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1) Narcissism is a mental illness that can be diagnosed only by an experienced professional. It involves a grandiose sense of self-importance and entitlement, constant need for admiration, and lack of empathy. It is a spectrum disorder, which means it has a range of symptoms increasing in severity.
2) Narcissists are generally incapable of intimacy and find it hard to maintain long-term relationships. They find it difficult to understand their own feelings and emotions or relate to others.