No, a good psychologist is as qualified as a psychiatrist in practical terms. I know because I had one support me. The Psychiatrist would accept her recommendations as to using the label.
But these days we are so short of NHS psychiatrists that the number of people actually diagnosed as one is tiny.
I'm speaking as someone who is trained as a psychotherapist but I would not diagnose, tho I might notice.
The problem with all personality disorders is that they are very very hard to actually diagnose. Take a huge amount of time.
Personality disorders are not only extremely difficult to make
- but some lazy professionals slap a diagnosis of BPD (borderline personality disorder) -
(^I advise looking it up to see if the person you are concerned about show symptoms of inability to be empathic and selfishly only talks about themselves and cant^ "see" ^the other person - but isn't out to actually destroy others^):
when a situation is complex and the person is "difficult" and unresponsive to therapy
But doesn't do the damage a true Narcissist can.
Unless its crystal clear - and there are some clear examples above its probably better to say on the Narcissist spectrum, as the term is now so heavily used its in danger of being used for more trivial situations
My first marriage, happily, was with a man where we both had difficulties that eventually drove us apart amicably and fortunately my son was with him: we have both done a great deal of therapy and now are good friends and hopefully grandparents.
Then I met someone who has not only been diagnosed as on the spectrum but also hiding a lifelong diagnosis of Bi-Polar 1.
This is another possibly mistaken "narc" because in the very high mania if bi-polar if untreated the grandiosity and "using" others can also take place.
Oh my, he hid it well.
All the Narc spectrum stuff and at first of course the love of my life - at 60 -amazing fun, amazing sex, the lot, the gaslighting, the destructiveness as time went on, he liked it when I was depressed as he had control - the lies (3 different versions of his life events - found out afterwards from a friend of his you never ever lent him money...the hell of the year of the split up, some unbelievable stories - defrauding his mother, police in, police in to keep me safe:
I was classified as an adult on the SSD safeguarding register - I started making sound recordings of all events after police said you need proof.
Threats of suicide from him, leading me to have to act to get him accommodation as I knew the MH system - after chucked out of mums and the defrauding - police round with search and arrest warrants for me as accused of hiding him.
My ace card was that I owned the house, it was in my name and had been my money, so a deal was done under then just new divorce laws.
Looking back, I can see each Narc trait trick in the book - but subtle for so long.
It took over a year to extricate myself and I found out much later he was telling people (no one who could affect me in any way) that he was an abused husband. You cant make it up, because that was exactly what he had told me of a previous relationship he had had.
You should have seen the building manager of the supported flats he is in when I had to go round - and I had taken the precaution of taking my Safeguarding letter official proof - he was busy being Mr Charming again.
Bear with me. There has been cruel repeat of a kind.
After all this I fell into a depression, not surprisingly: when I sated coming out to me, I came back to a religious group (mild, everyday, not a cult) and cautiously saw several people for coffee out of the group - known from before of course.
and up comes another wolf in sheeps clothing. An elderly but in good health man decided he was attracted to me and did the Narc trait stuff, thoughtful, listening - tho nothing that would alert me seriously - and after one meeting 3 months later sexually assulted me . I had no interest in him whatsoever and had not shown any interest in him except as one amongst others who were kind as I returned.
I had had no idea he was going round other people saying how lonely he was after being a widow, getting with Mr charm lots of women who were fond of him and later could not believe me. Very, very manipulative
I had WhatsApps from significant people that it could be true, that I was provoking hostility, etc etc
He was one of those men who is a hero in th outside world but different personally, so again, people found it hard to think he could have done it.
So police again but Safeguarding in the organisation didnt know what to do, it was so unheard of..long story short - after months of agonising as I wanted him to really own what he had done in order to forgive and move on (went through Police Restorative Justice to try to get it)
But should have known better - people with these personalities are incapable of challenges to their egos, as under the ego is fragility....
Anyway more recently at last he was banned from the group.
the lack of support from Safeguarding was enormous, it never need have happed the way it did, and now policies being changed nationally so local Safeguarders have support and a blue print.
As you can imagine I am now full on Narc Trait alert. but as all have said, they can be so convincing, which is why we often find them in positions of huge power. but just be aware there are other P disorders that my appear to have Narc Traits but are not. Like someone who pesters you with them, them, and can't listen to you, but that doesn't necessarily make them have Narc Traits.
Pigeon Lofts - any words of warning? Thank you

