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​Symptoms and Signs – Differential Diagnosis of Narcissistic Personality
• Dysthymia and major depressive episode, which cause depressed mood and feelings of worthlessness without criticism or perceived slight
• Histrionic, borderline, antisocial, and paranoid personality disorders share common features and are often comorbid.
• Mania and hypomania, which are characterized by an episodic course and impairments
• Personality changes due to a general medical condition, including CNS processes in the frontal-temporal regions of the brain
• Substance-induced euphoria, especially cocaine abuse
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