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We need positive self-esteem to have healthy relationships and feel fulfilled overall. Exaggerating our own value and importance, however, can be problematic.
What is a grandiose self-image?
A grandiose self-image means that you have an exaggerated sense of your own importance or value. Having a healthy sense of self-esteem and self-worth is fundamental to a fulfilling life, but a grandiose self-image can lead to problems both for you and those around you.
A grandiose self-image can be part of other psychiatric diagnoses such as severe bipolar disorder and it is one of the key features of narcissistic personality disorder (NPD). It can also be part of delusions in psychotic illness. These problems require specialized psychiatric care.
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What is a personality disorder?
Personality disorders are complex psychological conditions that affect an individual’s thoughts, feelings and behaviors in a way that often differs significantly from societal norms and expectations.
As people with personality disorders may have difficulty relating to others, this can lead to problems in both personal and professional relationships.
How common are personality disorders?
The American Psychiatric Association estimates that about nine percent of the American population has a personality disorder (APA, 2024). Clearly, personality disorders are a major mental health concern.
What is bipolar disorder?
Bipolar disorder is a mental illness characterized by extreme swings in mood, energy and activity levels. These fluctuations result in periods of manic (or hypomanic) and depressive episodes.
There are several types of bipolar disorder, including type 1, type 2, and cyclothymia, depending on the severity and duration of manic and depressive periods, with type 1 being the most severe form.
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How common is bipolar disorder?
The National Institute of Mental Health reports that 4.4% of American adults have bipolar at some point in their lives (NIMH, 2017).
What is psychotic illness?
Psychosis is a psychiatric condition in which a person has difficulty distinguishing between what is real and what is not. It is characterized by changes in thought processes, perception and behavior. Psychosis is a symptom that can occur in various mental health conditions, such as schizophrenia, bipolar disorder, severe depression, or as a result of certain medical conditions or substance use. It is possible to have a grandiose self-image if you have psychosis.
Treatment for grandiose self-image
Treatment for a grandiose self-image initially involves an assessment by a licensed professional to ensure that the right care is given. As a grandiose self-image can be part of different types of mental illness and disease, this needs to be assessed first. There can be significant differences in treatment between narcissism, bipolar disorder and other psychotic disorders.
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Treatment of narcissistic personality disorder
Treatment goals for narcissistic personality disorder (NPD) often include helping the individual to better understand their feelings and behaviors, develop healthier relationships, and manage any co-occurring mental health issues. There are various treatment methods that can be helpful such as psychodynamic therapy, cognitive behavioral therapy, schema therapy, group therapy, family therapy and medication.
Treatment of bipolar disorder and other psychotic disorders
Due to Lavendla’s commitment to providing quality, evidence-based care, and because bipolar disorder and psychotic disorder require specialized psychiatric treatment, therapists at Lavendla do not typically provide diagnostic assessments or treatment for these conditions. It is not uncommon for people with bipolar or psychosis to be admitted to inpatient psychiatric facilities while medication changes are being made and treatment is tailored to the individual. Family members may also receive support as part of the treatment. In addition, it is important to adapt the therapy to the individual’s specific needs and situation and to take into account lifestyle factors. For people with bipolar disorder or psychosis, routines, avoiding alcohol, getting enough sleep, exercising regularly and managing stress are key. The diseases are also monitored regularly with annual check-ups.
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Approaching the topic of bipolar disorder can feel overwhelming, but we’re here to make the hard part easier. When you feel it’s time to talk to a psychologist or therapist, you can easily book a session with us. No matter when you take the step, our experienced team is always ready to help you or your loved ones.
12 frequently asked questions about grandiose self-image
What is a grandiose self-image?
A grandiose self-image means that you have an exaggerated sense of your own importance or value. Having a healthy sense of self-esteem and self-worth is fundamental to a fulfilling life, but a grandiose self-image can lead to problems both for you and those around you.
What is a personality disorder?
A personality disorder is an enduring pattern of behavior, worldview and inner experience that is markedly different from what is expected of one’s environment. This is because personality disorders can affect one’s ability to relate to others and function effectively in everyday life.
Is narcissism a type of personality disorder?
Yes, narcissistic personality disorder is one of several types. Individuals with narcissism have an exaggerated sense of self-importance and lack empathy for other people.
How is narcissism diagnosed?
Diagnosis of narcissism is usually carried out by a psychiatrist or psychologist and involves an in-depth interview and interviews with family members.
What treatment options are available for personality disorders?
Treatment can vary depending on the type of disorder and the unique needs of the individual, but usually involves a combination of psychotherapy and medication.Â
How can I help someone close to me who has a grandiose self-image?
The most important step is to encourage the person to seek professional help. You can also offer emotional support, but remember that you are not a substitute for qualified care.
Can grandiose self-image occur in other mental health conditions?
Grandiose self-image can occur in conditions such as during mania in bipolar disorders or as part of psychosis in other psychotic disorders. If you have symptoms, it is important to seek medical attention as soon as possible.
Can you force someone to go to therapy?
No, you can’t force someone to undergo therapeutic treatment unless they are at imminent risk of harming themselves or others.Â
How is grandiose self-image treated?
First, an assessment by a licensed professional is needed. Treatment then often includes medication and therapy.
What is bipolar disorder?
Bipolar disorder is a chronic condition with alternating periods of depression and mania or a mixture of the two. These fluctuations can be so extreme that they disrupt a person’s daily life and functioning.Â
How common is bipolar disorder?
About 4.4% of the American population has bipolar disorder.Â
What is psychosis?
Psychotic illness, often just called psychosis, is a psychiatric condition in which a person has difficulty distinguishing between what is real and what is not. Psychosis is not a disease in itself, but rather a symptom that can occur in various mental health conditions, such as schizophrenia, bipolar disorder, severe depression, or as a result of certain medical conditions or substance use.
Where can I go if I or someone I know has symptoms of grandiose self-image?
To get help, you can contact local mental health providers with expertise in treating grandiose self-image. If there is a safety risk, call 911 or go to your nearest emergency room.
