Narcissistic Personality Disorder is often reduced to ideas of arrogance, selfishness or a lack of empathy. Yet beneath the outward presentation may lie a deeper struggle to feel worthy, significant, and secure in oneself. Recognition, achievement or admiration may become important ways of maintaining a sense of value, while criticism, failure or feeling overlooked can touch a painful place of inadequacy or shame. The protective response may then appear as defensiveness, anger, withdrawal or a need to regain control or importance. Understanding this does not mean overlooking the impact of narcissistic behaviour on others. Rather, it encourages us to look beyond the label and ask a more human question… 

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