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For early retirees who are unable to support themselves and their families as unpaid Internet trolls and failed vanity publishers, Social Security disability income may be an option. Here's a helpful guide to documenting narcissistic personality disorder in a Social Security disability claim.

http://www.nhchc.org/DAAguide.pdf

Bipolar disorder / narcissistic personality disorder: The patient has now been taking Divalproex
sodium (Depakote) on a regular basis. He has had good adherence and reports the medication helps
avoid what he describes as his manic episodes. He still has episodes of severe depression which have
triggered relapses to drinking alcohol several times over the past 4 months. He has had less episodes
of panic attacks in the past year but continues with occasional (about once a month) very debilitating
panic and daily anxiety effecting his ability to function. He has had several referrals and episodes of
treatment in the mental health system since the last report. Each of these has ended with patient
dissatisfaction and exacerbations of the patient’s condition. He has also had conflict and increased
stress related to his attempts to return to working as a ballet instructor. He was apparently accused of
some type of inappropriate behavior toward a young student. These conflicts and difficulties are
consistent with his diagnosis of narcissistic personality disorder. Unfortunately no psychotherapy has
been effective as of yet in helping the patient cope with this problem. In the past 6 weeks the patient
has had at least 6 emergency room visits due to feelings of severe depression, anxiety, and suicidal
behavior or ideations. The patient is socially very isolated at this time and is markedly impaired in
this area. He is having a very difficult time keeping up with basic self care. He has markedly
impaired concentration, persistence, and pace.

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