Is NPD a mental illness

Narcissistic personality disorder belongs to the category of mental disorders, but it is different from traditional mental illnesses. Narcissistic personality disorder is mainly characterized by excessive self centeredness, lack of empathy, and a need for continuous praise, and usually does not present with psychotic symptoms such as hallucinations and delusions. Patients with narcissistic personality disorder often exhibit exaggerated perceptions of their own importance, fantasies of unlimited success and power, and a belief that they are special and unique. This group of people often exhibit arrogant attitudes, lack empathy, and are prone to using others to achieve their own goals in interpersonal relationships. They are extremely sensitive to external evaluations and may experience anger or shame reactions when their self-esteem is threatened. In rare cases, narcissistic personality disorder may be accompanied by other mental problems such as depression and anxiety, and in severe cases, brief psychotic episodes may occur. These patients usually lack disease awareness and rarely seek medical attention proactively, and their behavior patterns have long-term stability. Diagnosis needs to be determined by a psychiatrist through professional evaluation, and conclusions cannot be drawn based solely on individual manifestations. For narcissistic personality disorder, psychotherapy is the main intervention method, and both cognitive-behavioral therapy and psychoanalytic therapy have certain effects. Family members should avoid excessive criticism or indulgence and maintain a stable supportive attitude. If obvious social dysfunction or risky behavior is found in patients, professional psychological assistance should be sought in a timely manner. Early intervention can help improve prognosis.