MD, PhD, MAE, FMedSci, FRCP, FRCPEd.

Having narcissistic tendencies, e.g. bragging or making yourself the center of attention, are normal, if they occur only occasionally. However, Narcissistic Personality Disorder (NPD) is different. With NPD, symptoms are more severe, occur regularly and in different situations and environments, and make relationships with others challenging.

The 9 most common symptoms of NPD are the following:

  1. Grandiose sense of self-importance.
  2. Preoccupation with fantasies of success, power, brilliance, beauty, or ideal love.
  3. Belief that they are “special” and should associate only with high-status people or institutions.
  4. Need for excessive admiration.
  5. Strong sense of entitlement.
  6. Interpersonally exploitative behaviour, using others to achieve their own ends.
  7. Lack of empathy, with little recognition of others’ feelings or needs.
  8. Envy of others, or belief that others are envious of them.
  9. Arrogant or haughty attitudes and behaviours.

Now, let’s consider a person who is almost constantly in our minds, mainly because he makes the headline news practically every day:

DONALD J TRUMP.

Does he perhaps display any of the above-listed symptoms? Let’s find out by going through them one by one and citing concrete examples**:

  1. Trump displays grandiose sense of self-importance regularly and to an extreme degree. Example: in August 2019, he told reporters, “I am the chosen one”.
  2. Trump displays preoccupation with fantasies of success, power, brilliance, beauty, or ideal love regularly and to an extreme degree. Example: he said he was “always the best athlete” before his first presidential physical in January 2018.
  3. Trump displays his belief that he is “special” and should associate only with high-status people or institutions regularly and to an extreme degree. Example: in his 2018 rally line about the “elite,” he said, “We’re the elite… We’re the super-elite”.
  4. Trump displays a need for excessive admiration regularly and to an extreme degree. Example: according to a 2026 analysis, he has a “relentless demand for exaltation,” wants “praise, admiration, and accolades,” and even accepts honors that critics said were meant for others.
  5. Trump displays a strong sense of entitlement regularly and to an extreme degree. Example: he defended accepting a luxury Boeing 747 from Qatar by saying it would be “stupid” to turn down a “free plane,” and the aircraft was reported to be intended for his use as Air Force One.
  6. Trump displays interpersonally exploitative behaviour, using others to achieve their own ends regularly and to an extreme degree. Example: in the border detention context, he “exploits his power” and “leverages cruelty strategically,” especially in policies that harmed vulnerable migrants and children.
  7. Trump displays lack of empathy, with little recognition of others’ feelings or needs regularly and to an extreme degree. Example: the family-separation policy at the US border, which causes severe suffering, while Trump continues to treat it as a political instrument rather than a human tragedy.
  8. Trump displays envy of others, or belief that others are envious of them regularly and to an extreme degree. Example: he has repeatedly made unverified claims about his inauguration crowd size, television ratings, and rally attendance, frequently comparing them directly to Obama’s numbers in an attempt to prove he is more widely loved
  9. Trump displays arrogant or haughty attitudes and behaviours regularly and to an extreme degree. Example: While accepting the party’s nomination in Cleveland, Ohio, Trump delivered a dark assessment of the US, describing a nation plagued by rising crime, economic decay, and international humiliation. After spending a large portion of the speech detailing these systemic crises, he uttered (in grammatically wrong English): “Nobody knows the system better than me, which is why I alone can fix it.”

So is Trump suffering from NPD?

Judge for yourself.

I guess he is not suffering from but enjoying it!

___________________

 

And what is the solution? Treatment of NPD can be difficult because people with NPD may not feel therapy is necessary, so progress often depends on motivation and a good therapeutic fit. There is no effective drug treatment and talking therapies are usually recommended. In Trump’s case, removal from office would obviously be an acutely necessary measure.

__________________

 

**I am sure you know of much better examples (the coice is truly vast); feel free to cite them in the comments.

One Response to Is Trump suffering from Narcissistic Personality Disorder (NPD)? – Please judge for yourself!

  • According to many experts in the field, Trump’s mental problems are not just limited to ‘plain’ NPD, but show signs of a particularly nasty variety called malignant narcissism. This is characterized by an unusual tendency to cruelty and vindictiveness, combined with psychopathy.
    And indeed, many of Trump’s actions are meant to harm other people, even if those actions are not in the interest of America or his own government at all. This notion is also supported by Trump’s tendency to actively destroy things that he can’t own or control – “If I can’t have it, no-one can”. And he really appears to enjoy the chaos, harm and destruction he is causing.

    Some experts also believe that Trump is showing signs of frontotemporal dementia, further exacerbating his antisocial and disinhibited behaviour – e.g. his horrible midnight social media posting sprees that would instantly end the career of any other politician.

    Note that this is the man who can single-handedly launch a nuclear attack on any country in the world, with only very limited ways in which suchs orders can be stopped.

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