Quote From: italyhopeI have a girl friend that has always needed to be the center of attention. Within the last six months her need for attention has taken her down a path that is completely self destructive. Signs of depression started as early as October 05 when I started dating someone and not spending as much time with her.
She doesn't live near any family but I have spoken with both of her parents about it.
Her father says she goes in phases. After clarifying what he meant by phases I am pretty sure that she has some form of narcasistic disorder or the like.
I think her mother is in a bit of denial. Disorders of this kind run in her family ( depression, schizophrenia, etc.) I have sat her down and tried to have a heart to heart talk with her to no avail. She isn't listening to her parents either.
Now she is pregnant. Her stories to her mother, father, and me do not add up in regards to the pregnancy and the father. She has refinanced her home to pay for (what she claims to be) the father's legal fines. Most recently she added him to her credit cards that are now maxed out. She has a BS in accounting and is normaly fiscally sound. I am afraid her mental and physical well being is at steak.
She has been seeing a doctor at the VA hospital for the pregnancy so I called there and asked if they could inquire with her further about her mental state the next time she comes in. I know this may end our friendship but I care. The VA has been no help so far. I feel I have exhausted all means of trying to get her help. I am now faced with ending a four year friendship. I have had enough of the double talk and lies but have I done all I can to help her?
From http://www.behavenet.com/
General diagnostic criteria for a Personality Disorder
(cautionary statement)
A. An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual's culture. This pattern is manifested in two (or more) of the following areas:
(1) cognition (i.e., ways of perceiving and interpreting self, other people, and events)
(2) affectivity (i.e., the range, intensity, lability, and appropriateness of emotional response)
(3) interpersonal functioning
(4) impulse control
B. The enduring pattern is inflexible and pervasive across a broad range of personal and social situations.
C. The enduring pattern leads to clinically significant distress or impairment in social, occupational, or other important areas of functioning.
D. The pattern is stable and of long duration and its onset can be traced back at least to adolescence or early adulthood.
E. The enduring pattern is not better accounted for as a manifestation or consequence of another mental disorder.
F. The enduring pattern is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., head trauma).
Diagnostic criteria for 301.81 Narcissistic Personality Disorder
(cautionary statement)
A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:
(1) has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements)
(2) is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love
(3) believes that he or she is "special" and unique and can only be understood by, or should associate with, other special or high-status people (or institutions)
(4) requires excessive admiration
(5) has a sense of entitlement, i.e., unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations
(6) is interpersonally exploitative, i.e., takes advantage of others to achieve his or her own ends
(7) lacks empathy: is unwilling to recognize or identify with the feelings and needs of others
(8) is often envious of others or believes that others are envious of him or her
(9) shows arrogant, haughty behaviors or attitudes
Does your girlfriend meet the criteria for a Personality Disorder in addition to five of the nine conditions for Narcissistic Personality Disorder? If so, you may need to get out of the relationship. NPD is not something you can treat yourself. She needs therapy, and even then, therapy may not be successful because she'll see the therapist as someone that challenges her grandiosity.
In addition, her parents enable her. They give her Narcissistic Supply. You give her Narcissistic Supply. Narcissistic Supply is anything and everything that can serve to inflate the Narcissistic ego: adulation, admiration, attention, etc. Things that challenge the Narcissistic ego are considered "Narcissistic Insults" or "Narcissistic Injuries".
Handling a Narcissist is like a Catch 22. You give them Supply, they'll repeat the same actions that caused you to give you supply. If they're hurtful, they don't care. If you give them injuries, they'll blame someone else, most often you, and project their own problems on you.
The source behind this behavior is that they constructed an alternate persona, a "false-self", that is supposed to protect them from:
1) outside harm
2) their true selves, which they absolutely hate for being powerless
This gives many people the impression that they love themselves too much. However, the truth is, they love their reflected false-self, a reflection of the godliness they want to be, which hides self-loathing. This is why I say Narcissists have low self-esteem, but high image-esteem.