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Dick_B's avatar
Dick_B
Explorer
Jan 13, 2019

narcissistic personality disorder

Someone I know has a Narcissistic personality disorder. The worst part of this situation is that the person does not think they have it so no treatment is effective.
It's like an alcoholic who does not believe they have a drinking problem.
Anyone have experience with this and know what to do about it?

20 Replies

  • DownTheAvenue wrote:
    Dick_B wrote:
    Someone I know has a Narcissistic personality disorder. The worst part of this situation is that the person does not think they have it...


    Sounds like an armchair diagnosis.


    An armchair diagnosis can be spot on.
  • What to do???

    Since you can’t control another adult the only productive avenues involve your own behavior and reactions. RV’s have wheels and people have feet.
  • Dick_B wrote:
    Someone I know has a Narcissistic personality disorder. The worst part of this situation is that the person does not think they have it...


    Sounds like an armchair diagnosis.
  • DutchmenSport wrote:
    As long as the person still has their own logic and reasoning ability, do not get caught committing any kind of crime where authorities may intervene, or have any health problems where the state or government has to intervene, there's really nothing anyone can do if the person does not recognize his own problem and seek help for themselves, themself.

    I went through something like this with my own mother. For the last 3 or 4 years she's been... well, simply put ... behaving badly. Her reasoning and logic, attitude and behavior became more and more isolationist, more belligerent, and more anti-social. The worst part, she pulled stunts that were just plain dangerous for herself. She lived alone, in her 90's, but because I could not get any kind of doctor to intervene, make the call something was wrong so legally I could have done something, or without going to court and spending a lot of $$$ on attorney's to get her delcaired legally incompetent, there was absolutely nothing anyone could do.

    A few years ago, my mother gave me power-of-attorney over her health decisions, property, and finances. But, even with that, my hands were tied, because of a clause that said unless a doctor declaired her incompetent, she would retain her own "power".

    Well, all that changed on December 25, 2017 when she had an episode. We were actually in South Carolina over Christmas with the Camper and could not reach her on the phone. (in Indiana). We called the county Sheriff to do a welfare check on her, which they did, and found she'd fallen and was delirious.

    To summarize the events which followed, the State finally intervened when the Sheriff and EMT's took her to the nearest hospital and admitted her. They went through the process (expedited, and even over the holidays) to get her admitted to nursing home and it was declaired she had had a stroke which threw her into complete dementia. The dementia was slowly getting worse and worse over those years, but nothing we could do get help, until the state intervened, only because no one was there to help her when she really got herself into a pickle.

    Long story short, I got full power of attorney, and she's been in a nursing home for a year now. She had dementia and most of the time doesn't know who I am, and thinks it's 1947 living in war torn Germany. It's sad, but that's where her mind has been for months now.

    So, I'm sorry about your friend, whoever that may be. But, unless you have some kind of legal authority over the person, like a power-of-attorney, you are pretty much powerless. About the only way for them to get the help they need is to recognize their own problem, which they may never, never recognize themselves, or they do something that will require the State to intervene which will eventually lead to medical care they need.

    And one other thing... HIPAA laws absolutely suck! I know they are designed to protect you, but they make it impossible for you to help someone else! Absolutely impossible!


    Dutch,I know it's too late for you, but you obviously did the best you could do. So I'm commenting for those in a similar situation if I can help. A power of attorney is helpful, but what you really need is guardianship. With guardianship you have full legal control over every aspect of a person's finances, decision making, everything. To get guardianship, you must have a letter from a doctor, preferably a psychiatrist, that states essentially that the person is mentally incompetent. They just don't take your word for it. The court will also send a social worker to your home to interview the individual to satisfy that the need is just. Then you have an attorney present the evidence to the judge who makes a final determination. Once guardianship is granted, is must be maintained with yearly reports to the court. The reason I know this stuff is I have a mentally incompetent daughter, and I have guardianship. Anything she signs I can declare null and void. If my daughter say " I don't want an appendectomy" I step in and she gets the appendectomy. With guardianship, you can literally force the individual to do what's right. They are no longer considered emancipated adults. As far as narcissism, people are highly attracted to them at first, that is until they get to know them. I'll leave any inferences to you guys.
  • My sibling has it. It is one of the least treated personality disorders because, by definition, those with it are unable to see a problem.

    For me, the best thing I ever did was completely break off the relationship. It was hurting me far more than it hurt her - again, by definition, she could never see a problem in how she behaved or treated me. I was at her beck and call and if I had another committment, like work, I was a "selfish greedy b!1ch".

    When my dad turned 70, I suggested we kids give him a big party (he had never had one). She made a nasty comment about having to pay for it - I suggested she could help with the planning. In the end, my aunt and I made all the arrangements and I paid for it all. My other sibling made the cake but of course made sure she misspelled our names and then waited for someone to say something - then she made a huge deal about how busy she was and she couldn't be bothered to spell our names right. On the invitations, I indicated the party was being given by the three of us - even though they had no part in it.

    I asked my dad what date he wanted the party and he picked it. I sent out the invitations. My sibling called my dad almost daily for 2 months and complained about what a selfish b!1ch I was for not checking with her first before picking the date. She had to take the night off work and how could I be so selfish. The fact that I had taken a day off work didn't matter. The fact that she was complaining to the birthday boy about how his birthday party was an inconvenience to her never crossed her mind.

    The other sibling is manipulative and played everyone in the family. When my dad died, I cut off contact with both of them. My life has truly been better for it. The stress of dealing with them is gone and I am not treated like a servant.

    True narcissists are so much more than a selfish conceited person. I still have the dent in the hood of my vehicle where my sibling hit it during a narcissistic rage - had I not locked the car door in time, she would have hit me. Simply because I pointed out that she needed to do an accounting of my dad's estate before she started getting rid of stuff.

    RV related - when we met at the funeral home to make arrangements, they started whining about his 5er. He still owed over $30K on it. They sat ther talking and decided that they would just default on the payments and let it get repossessed. When I explained that they couldn't default on it; that all his debts had to be paid off before the rest could be inherited; she gave me an extremely nasty look and asked snarkily "how do you know that?!?". Umm because I'm not an idiot...
  • Here is a medical discussion of this disorder, listing treatments and prognosis and other factors. You have to register to read the entire article; registration is free.
    https://emedicine.medscape.com/article/1519417-overview

    Here is a less-complete discussion of the subject, available free on MedlinePlus (a webpage from the U.S. National Library of Medicine).
    https://www.mayoclinic.org/diseases-conditions/narcissistic-personality-disorder/symptoms-causes/syc-20366662?p=1

    disclaimer: I am retired reference librarian with special training in the field of medical literature. I am not a physician and cannot recommend treatments; I just find info from reputable sources. What you do with this material is up to you.
  • It's difficult, at best, to get help for someone who does not want help.

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