When they are no longer able to look after themselves, narcissists shut down and may occasionally behave like a non-narcissist person. Family members may cling to this with hope but the progression of the dementia is too advanced. Anger outbursts will be common as well as paranoid delusions.
Increased Risk of Alzheimer's Disease
Research suggests that narcissists are at a higher risk of developing Alzheimer's disease. The link between narcissism and Alzheimer's disease isn't completely clear, but it may be caused by the long-term effects of narcissistic personality disorder on the brain.
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.
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.
This is what happens to a narcissist in the end: they become insecure and helpless. They realize they can't charm anyone, so they grow submissive and lonely. In the end, aging narcissists become needier yet quieter, finally accepting that people avoid them as they all know his/her true nature.
The narcissist often engages in self-defeating and self-destructive behaviours.
According to Thomaes & Brummelman, the development of narcissism begins at around the ages of 7 or 8. This is the time when children begin to evaluate themselves according to how they perceive others.
Someone can't be officially diagnosed with narcissistic personality disorder (NPD), a condition where a person has an extremely heightened sense of self-importance as a defense mechanism, until age 18 when their personality fully develops.
3% of subjects showed increased narcissistic traits between the ages of 18 and 41. The belief that one is smarter, better looking, more successful and more deserving than others — a personality trait known as narcissism — tends to wane as a person matures, a new study confirms.
Narcissistic parents are often emotionally abusive to their children, holding them to impossible and constantly changing expectations. Those with narcissistic personality disorder are highly sensitive and defensive. They tend to lack self-awareness and empathy for other people, including their own children.
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.
Narcissistic personality disorder is a mental health condition in which people have an unreasonably high sense of their own importance. They need and seek too much attention and want people to admire them. People with this disorder may lack the ability to understand or care about the feelings of others.
Long-term abuse can change a victim's brain, resulting in cognitive decline and memory loss. In turn, the changes in the brain can increase the risk for chronic stress, PTSD, and symptoms of self-sabotage.
The development of narcissistic traits is in many cases, a consequence of neglect or excessive appraisal. In some cases, this pathological self-structure arises under childhood conditions of inadequate warmth, approval and excessive idealization, where parents do not see or accept the child as they are.
Does Narcissism Run in Families? Whatever role genes play in narcissism, NPD definitely can run in families. That's because parents with NPD themselves are liable to create the exact conditions that put their children at risk of developing the disorder.
No one is exempt from narcissistic projection, not even their children. It often comes as a shock to people who have children with pathological narcissists how easily some of them abandon their children. Many narcissistic parents have an emotionally immature worldview.
However, some studies have also pointed out that narcissistic characteristics may not only arise from childhood environments characterized by neglect/abuse, but also from environments in which a child is sheltered or overly praised [11,14,15].
Unlike fine wine or cheese, narcissists don't get better with age. They don't mellow, become wise, or develop late-onset self-awareness. Their personalities intensify, and without their ability to control others, they become bitter, defensive, and bossy.
Through PAS, narcissists use their children as pawns to get back at their ex in an effort to prove their dominance. To protect you and your child's best interests, it is crucial to understand what PAS is and what you can do if you believe your ex-spouse is using this as a tactic with your children.
They demand respect, and give none in return. For a narcissist, their needs must always be put first, and they will never reciprocate those feelings for anyone else. The world revolves around them, and everyone who happens to be part of that world should go along with it.
However, research indicates that unlike Narcissus staring at himself reflecting in the pool, many narcissists actually aren't in love with themselves after all. Quite the opposite, in fact. Much of the time, a narcissist's behaviour isn't driven by self-love – rather, self-hatred.
"Narcissism has never been about self-love – it is almost entirely about self-loathing." It's long been established that there are two types of narcissists: "vulnerable" ones, who have low self-esteem and crave affirmation, and "grandiose" ones, who have a genuinely overinflated sense of self.