Are extreme high achievers narcissists or obsessive compulsive bipolar?

Over the past 30 years, I ’ve treated many people from the financial, television, movie and dot-com worlds. Many of these individuals were powerful, driven, successful and they also hurt people. Most of them were summarily thrown into the wastebasket diagnosis, narcissist. Seeing so many of them as a psychiatrist, I have come to believe that there is something else going on beneath simple narcissistic behavior. I came up with a name for the condition: OCB. You may have heard of OCD, which stands…
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