information:extraction
Signs and symptoms

People with NPD will try to gain social status and approval in an attempt to avoid and combat these feelings, often by exaggerating their skills, accomplishments, and their degree of intimacy with people they consider high-status. Alongside this, they may have difficulty accepting help, vengeful fantasies, a sense of entitlement, and they may feign humility. They are more likely to try forms of plastic surgery due to a desire to gain attention and to be seen as beautiful. A sense of personal superiority may lead them to monopolize conversations, look down on others or to become impatient and disdainful when other persons talk about themselves. Drastic shifts in levels of self-esteem can result in a significantly decreased ability to regulate emotions.