Narcissism and Depression: A Comprehensive Analysis

Narcissism and depression are two mental health conditions that are often discussed in the psychology and psychiatry fields, but their connection is not always clear. In this article, we will examine both conditions, exploring what they are, how they differ, and how they can be related. We’ll also dive into possible causes, symptoms, and treatments of both conditions.

What is Narcissism?

Narcissism is a personality disorder that is characterized by excessive self-esteem, a need for admiration, and a lack of empathy. Someone with narcissistic tendencies may have an exaggerated sense of their own importance, a desire for attention and recognition, and an expectation of special treatment.

Some common traits associated with narcissism include:

  • Grandiosity
  • Sense of entitlement
  • Lack of empathy
  • Exploitative tendencies
  • Arrogance
  • Need for admiration

While having some of these traits is not necessarily indicative of narcissism, when they are present in combination and to an extreme degree, they can lead to a diagnosis. Narcissistic Personality Disorder (NPD) is a formal diagnosis, listed in the DSM-5, which requires the presence of specific criteria, such as an exaggerated sense of self-importance, fantasies of power or wealth, and a lack of empathy.

What is Depression?

Depression is a mood disorder that affects a person’s thoughts, feelings, and behaviors. It can range from mild to severe and can impact every aspect of a person’s life. Some common symptoms of depression include:

  • Feelings of sadness or emptiness
  • Loss of enjoyment in activities once enjoyed
  • Changes in appetite or sleep patterns
  • Difficulty concentrating or making decisions
  • Feelings of worthlessness or guilt
  • Loss of energy or fatigue
  • Thoughts of death or suicide

Depression can be caused by a variety of factors, including genetics, life events, brain chemistry, and medical conditions. It is typically diagnosed based on a combination of reported symptoms, a physical exam, and a mental health assessment. Treatment options can include therapy, medication, or a combination of the two.

How are Narcissism and Depression Related?

While narcissism and depression are two separate mental health conditions, they can be related in several ways. Firstly, research has shown that people with NPD are more likely to experience depression than the general population. This may be due to the unrealistic expectations and demands they have of themselves and others, as well as the potential for criticism or backlash when those expectations are not met.

Additionally, people who experience depression may exhibit traits of narcissism as a coping mechanism. This can manifest as an exaggerated sense of self-importance or a need for attention, which may provide a temporary sense of relief from the emotional pain of depression. However, this coping mechanism is not healthy, and may ultimately worsen the symptoms of depression.

Finally, there is evidence to suggest that some of the same neurobiological mechanisms are involved in both narcissism and depression. Specifically, research has shown that both conditions are associated with changes in brain structures and functions related to emotional regulation, decision-making, and self-reflection. These similarities in underlying neurobiological mechanisms may partially explain why narcissism and depression can be related or co-occurring.

Treatment Options for Narcissism and Depression

While NPD and depression are distinct mental health conditions, their treatments can have some overlap. For example, cognitive-behavioral therapy (CBT) has been shown to be effective in treating both conditions. CBT focuses on changing negative thought patterns and behaviors, which can help individuals with NPD or depression gain a more accurate perception of themselves and the world around them.

For people with NPD, psychotherapy can be particularly helpful in addressing personal challenges and relationships. Narcissism can make it difficult for individuals to maintain healthy relationships, but a therapist can help individuals with NPD learn coping strategies and improve their communication skills.

Medication can also be an option for both conditions. Antidepressants, for instance, are widely prescribed for the treatment of depression. It’s important to note, however, that medication alone is typically not enough to address the symptoms of either condition completely.


Narcissism and depression are two separate mental health conditions, but they can overlap and impact each other in various ways. Those with NPD can experience depression due to unrealistic expectations they impose on themselves and their surroundings, while those with depression can experience narcissistic tendencies as a coping mechanism. The overlap is partly due to changes in underlying neurobiological mechanisms related to emotional and cognitive processing. Treatment options for both conditions can overlap too, with CBT being effective in treating both. Medication, in combination with therapy, can also help to alleviate symptoms; however, each case varies and a personalized approach is important. Understanding the nuances of both conditions can help individuals, their loved ones, and healthcare professionals effectively treat and manage these complex mental health challenges.


What is narcissism?

Narcissism is a personality trait characterized by self-love, grandiosity, and a deep sense of entitlement. People with narcissistic personalities crave attention and admiration, often at the expense of others. They see themselves as superior and may exploit and manipulate others for their own gain.

How is narcissism linked to depression?

Studies have shown that people with narcissistic personalities are more likely to experience depression. This may be because their high expectations of themselves and others often go unmet, leading to feelings of disappointment and frustration. Additionally, the lack of empathy and difficulty forming intimate relationships can contribute to feelings of isolation and loneliness.

Can narcissism be treated?

While narcissistic personality disorder is a difficult condition to treat, therapy can help individuals learn new coping strategies and challenge their negative patterns of thinking and behavior. Cognitive-behavioral therapy and dialectical behavior therapy are two effective approaches to treating narcissism. It is important to note that seeking treatment for narcissism requires a willingness to recognize the problem and a commitment to self-improvement.


1. Baumeister, R. F., Campbell, W. K., Krueger, J. I., & Vohs, K. D. (2003). Does high self-esteem cause better performance, interpersonal success, happiness, or healthier lifestyles? Psychological Science in the Public Interest, 4(1), 1-44. Retrieved from

2. Morf, C. C., & Rhodewalt, F. (2001). Unraveling the paradoxes of narcissism: A dynamic self-regulatory processing model. Psychological Inquiry, 12(4), 177-196. Retrieved from

3. Orth, U., Robins, R. W., & Roberts, B. W. (2008). Low self-esteem prospectively predicts depression in adolescence and young adulthood. Journal of Personality and Social Psychology, 95(3), 695-708. Retrieved from