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Yes it can. I know from personal experience because my sister (13 months my junior) has both conditions. She is very high maintenance and I have finally decided to separate from her because I can stand the emotional battering no more. This is a recent decision and I am experiencing intense relief although deep sadness and loss. I also have a lot more time now. I entertain a lot and always had to host her and her husband on their own as she would refuse to visit if I had anyone else for a meal. As I was her only friend (her words) I was controlled by her accusations should she feel that I had not seen enough of her. I was also berated by her if she felt "second best" in my life, or that I had not kept in touch with her enough through texting or emailing or phoning. It is such a relief not to be criticised, accused, told what I am thinking, told what my motives are or to be constantly vigilant to attend to her extreme social discomforts and so on. I love her but can't cope with her anymore. To be more correct, I do not wish to contaminate my life and joy with her multitude of issues any longer. It really is very hard to get things just right for her. So glad I have chosen not to do it anymore. Relief is the word!!!

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Q: Can narcissistic personality disorder NPD be mixed with Avoidant personality disorder AvPD?
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