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NPD cannot be diagnosed with any certainty prior to early adolescence (13-14). Narcissistic traits, a narcissistic style, and even a narcissistic personality can be evident earlier in life, though.

Many old school shrinks hesitate to diagnose anyone with anything until they are 18 as that is when the personality is fully developed. Some wait until 21. If some one seems to have a disorder they like to say showing NPD characteristics. I believe that although the personality is not fully developed until 21, that is all the more reason to seek treatment for an adolescent that is showing narcissistic traits (or any disorder)
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