Narcissistic Personality Disorder in Men

Key things to know What the evidence shows
How common is it? U.S. lifetime 7.7%
Is it more common among men? Higher than women
Are men at higher risk? Male sex associated with NPD in NESARC
How much higher is the risk? NESARC: 7.7% vs 4.8% women
How often can it be missed? High
Does it show up differently among men? Somewhat
How might it look different? Entitlement, exploitation, dominance and externalizing behaviours may be more visible
What commonly occurs alongside it? Substance-use disorders; bipolar disorder; antisocial/histrionic PD
What can it be confused with? Antisocial PD; bipolar disorder; BPD; substance-related behaviour
Common screening tool NPI - Narcissistic Personality Inventory
Separate screening tool for men None
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