Narcissistic Personality Disorder in Disability Patients

A substantial minority of patients applying for disability have narcissistic personality disorder, and they create most of the problems for the examiner. A description of the disorder, why they often claim disability, and tips on how to deal with them. Remember the mnemonic : "JADE" - don't
Justify
Argue
Defend
Explain
the exam process, maintain a neutral attitude, expect narcissistic rage, and don't react, just chart the patient's behavior.

[birdlover]

Makes sense. Never call out a narcissist, it will only add fuel to the fire. Just act like a robot. Thank you for your good advice.

[MomLifeWithMD]

Thank you for sharing... my mother inlaw has MS.. she's used the fact that stress makes her symptoms worse to not have to take accountability. The world has revolved around for her as long as I've known her... She is always competing with my mom, who is also disabled (MD).. I lost my flower farm because of her... she said she wanted to buy us a new house(shes very wealthy)..so I could expand my business...she convinced us to sell our house... we did, it sold .She changed her mind...she left us houseless, I lost a business I spent 6 years on, and we had no plan. Now, for this reason, i no longer have a relationship with her... now she's trying to guilt me because her symptoms are worse because I called out the manipulation she did... she never even apologized... but she wants me to pretend it never happened so she feels better.

[jenniferfrancis]

Thank you for this, I recently had an experience and I wasn’t sure if I had made the right choice. I really felt bad due to the disability factor.

[KSerra-hr]

Your video on Narcissistic Personality Disorder was excellent. You explained it in a way that was so easy to understand. Myself as did several others had a run in with a person with NPD and he was sentenced to 20 years in prison for what he did to us. You described him to a "T".

[idonthaveahandle]

I'm the opposite of the narcissist described. I want to work but my body physically and mentally can't. Some days I get flair ups of agony and I suffer from a frustrating anxiety disorder. I was diagnosed with autism when I was a teen. I tried to work but I would become irritable and unfocused because of my pain and discomfort. I feel a lot of guilt and shame for not working. I tried to apply for SSI but was denied right away. It felt like a shameful process so I don’t want to try again.

[ferntree]

ABA right there that’s all day everyday emotionless responding to aggressive and disruptive behavior. The rules apply to them no matter how much aggression they give you.