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Definition. Narcissistic personality disorder is a mental disorder in which people have an inflated sense of their own importance, a deep need for admiration and a lack of empathy for others. But behind this mask of ultraconfidence lies a fragile self-esteem that's vulnerable to the slightest criticism.y Mayo Clinic Staff. Narcissistic personality disorder is a mental disorder in which people have an inflated sense of their own importance, a deep need for admiration and a lack of empathy for others.
In laypeople terms, someone with this disorder may be described simply as a ânarcissistâ or as someone with ânarcissism.â Both of these terms generally refer to someone with narcissistic personality disorder.any people with narcissistic personality disorder donât seek out treatment. People with personality disorders, in general, do not often seek out treatment until the disorder starts to significantly interfere or otherwise impact a personâs life.