It usually starts with a significant emotional wound or a series of them culminating in a major trauma of separation/attachment.
No matter how socially skilled an extreme narcissist is, he has a major attachment dysfunction. He became emotionally stuck at the time of his major trauma of separation/attachment.
The extreme narcissist is the center of his own universe.
To an extreme narcissist, people are things to be used.
Narcissists can be very skilled at dodging and ducking personal questions.He could also play the “nice guy/person” whom everyone likes.A corporate type version can be one that is diplomatic, proper, and appearing to care but in reality does not.There are all types of levels on that road to isolation.Narcissists come in all shapes, sizes, and degrees.In my work with extreme narcissist patients I have found that their emotional age and maturity corresponds to the age they experienced their major trauma.This trauma was devastating to the point it almost killed that person emotionally.He will teach you everything he knows about girls in one single program Chase woke up one day in 2004 tired of being alone.So, he set to work and read every book he could find, studied every teacher he could meet, and talked to every girl he could talk to to figure out dating.At the core of extreme narcissism is egotistical preoccupation with self, personal preferences, aspirations, needs, success, and how he/she is perceived by others.Some amount of basic narcissism is healthy, of course, but this type of narcissism is better termed as responsibly taking care of oneself.