Narcissistic Personality Disorder in Entrepreneurs / founders

Key things to know What the evidence shows
How common is it? NE
Is it more common among entrepreneurs / founders? No evidence founders have higher NPD prevalence
Are entrepreneurs / founders at higher risk? No prevalence association
How much higher is the risk? NE
How often can it be missed? High
Does it show up differently among entrepreneurs / founders? Yes contextually
How might it look different? High ambition, confidence, risk-taking or self-promotion should not be mistaken for NPD; pervasive impairment is essential
What commonly occurs alongside it? Mood/anxiety; substance use
What can it be confused with? Entrepreneurial confidence/risk-taking; ADHD; bipolar disorder; antisocial PD
Common screening tool NPI - Narcissistic Personality Inventory
Separate screening tool for entrepreneurs / founders None
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