They are dramatic, and they are easily influenced by others. While they can ramble endlessly and dramatically, what they tell you actually lacks detail. For those managing such cases, they are often struck by noting that the histrionic patient's relationships are shallow while the patient feels the relationships to be emotionally intimate. This is a pervasive pattern, largely established by early adulthood and characterized by attention seeking and excessive emotional expression. When such patients believe they are ill or injured, they use their physical complaints to meet secondary gain needs for attention, affection and often relief of responsibilities to care for others for whom they would otherwise be responsible.
Narcissism is excessive self-involvement.
The patient sees themselves as being possessed of great talent or achievements and wants recognition for their superiority. They have a sense of entitlement, expect favorable treatment or automatic compliance with their wishes. They tend to take advantage of others, and they lack the capacity to identify with the needs and feelings of others. They are often arrogant and haughty and believe that others envy them. They then become angered because they are no longer seen as special.