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The “look at me” mentality that is often promoted by social networks like Facebook has people positively enamored with the image they present to the world.

A love and attachment you cannot shake, despite the consequences. My first suggestion would be to treat with skepticism any advice to take choice 1 over choice 2. And only you will know just how much sadness and anxiety is going to be inherent with either option.

The question is simple, rating yourself on a scale of 1-7: “To what extent do you agree with this statement: I am a narcissist.

(Note: The word ‘narcissist’ means egotistical, self-focused and vain.)” You can even try out this free interactive narcissism quiz.

Question: I cannot bear my wife’s alcoholism any longer. I’m continually moved by the vivid descriptions of the carnage that addiction causes, and the impossible “you choose, you lose” dilemmas faced by exhausted, isolated partners.

Most of my friends tell me to leave her, and my family tells me to stick it out. Note: I first wrote this answer as a way to talk about methods to approach tough dilemmas, and since that time it has grown into the forum you see now.

Forming attachments to individuals who exhibit these negative traits often causes similar distress as a diagnosable narcissistic relationship.

A new study from Ohio State University has found that one simple question can identify narcissists as accurately as the 40-item test that has been widely used to diagnose NPD.

So how does this rise in narcissism impact our personal relationships?

For one thing, more narcissism means more narcissistic relationships.

It’s something like finding yourself holding a hot panhandle and gripping all the more tightly the more it burns. I also encourage you to respond to other postings with a few words of appreciation, support and ideas. There are many more readers of this dialogue than there are responders – you have an interested group here and we want to know what happens. Try viewing your dilemma as four-pronged: Choice 1 would be that you decide to leave your wife and that you do so in the most careful, strategic manner, doing the most that you can to ensure this unfolds as becoming the right choice.

Choice 2 would be that you leave in a way that magnifies the potential for a negative outcome, say by being mean, impulsive or passive, neglecting the care of your self, your social network, financial interests and so on.

If someone is easily slighted or over-reactive to criticism, they may also be a narcissist.