Health&Wellness Magazine January 2016 | Page 20

20 & January 2016 | Read this issue and more at www.healthandwellnessmagazine.net | Narcissistic Personality Disorder Difficult to Classify Drugs, alcohol exacerbate problem By Charles Sebastian, Staff Writer All of us have used the word “narcissism” in a general way to describe a person who is too much in awe of themselves. Perhaps a bit too much time is spent in front of the mirror; everyone else is always secondary; and “I” statements seem to be the only vocabulary the narcissist knows. While this description is often given to someone who simply hasn’t matured to the point of considering other people in the world who also have needs and wants, when it is taken to an extreme, it becomes a mental illness. In the late 1960s, the terms egocentricism and megalomania were used to describe this self-indulgent personality type. Since that time, the term “narcissistic personality disorder” (NPD) has come to be used by counselors and therapists. NPD belongs to Cluster C, the third group of personality disorders laid out in the DSM-5, the most recent version of the Diagnostic and Statistical Manual published by the American Psychological Association (APA). Like so many mental illnesses, NPD is difficult to classify. While there are no double-blind studies to verify the causes of the illness, there are suggestions and suspicions. Low functioning is a strong indicator of NPD, which can be accompanied by excessively high or exceedingly low opinions of oneself. These extremes can sometimes fluctuate, dependi