Individuals with Narcissistic Personality Disorder have a tendency to view themselves in a superior way. They have a sense of entitlement, frequently expecting praise and special treatment from others. Being preoccupied with meeting their own needs, they lack the empathy and awareness to realize when their behaviour is negatively impacting others. In fact, they may assume that others are also devoted to meeting their needs, not realizing that others have needs too.
Despite the outward appearance of arrogance, individuals with Narcissistic Personality Disorder tend to have a fragile sense of self-esteem. Being criticized may leave them feeling empty or humiliated, and they may react with anger, disdain, or retaliation.
Narcissistic Personality Disorder begins in early adulthood, and reflects a pattern of behaviour that is pervasive across different contexts.