Yes. You can have both psychosis and narcissistic personality disorder. If this happens, a mental health professional may diagnose a comorbid disorder that fits the experienced psychotic symptoms. “In the present DSM-5 system, NPD doesn't have any specifiers, so if delusions appear, other diagnoses […]
Narcissistic breakdown symptoms can include rage, impulsive behaviors, or other ways of showcasing intense mental suffering. A narcissist will lash out at you in any way they can or hurt themselves to cope with the shame.
The psychopathic narcissist creates and maintains his or her own version of reality, seen and interpreted through the warped and distorted lens of pathological self-centeredness and self-deception.
In general, it may involve intense emotional reactions and a tendency toward vindictive behaviors, but it could also lead to depression and withdrawal. Narcissistic collapse isn't a permanent occurrence once it happens. Typically, the emotional pain will decrease and the person may return to feeling their usual.
A person experiencing a narcissistic collapse may engage in impulsive, risky behaviors such as excessive drinking or substance abuse, unprotected sex, rage outbursts, or self-harm.
During a narcissistic collapse, the narcissistic defenses that keep them confident are no longer working. In a narcissistic collapse, they feel extremely anxious, depressed, ashamed, and may be unable to keep functioning.
On the other extreme, persons with vulnerable narcissism may present with salient features of dysthymia, depression, and anhedonia. However, the grandiosity and need for admiration would be prominent despite the affective symptoms, which would differentiate it from a major depressive disorder.
Symptoms That Overlap: Grandiosity and Lack of Empathy
Considering the aforementioned symptoms, it is clear where overlap occurs. Those experiencing manic or hypomanic bipolar episodes may present with narcissistic traits such as: Grandiosity. Lack of empathy.
Rumour has it that SSRI's (such as Fluoxetine, known as Prozac) might have adverse effects if the primary disorder is NPD. They sometimes lead to the Serotonin syndrome, which includes agitation and exacerbates the rage attacks typical of a narcissist.
People with narcissistic personality disorder often have other mental health conditions, particularly mood disorders. They also have a high rate of suicide. These conditions may have a common cause or they may be a result of the difficulties people with narcissistic personality disorder have with social interactions.
Narcissists are known for taking things out of context. This is their way of twisting the truth and making you look bad. For example, if you tell them you need some time alone, they may interpret this as you being uninterested in them. They will then use this against you by accusing you of being selfish and uncaring.
They are often driven from agitation into an aggressive rage with a simple trigger. Any small play against their ego, perfectionism, or a slight action against their image of self-worth, may be enough to trigger narcissistic rage.
He experiences brief periods of mania. Then he can be entertaining, charming, and charismatic. Then he is "full of ideas and plans", attractive and leader-like. In the manic phase, he is restless (often insomniac), full of pent up energy, explosive, dramatic, creative, an excellent performer and manager.
People living with narcissistic personality may not typically experience sudden mood episodes. Instead, the condition may mean living with a persistent inflated self-image, a sense of entitlement, and a need for praise and admiration.
Yes, narcissists usually worsen with age. As their physical beauty or influence wanes, they struggle to maintain the admiration and attention they crave. This can lead to an intensification of their narcissistic behaviors, such as manipulation, gaslighting, and emotional abuse.
“To what extent do you agree with this statement: 'I am a narcissist.'”
Type As can also be dangerous to narcissists
Although they can be targeted, type A people can also become a narcissist's worst nightmare. One of the most important defenses against dark personalities is having strong boundaries yourself, and type A people are usually aware they have the right to build them.
According to research, people with narcissistic personality disorder have reduced gray matter volume in areas of the brain related to empathy and increased activity on baseline images in brain regions associated with self-directed and self-absorbed thinking.
Narcissistic Vulnerability
Psychotherapists consider them to be “fragile.” They suffer from profound alienation, emptiness, powerlessness, and lack of meaning. Due to their extreme vulnerability, they crave power and vigilantly must control their environment, people around them, and their feelings.
Drinking alcohol lowers inhibitions and can increase other narcissist behaviors including self-absorption, denial, illusions of grandeur, and destructiveness. These behaviors can lead to poor choices, including drinking and driving or excessive consumption, which can be fatal.
Narcissists and psychopaths are disordered in their thoughts (not in the way that schizophrenics are), disordered in emotion processing, and disordered in their sense of self. Personality disorders just happens to 'look' very different from our other mental disorders – they are in a class or category of their own.