Which PD is Cluster B; Grandiose behaviors that mask insecurity?

• A. Schizoid PD
• B. Narcissistic PD
• C. Paranoid PD
• D. Avoidant PD

Answer: (B)

Grandiosity with an underlying insecurity points to Narcissistic Personality Disorder, which sits in Cluster B. People with this pattern often present as self-important, craving admiration, and feeling entitled or special. That outward show of superiority is a way to shore up a vulnerable self-view that’s fragile underneath. They may exaggerate achievements, expect special treatment, and lack empathy, yet there’s frequently a hypersensitivity to criticism or failure. When their self-image is challenged, the insecurity can show up as anger, dismissiveness, or devaluation of others.

Other patterns don’t match this combination. Schizoid personality disorder involves social detachment and limited emotional expression, not grandiose displays. Paranoid personality disorder centers on pervasive distrust and suspicion, again without the boastful, entitlement-driven behavior. Avoidant personality disorder features social inhibition and intense fear of rejection, not the need to outperform others to feel valid.

In practice, recognizing that grandiosity can mask insecurity helps in talking with students about self-esteem and coping strategies that don’t rely on external admiration, and in guiding them toward healthier, more resilient self-views.