
Client #14. Final Assessment Notes 14 October 2020
Issues: Loss of career and marriage
- He has an exaggerated sense of self-importance
- He presented with an extreme sense of entitlement and requires constant, excessive admiration
- His expectation of being recognized as superior even without true achievements borderlines on delusional
- He tends to exaggerate his achievements and talents, believing his own lies
- He is constantly preoccupied with grand fantasies about success, power, and/or brilliance
- He believes he is superior to others and can only associate with what he perceives as equally special people, which often translates to people that agree with him and builds his fragile ego
- He bullies others and monopolizes conversations. He belittles people he perceives as inferior, at times, to the point of physically pushing his presence before others
- He constantly takes advantage of others to get what he wants
- He has an inability and unwillingness to recognize the needs and feelings of others, even when their life is in jeopardy, unless it provides value to him
- He is envious of others and believes others envy him
- He usually becomes impatient and/or angry when he does not receive special treatment
- He often reacts with rage or contempt and tries to belittle other people to make himself appear/feel superior
- I believe that he is possibly consumed with feelings of insecurity, vulnerability, and humiliation, causing him to lash out at others and may put others into jeopardy to justify his feelings, and to satisfy his delusions.