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Only a licensed psychiatrist can diagnose an individual with narcissist Personality Disorder, or NPD. Individuals with NPD rarely seek psychiatric help (that's part of the disorder: "I'm OK and you're crazy, why should I seek help?") so usually it's a spouse or family member that exposes the behavior. Individuals suspected of having NPD must have a certain number of traits or characteristics common to the disorder. Recognizing these traits is what a psychiatrist is trained to do. An individual can have multiple symptoms of NPD and still not get a diagnosis of NPD.

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