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When a malignant narcissist becomes psychotic, their behavior and symptoms may become more severe and intense. It's important to note that not all malignant narcissists will develop psychosis, but when they do, it can be a significant cause for concern. Psychosis refers to a break from reality and can manifest in various ways, depending on the individual. Here are some potential symptoms that a malignant narcissist may display if they experience psychosis:

  1. Delusions: Malignant narcissists with psychosis may develop false beliefs that are not based in reality. These beliefs can be grandiose, paranoid, or persecutory in nature. They may believe they have superpowers, are invincible, or are being targeted by others.

  2. Hallucinations: Psychosis can lead to hallucinations, which are sensory experiences that occur without any external stimulus. They may experience auditory hallucinations (hearing voices), visual hallucinations (seeing things that aren't there), or other types of sensory distortions.

  3. Disorganized thinking: Psychosis can cause the person to have difficulty organizing their thoughts or expressing themselves coherently. Their speech may become disorganized or tangential, making it challenging to follow their train of thought.

  4. Impaired judgment: Malignant narcissists with psychosis may engage in risky or dangerous behaviors due to impaired judgment. They may act impulsively and without considering the consequences of their actions.

  5. Emotional instability: Psychosis can lead to heightened emotions, mood swings, and increased irritability or aggressiveness.

  6. Social withdrawal or paranoia: The person may become increasingly isolated or suspicious of others, believing that people are plotting against them or trying to harm them.

  7. Deterioration in self-care and functioning: Psychosis can impact a person's ability to care for themselves and carry out daily activities.

It's important to remember that malignant narcissism is a personality disorder characterized by a combination of narcissistic traits and antisocial behavior, but it is not a formal psychiatric diagnosis. When combined with psychosis, the situation can become even more challenging and potentially dangerous. If you suspect that someone is experiencing psychosis or displaying concerning behaviors, it is crucial to encourage them to seek professional help from a mental health specialist. In severe cases or situations of immediate danger, it may be necessary to involve emergency services to ensure the individual's safety and well-being.

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