Narcissists can feel emotional pain, but not usually in the same way as others. The emotional pain they may feel is usually related to underlying selfish needs. Underneath the displays of superiority and sense of entitlement, they often feel empty, powerless, and shameful, which they perceive as weakness.
Underneath their façade is toxic shame, which may be unconscious. Shame makes narcissists feel insecure and inadequate―vulnerable feelings that they must deny to themselves and others. This is one reason that they can't take criticism, responsibility, dissent, or negative feedback even when meant to be constructive.
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.
Narcissistic Vulnerability
Despite having seemingly strong personalities, narcissists are actually very vulnerable. Psychotherapists consider them to be “fragile.” They suffer from profound alienation, emptiness, powerlessness, and lack of meaning.
He is the person most insensitive to his true needs. The narcissist drains himself of mental energy in this process. This is why he has none left to dedicate to others. This fact, as well as his inability to love human beings in their many dimensions and facets, ultimately transform him into a recluse.
The narcissist often engages in self-defeating and self-destructive behaviours.
Breaking up with a narcissist is likely to be a draining experience. Either they won't let you go without a fight, or they will discard you without looking back. Both experiences are extremely hurtful.
Psychological trauma from their abuse will not just go away. In fact, this type of abuse can cause long lasting post-traumatic stress disorder, or PTSD. The abuse from a narcissist is overwhelming. It is hard to identify and sufferers tend to blame themselves and continue to suffer long after the relationship is over.
Narcissistic injury–sometimes known as a narcissistic wound, wounded ego, or ego deflation–happens when those with narcissistic personality disorder (NPD) face criticism, betrayal, or perceived abandonment. Narcissists often respond to perceived slights with hostility disproportionate to the event.
Narcissistic collapse happens when a person with narcissistic personality disorder experiences a failure, humiliation, or other blow to their secretly fragile self-esteem. Depending on the type of narcissist, collapse may look different and happen more frequently.
NPD Brains Work Differently
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.
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.
According to Julie L. Hall, author of “The Narcissist in Your Life: Recognizing the Patterns and Learning to Break Free,” narcissists become more extreme versions of their worst selves as they age, which includes becoming more desperate, deluded, paranoid, angry, abusive, and isolated.
Grandiose narcissists display an inflated sense of self and often appear arrogant and entitled. Vulnerable narcissists also have a heightened focus on themselves but are more needing of reassurance and are envious of others.
Narcissists don't know they're hurting you. It doesn't even enter their minds. And, if you try to tell them how you feel, they get defensive and make you feel you're wrong again. In fact, they'll even rather “innocently” tell you: “I'm only trying to help you.”
Key points. Narcissists overvalue themselves and devalue others. Narcissists victimize those around them just by being who they are, and they won't change. The best way to handle a narcissist is to distance oneself as soon as possible.
They can know they're hurting your feelings, but as long as it elevates their status, they may not care. Someone living with narcissism does cry. They can feel regret, remorse, and sadness. These emotions, however, don't often have roots in empathy.
Some narcissists - though by no means the majority - actually ENJOY abusing, taunting, tormenting, and freakishly controlling others ("gaslighting"). But most of them do these things absentmindedly, automatically, and, often, even without good reason.
They can be direct attacks through verbal or physical aggression or less confrontational reactions such as walking away during a conversation. Any situation where you're the recipient of blame or negativity could be an indication of a narcissistic injury such as: explosive arguments. gaslighting.
Living or working with a narcissistic person can be incredibly challenging, often leading to feelings of inadequacy, self doubt, and anxiety. In more extreme cases, exposure to a narcissist can lead to clinical depression from the emotional abuse and torment a person has had to endure.
At the end of a relationship, narcissists may become combative, passive-aggressive, hostile, and even more controlling. People with NPD often fail to understand other people's needs and values. They are hyper focused on their egos, but do not account for how their actions affect others.
Narcissists can feel emotional pain, but not usually in the same way as others. The emotional pain they may feel is usually related to underlying selfish needs. Narcissists can feel emotional pain, but not usually in the same way as others.
Unless they have had a lot of successful psychotherapy for their NPD, they do not feel guilt, shame, or self-doubt so long as their narcissistic defenses hold. This means that they do not think there is anything for them to regret, no matter how hurt you feel.
Grooming a person, manipulating her into doubting her feelings, generating shame regarding her best qualities, and manipulatively creating dependency are four ways a narcissist destroys a person from the inside out.