NPD and Dual Diagnoses

NPD almost never comes isolated. It is usually diagnosed with other Cluster B Personality Disorders (especially Histrionic PD and Antisocial PD). A single, clearly delineated personality disorder is exceedingly rare. The norm is double or triple diagnoses from various axes (with Obsessive Compulsive Disorder, for instance).

But a seductive behaviour is not an NPD trait.

Here is what the authoritative “Review of General Psychiatry” has to say:

“HPD must be differentiated from … NPD. These disorders may coexist in some combination with HPD, in which case all relevant diagnoses may be assigned.”

Elsewhere:

“… (NPDs) have far greater contempt for the sensitivities of others than those with HPD …”

https://www.healthyplace.com/personality-disorders/malignant-self-love/excerpts-from-the-archives-of-the-narcissism-list-part-3

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