If you lose sleep over this question, the worry itself is useful information. Here is what it often points to, and what helps.
People with narcissistic personality disorder rarely spend hours worrying that they might have it. Repeatedly checking whether you are selfish, manipulative or a bad partner is far more often a sign of anxiety, and frequently of OCD. The theme is sometimes called moral OCD, or a form of scrupulosity.
Each time you check, quiz or ask, the anxiety drops for a while. That relief teaches your brain the question was urgent, so it comes back stronger. No answer is ever certain enough for OCD, which is why the hundredth reassurance feels the same as the first.
Exposure and response prevention (ERP) is the main treatment. Instead of trying to prove you are a good person, you practice living with the uncertainty and resisting the checking and reassurance. Over time the question loses its grip. If the fear grew out of an unpredictable or critical childhood, trauma work such as EMDR or parts work can help with the beliefs underneath.
Read about OCD and ERP therapy.
Free tools: OCD themes quiz · printable OCD doubt toolkit
Diagnoses can co-occur, but persistent fear and guilt about being a narcissist point away from it. A proper assessment can give you clarity.
If you have taken several already, it is probably working as a compulsion. Notice the urge and try not to act on it.
Not necessarily. Some people with this fear grew up around narcissistic behavior; many did not.
Book a free 15-minute consult and we can talk about whether OCD treatment fits.
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