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Narcissistic personality disorder

Narcissistic personality disorder is a relatively new problem. It has become very popular in psychiatry over the past 20 -30 years. What characterizes the narcissist is a grandiosity, often in behavior or in fantasy. These people have a pumped-up opinion about 

A need to be admired, feelings of special-ness and entitlement. Iíve had patients who, if Iím a little bit late in the office - and for me as a psychiatrist being a little late might be five to ten minutes - be rage-full because I was not paying enough attention to them to be right on time. After all, they got there on time. Thereís a lack of empathy for others. A lack of understanding what others may feel and that often leads to narcissistic personality disorder, narcisistic, narcistic, narcississtic

Bosses may exploit employees, expect them to do extra things for the glorification of the narcissist. But they are often very envious of others who are perceived as being more successful than they, and they are often prone to these temper tantrums, what I call monster temper tantrums, when they donít get what they want. We will see these in the office. Unfortunately we often see them amongst our fellow employees. And colleagues, also. The co-morbidity with these people involved major depression and the other personality disorders of particularly the

Obsessive/compulsive personality and keep in mind that this is the most common personality disorder and trait in physicians. It has a certain degree of survivability for 

The obsessive tends to be very rigid, controlled, constricted, preoccupied with regulation, orderliness, perfection, things of that type. There is a wish for predictability. There is a resistance to any kind of change. If this person is a boss, they are likely to be a micromanager and have difficulty in delegating things over to other people. But they may be

Typically the type A personality is a sub-type of these obsessive/compulsive personality, where there is a lot of anger, anxiety, need for achievement and a lot of time urgency and concern about the time, and impatience. The people who cannot stand in line at the bank because they canít wait. For these people, the co-morbidity includes, major depression, anxiety disorders, sometimes paranoia, psychosomatic disorders, particularly things such as migraine headaches and not uncommonly co-morbid with