Narcissism, in general terms, involves a grandiose sense of self-importance, a need for excessive admiration, and a lack of empathy. While some narcissistic traits are common, Narcissistic Personality Disorder (NPD) is a formal diagnosis characterized by persistent and pervasive patterns of these traits that cause significant distress or impairment. It's important to note that not everyone exhibiting narcissistic traits has NPD, but those with NPD are more likely to engage in abusive behaviors. This guide focuses on the abusive behaviors associated with extreme narcissism, regardless of a formal diagnosis. todays episode covers the signs in honor of domestic abuse month.. If you ha e been impacted by this you are not alone.