“Given that narcissists can often be quite vulnerable, again, because their self-esteem is so fragile and reliant on the judgments of other people, depression is not a surprising part of this picture. At times when they are depressed, especially for men, it is quite possible that their mood will be even more irritable than usual, or they will become more withdrawn, and seemingly more focused on themselves. The big-ticket symptoms we would like to see changed—the lack of empathy, the chronic entitlement, the grandiosity—tend to be most resistant to change, since they are linked so strongly to the core deficits of the disorder, such as an inability to regulate self-esteem.”