Narcissistic Personality Disorder in Women

Key things to know What the evidence shows
How common is it? U.S. lifetime 4.8%
Is it more common among women? Lower than men in large U.S. survey
Are women at higher risk? Some sex-related presentation differences possible
How much higher is the risk? Reference
How often can it be missed? High
Does it show up differently among women? Somewhat
How might it look different? Vulnerable narcissism, shame, hypersensitivity and internalizing symptoms may sometimes be more visible than stereotypical grandiosity
What commonly occurs alongside it? BPD; bipolar disorder; PTSD; anxiety/mood disorders
What can it be confused with? BPD; bipolar disorder; histrionic PD; PTSD
Common screening tool NPI - Narcissistic Personality Inventory
Separate screening tool for women None
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