Psychotherapy for Narcissistic Personality Disorder in Santa Monica, CA

Narcissism vs. Self-Confidence

The word "narcissist" is used casually in everyday conversation often to describe someone who simply seems confident or self-assured. But narcissism is a distinct mental health condition, and understanding the difference matters, both for your own wellbeing and for your relationships.

What is narcissistic personality disorder?

Narcissistic personality disorder (NPD) is a mental health condition characterized by a persistent, excessive need to feel important and impress others. It goes well beyond healthy confidence or a strong sense of self. People with NPD often:

  • Have an inflated sense of self-worth
  • Believe that they’re superior to others
  • Feel that they’re entitled to be treated in a special way
  • Fantasize about having success, power, beauty, and intelligence
  • Envy other people’s success
  • Exploit their friends and family members
  • Lack empathy
  • Treat others in a condescending or dismissive manner

Interestingly, many people with NPD internally doubt and criticize themselves, which can cause them to become preoccupied with being admired and knowing what others think about them.

How Narcissism Differs from Self-Confidence

It’s important to have a healthy sense of self-confidence, but when does that cross over into narcissism? Self-confident individuals reasonably believe in their own capabilities but also recognize that others have value, too. Narcissists, on the other hand, tend to excessively focus on themselves and look at others with disdain. The key distinction is relational: a self-confident person can celebrate others' successes and maintain genuine connections, while someone with NPD often experiences others as threats, competitors, or instruments to serve their needs.

Ready to take the next step?

Whether you're concerned about your own patterns of behavior, or navigating a relationship with someone who may have NPD, you don't have to figure it out alone. I specialize in treating narcissistic personality disorder and work with individuals at every stage of this journey.