnerability to being criticized or feeling like they’ve failed.
  • Manipulative Behaviors: Using or abusing others for one’s gain, or a feeling of power.

According to DSM, these behaviors are very harmful to the affected person’s occupational, social, or personal functioning. The traits are woven into their every thought and driven in relationships and life.

What Are Narcissistic Tendencies?

On the other hand, narcissistic tendencies mean the behaviors or attitudes, which may seem similar to those of NPD, less frequently and less intensely. These tendencies might include:

  • Occasional Arrogance: Doing something too confident or dismissive in a specific situation.
  • Desire for Recognition: Looking out for recognition for work achieved and not a constant need.
  • Difficulty Accepting Criticism: Uncomfortable being criticized but able to reflect and improve.
  • Focus on Appearance or Status: Sometimes effort in maintaining a particular image or success without exploitation.

Normal people have narcissistic tendencies. Most people are narcissistic to some extent; given some level of stress or their self-esteem being diminished. They often are situation-specific and do not cause long-term change or damage to their lives or relationships.

Key Differences Between NPD and Narcissistic Tendencies

Here are the key differences between Narcissistic Personality Disorder (NPD) and narcissistic tendencies:

  • Frequency: Narcissistic tendencies happen habitually and in a specific situation, but NPD has a lifetime persistence as well as pervasiveness.
  • Severity: NPD is so intense, that it interferes with one’s relationships, job, or everyday life. Narcissistic traits are mild and controllable.
  • Impact on Others: If someone is NPD (not to be confused with narcissistic); It is harmful and manipulative — whereas, narcissism tends to just be frustrating but isn’t typically harmful.
  • Self-Awareness: Those with NPD frequently lack self-awareness, and typically don’t understand how their attitudes and behaviors are inappropriate or unhealthy. Narcissistic people can look at their actions and try to better themselves.
  • Need for Treatment: Narcissistic tendencies may NOT require intervention and can often be shifted via self‐awareness or feedback, while NPD most frequently does and usually requires professional therapy.
  • Consistency: Narcissistic tendencies crop up in specific situations while NPD traits are so ingrained they present themselves in all contexts.
  • Relationship Impact: Interacting with someone with NPD is usually more emotionally draining, one-sided, and usually takes up more of the other person’s time than with someone who may occasionally have narcissistic tendencies.

Recognizing NPD: The Diagnostic Criteria

The DSM 5 criteria are used by mental health professionals to diagnose a person for NPD. A person must display at least five of the following traits:

Narcissistic Personality Disorder in orlando

  • A belief that they are superior to others.
  • Fantasies of success, power, beauty, etc., or fantasies of ideal love.
  • Believing that they are special and unique and can be in contact with nothing except high-status people.
  • Necessary excessive admiration.
  • An unreasonable expectation of favorable treatment—that is, a sense of entitlement.
  • Exploitation of others for personal gain.
  • Lack of empathy.
  • Envy of others or belief that others are envious of them.
  • Arrogant or haughty behaviors or attitudes.

These traits have to be present over time and not only in each particular situation, like in work, in a relationship, or inside family dynamics.

How Narcissistic Tendencies Manifest

By comparison, narcissistic tendencies are not sufficiently diagnostic of NPD. These tendencies might show up in ways such as:

  • Seeking Validation: Wanting a pat on the back after a big achievement but you can let it go if it never comes.
  • Defensive Behavior: Sometimes it goes too far, the person gets upset when criticized and then reflects and adjusts.
  • Status Focus: It is wanting to appear successful or important without hurting others to do so.

These traits are common and in moderation can even be useful. Achievement of goals and remaining confident are motivated for example by striving to be recognized, or trying to look good.

NPD vs. Narcissistic Tendency: The Emotional Impact

It might be frustrating, but not overwhelming, for those interacting with someone acting out narcissistic personality traits. However, living with an NPD person is emotionally draining and damaging. Here’s how these dynamics differ:

  • Narcissistic Tendencies: You might be annoyed and even misunderstood, but can still make peace with other people by having open communication.
  • NPD: This may result in manipulation, gaslighting, or poor emotional reciprocity, thus making the relationship feel one-sided and very tiring.

Understanding this distinction is essential for navigating relationships and setting appropriate boundaries.

Treatment and Growth

For NPD: Long-term psychotherapy such as Cognitive Behavioural Therapy (CBT) or Psychodynamic Therapy is the treatment for NPD. These approaches help individuals:

  • Develop self-awareness.
  • Improve empathy.
  • Build healthier relationships.
  • Learning to deal with underlying insecurities and fears.

It can be very difficult, however, for people with the disorder to seek or engage in therapy, as they’ll likely not recognize their behaviors as problematic.

For Narcissistic Tendencies:

People with narcissistic tendencies can modify their behaviors without any formal therapy. Practices like mindfulness, self-reflection, and feedback from trusted friends or family members can be effective. Short-term therapy can be very enlightening if these tendencies cause stress, or if they interfere with relationships.

Approaching Someone with NPD or Narcissistic Tendencies

If you suspect someone in your life exhibits these behaviors, consider the following approaches:

  • For NPD: Boundary set, avoid power struggles, get therapy support for a safe route through the relationship. Assist them to seek professional help if it is appropriate.
  • For Narcissistic Tendencies: You should be open and have gentle communication with them. When you discover something that erodes your relationship, be patient but assertive.

Approaching Someone with NPD or Narcissistic Tendencies

Although both NPD and narcissistic tendencies have some obvious similarities, the differences between them are huge. Narcissistic tendencies are milder and can, in many cases, be situational, and NPD is severe and pervasive enough to be a condition that calls for professional intervention. But knowing the difference between these is crucial to knowing how to respond to these behaviors, whether you’re trying to enact boundaries with a loved one, work on your habits, or help someone who might need professional help.

Tools for addressing NPD and narcissistic tendencies include empathy, awareness, and education. The more we learn these differences, the more healthy relationships we can make and foster personal growth.

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