Narcissistic Personality Disorder in People living alone

Key things to know What the evidence shows
How common is it? NE
Is it more common among people living alone? Never-married status associated with NPD in NESARC; living alone itself not established
Are people living alone at higher risk? Somewhat indirect
How much higher is the risk? NE
How often can it be missed? High
Does it show up differently among people living alone? Contextually
How might it look different? Isolation may reflect relationship difficulties, but living alone cannot be treated as evidence of NPD
What commonly occurs alongside it? Depression; substance use
What can it be confused with? Avoidant/schizoid PD; depression
Common screening tool NPI - Narcissistic Personality Inventory
Separate screening tool for people living alone None
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