They’re so damn bitter and they often can’t get any further than complaining about everybody else.
“I worked in a psychiatric hospital for decades and narcissism as a defense fails in later stages of life. A lot of 45 to 65 year old males who just want to kill themselves and who talk over me constantly. Some would definitely fulfill the criteria for full-blown NPD but it’s not really necessary, or appropriate, to address it in that setting. Some constantly talk about accomplishments in early life. Others have sad stories of being successful and losing everything, often to drug addiction. They often had estranged family that they would want to engage again for support. They have constant complaints about everybody else.