A recently shared personal account by Jacob Skidmore, an Ohio-based TikTok creator diagnosed with narcissistic personality disorder (NPD), is igniting global and local conversations about stigma, mental health, and the reality of living with NPD. The story, covered by Newsweek and rapidly circulating on social media, highlights how individuals with this diagnosis face not only challenges from the disorder itself but also substantial social vilification and misunderstanding. For Thai readers, the viral nature of this discussion offers an opportunity to reflect on how mental health terminology and stigma play out both globally and in our own society.
Narcissistic personality disorder is defined in clinical psychiatry as a mental health condition characterized by a lasting pattern of exaggerated self-importance, a deep need for admiration, and a reduced ability to empathize with others (“Narcissistic personality disorder,” Wikipedia). While terms like “narcissist” are often used casually—sometimes even as insults in daily conversations—the reality is far more complicated. Skidmore, who openly discusses his diagnosis and experiences online, emphasizes that the popular image of narcissists as simply “toxic” or “bad people” is a harmful oversimplification. “I don’t think narcissists are necessarily better or worse people—it’s just more complicated than most people realize,” he explained in a Newsweek interview (source).
The context for Skidmore’s viral story is particularly relevant at a time when conversations about mental health are growing in Thailand, but stigma remains widespread. In Thai culture, public face and family reputation (หน้าและชื่อเสียง) are often prioritized, potentially intensifying the shame associated with personality disorder diagnoses. People living with NPD may face significant hurdles not only in seeking support but also in being accepted by family and community members, given the tendency to conflate mental illness with flawed character. The way Skidmore’s story is being consumed—sometimes with compassion, but also with criticism—mirrors these complicated attitudes.
International medical research supports the idea that misunderstanding and stigmatization are persistent barriers for people diagnosed with NPD. A 2017 review in the “Journal of Personality Disorders” reported that individuals with NPD consistently encounter negative stereotypes and high levels of social rejection, regardless of the severity of their symptoms (source). Likewise, mental health professionals have noted that social vilification frequently discourages people from seeking diagnosis or therapy, exacerbating suffering and isolation (Narcissistic personality disorder, Wikipedia).
Leading psychiatrists emphasize the need for greater empathy and a clearer distinction between clinical diagnosis and everyday use of the term “narcissist.” Dr. Drew Pinsky, an American psychiatrist known for his advocacy on personality disorders, says, “We should reserve the clinical term for discussions about mental health, not as a weapon to shame or isolate someone” (source). Psychologist Dr. Ramani Durvasula agrees, noting that while it’s important to protect oneself from harmful behaviors, pathologizing or dehumanizing people with any diagnosis only hinders recovery for everyone involved.
For Thailand, these international debates offer important lessons. As discussions about mental health become more public—often amplified through social media platforms like TikTok, LINE, and Facebook—it is crucial for local media, educators, and health professionals to promote accurate information. Mislabeling someone as a narcissist because of a single behavior or misunderstanding can feed discrimination and discourage those struggling from seeking care. This is especially relevant for Thai youth, who are increasingly exposed to global mental health narratives yet may face pressure to uphold traditional family values.
Historically, Thai society has viewed mental illness through both spiritual and social lenses. In rural areas, symptoms of personality disorder might still be attributed to supernatural causes or moral failings, while in urban settings, growing awareness is sometimes countered by judgment and exclusion. The language used to discuss mental health, such as โรคบุคลิกภาพผิดปกติ (disordered personality), often emphasizes abnormality rather than support, further complicating recovery and acceptance.
Looking forward, experts suggest destigmatizing mental health conversations by promoting stories like Skidmore’s—without sensationalizing or dehumanizing. Greater integration of mental health education in Thai schools, community outreach through trusted local leaders, and the careful framing of diagnoses in local media are recommended strategies. At an individual level, Thai readers can make a difference by practicing open-mindedness and compassion, resisting the urge to label or judge based on limited information.
For those who suspect they may be struggling with self-esteem, relationship issues, or mental health concerns—including symptoms related to narcissistic personality disorder—trusted resources include local psychiatric clinics, mental health hotlines, and counseling services available at many hospitals (reference: WHO Thailand Mental Health Overview). Importantly, seeking support should be viewed not as a failure but as a courageous step toward wellbeing. As Dr. Praphan Phanuphak, a leading Thai psychiatrist, advises: “Mental health care is a right, not a luxury. When we show kindness to those who struggle, our whole society is stronger for it.”
For Thai readers, let this headline trending across the world be a call to reflect on our own assumptions and to foster communities where every person—regardless of diagnosis—is met with understanding rather than condemnation. If you or someone you know might benefit from support, don’t hesitate to reach out to a healthcare provider or trusted advisor. Empathy, accurate information, and respectful dialogue are key to a healthier, less stigmatizing society.