Suggest Treatment For Narcissistic Personality Disorder, Aggressive Behavior, Grandiose Delusions And Monomania

Posted on Tue, 5 Jul 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 5 Jul 2016 Answered on

Tue, 2 Aug 2016 Last reviewed on

Question : My son has not been right for a while now. He is 36 and has been portraying symptoms of self importance (big time), argumentative, monopolizing conversations, always has to be right, extremely angry young man, puts down his sister every chance he gets to the point he makes her cry. Between his sister and myself, we are taking him and his wife and my grandson to Disney in October on a free vacation because they do not have the money to go but in the last four months that this was decided, he has done nothing but disrespect us and put us down and basically thumb his nose at us. Last week he blocked his sister from facebook. My husband wants to tell him he is not going to Disney with us because of the way he is acting. Yet, a couple weeks ago he came over to the house, and he seemed like the old XXXXXXX we remember. What could cause this in this young man. Footnote--he brags about making 6 figures a year, yet he has no money and owes me money (between his father and I we do not make more than $75,000).

Answered by Dr. Ronald Schubert (18 minutes later)

Brief Answer:
Bipolar disorder

Detailed Answer:
Thank you for contacting HCM with your health care concerns

I am sorry to hear that your son has been behaving in such a poor manner. From what you describe he may have bipolar disorder. He will have grandiose ideation and spend money without really thinking about it. These are all hallmarks for bipolar disorder or manic depressive disorder with mainly manic manifestations. I would recommend that he be seen by a trained therapist and psychiatrist to better control his behavior. You have to decide then if you want to have him along will you on your vacation. I can't make that decision you have to.

I hope I answered your question. Please contact us again if you have any additional questions

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ronald Schubert (14 minutes later)

Thank you--I was afraid it could be bipolar or a manic depressive disorder. I do work in a hospital as did my husband before he was disabled. I just wanted confirmation that I wasn't crazy. I know some of the causes can be stress, illness, money problems and drugs. My son and his wife had a very hard time trying to conceive and after 3 miscarriages finally had a full term healthy baby. However, after 6 months, her mother made her quit a very good job paying $80,000/year and in the past my son was involved between the age of 16-21 with heavy drugs. Can these factors now produce his disorder?

I appreciate your advice to have him be seen by a therapist and psychiatrist but that would be absolutely out of the question--he would never hear that he has this problem. It would be everyone else that has a problem and not him. Unfortunately, that's where the biggest problem is.

Answered by Dr. Ronald Schubert (9 minutes later)

Brief Answer:
Bipolar disorder

Detailed Answer:
Yes the getting a person with bipolar disorder to a provider is always a problem. Unless he goes voluntarily there s nothing you can do.I do thin the drugs played a part in his current problem. Either it caused the issues or contributed to the problems. Hopefully he is not using anything now as his behavior may also be drug induced.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ronald Schubert (1 hour later)

Thank you for your answer. I appreciate it. Although it is not what a mother wants to hear, it is validation.

Answered by Dr. Ronald Schubert (16 minutes later)

Brief Answer:
Your welcome

Detailed Answer:
Your welcome and best wishes

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar