Narcissistic Personality Disorder involves a person with an over-inflated sense of self and an inability to feel other people’s pain. Unfortunately, narcissists are often charming, good looking and successful individuals which makes them extremely confusing to the world at large. They appear to be pleasant, productive and engaging people.
This is why narcissism may be one of the most acceptable mental health disorders. There is the outside world who believes the narcissist to be one person and the families that live with them who know the other person. Another way to phrase this? There is a Jekyll to the Hyde.
The most significant deficit in the narcissistic individual is the inability to feel empathy. Empathy is a development state that one learns in childhood. Therefore, it makes it nearly impossible to reach this type of personality even in counseling because they live in their own perception of reality. It is only their reality. It does not involve the joy, pain, worries, suffering, etc. of any other individual beyond themselves.
A narcissist is an extremely difficult personality to live with; however, they are even more difficult to escape. They can escalate when an individual dares to leave or divorce them.