Hillary Dupuis, MA, LMFT
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Are You a Narcissist? (Spoiler: Probably Not)

6/22/2026

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Let’s clear the air:  behaving like a jerk, having an big ego, or being difficult does not make someone a narcissist. I hear this term misused a lot on social media, sometimes in session: clients wondering if they're a narcissist or if their partner's a narcissist. I can count the true narcissists I’ve treated in my practice on one hand because they rarely come into therapy. 

Narcissistic Personality Disorder (NPD) is a rigid, deep-seated pathology defined by a pervasive pattern of grandiosity, a constant need for admiration, and a profound lack of empathy. It’s not just "selfishness"; it’s an inability to conceive of others as anything other than extensions of themselves, often paired with an entitled disregard for boundaries. This is very different from having narcissistic traits and, NEWS FLASH, we all have a little bit of something, which is what makes us interesting. While the diagnostic criteria for NPD remain the same, how it shows up in daily life often falls into two distinct categories:
  • Overt (Grandiose) Narcissism: The loud version. These individuals are typically arrogant, demanding, and overtly entitled. They crave the spotlight, boast about their achievements, and expect immediate admiration. Their behavior is obvious and often abrasive, quick to rage, and making their lack of empathy hard to miss.
  • Covert (Vulnerable) Narcissism: The quiet version, which is more insidious. These individuals often present as withdrawn, anxious, or perpetually victimized. They harbor the same underlying sense of entitlement and lack of genuine empathy as the overt type, but they mask it behind a facade of being "misunderstood" or sensitive. They use passive-aggression and guilt trips to keep others in their orbit, often framing their manipulation as proof of how much they have suffered at the hands of others.
Regardless of the presentation, the core remains the same:  a profound inability to view others as separate, autonomous individuals, and to respect that individuality. Understanding these two faces is vital for identifying the manipulative patterns that leave survivors feeling so drained.

Here's a litmus test:  if you're lying awake at night worrying that you’re a narcissist, you aren’t.

People with actual NPD rarely question their impact; they're too busy protecting a fragile, bloated ego. If you’re feeling shame, guilt, or a genuine desire to change your relational patterns, you aren’t dealing with pathology - you’re dealing with the fallout of being raised by someone who was. Stop pathologizing your healing and maybe make room to address the complex trauma that's running the show.

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