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[–]ActuallyNot 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (9 children)

yes they are. NPD and BPD are the most common comorbidities found in trans patients.

Are you making this up?

Among TGNC adolescents, depressive disorders were most common (transfeminine 49%; transmasculine 62%) compared with other diagnostic categories.

[–]alladd 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (8 children)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084367/

an overall prevalence of PDs of 52% was found, with 22% prevalence of Cluster B PDs (with narcissistic PD showing the highest prevalence in the overall sample)

your linked study doesn't appear to have studied for NPD or doesn't differentiate between it and "personality disorders" in general.

also narcissism is hard to detect and narcissists don't self-report it, so in lieu of a more critical approach i could see it being grouped under "depressive disorder".

[–]ActuallyNot 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (7 children)

also narcissism is hard to detect and narcissists don't self-report it, so in lieu of a more critical approach i could see it being grouped under "depressive disorder".

I couldn't. There are diagnostic criteria.

[–]alladd 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (6 children)

the prevalence of comorbid NPD is well documented elsewhere and widely acknowledged among trans communities.

[–]ActuallyNot 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (5 children)

Just not as prevalent as depression.

[–]alladd 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (4 children)

you know how diagnosing depression works right? there's no medical test; they don't draw blood.

they just ask, "are you depressed?" - or worse, you show up having self-diagnosed, and they accept it because they don't get paid unless they diagnose and medicate.

a narcissist would be the first kind of person to link all their problems to a nonspecific "depression", because they are depressed by the cognitive dissonance they experience when the world doesn't validate them and tell their story the way they want. it is a symptom of their pathology, not a disorder in itself. there is no such thing as a chemical imbalance.

[–]ActuallyNot 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (3 children)

Is it your belief that NPD and BPD are diagnosed with a blood test?

[–]alladd 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (2 children)

they're diagnoses made by the professional, not by the patient. that's the difference. every narcissist is okay with being diagnosed with depression; none of them want to find out they have narcissism.

[–]ActuallyNot 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (1 child)

So you're saying the professional doesn't diagnose depression?

[–]alladd 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (0 children)

i'm saying "depression" as we think of it is too broad a category to be an accurate diagnosis.

personality disorders get closer but really the issue with psychiatry has always been its tendency to use blanket statements to address variegated mental health issues that need individual response. all this trans stuff is pathological and casting off vague diagnoses like depression just fuels that pathology by validating and medicalizing it. NPD is a better answer because it motivates a negative reaction i.e. it should inspire someone to change, but it's still not perfect because again, it's not hard science. it's mostly social politics.