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This and other personality disorders are now thought to be a product of attachment issues as children. Typically, what happens with personality disorders is that there is a "cluster" of symptoms or characteristics of more than one, but one with more matching criteria. As a general rule, what they all have in common are very fragile egos due to not attaching in a healthy way to an adult. Narcissistic personality disorder compensates by inflating their ego and having little regard for others. Ironically, these egos are also very easily shattered.

Tara Kenyon, MSW, LCSW

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Q: What causes narcissistic personality disorter?
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