A recent personal account shared by Jacob Skidmore, an Ohio-based TikTok creator diagnosed with narcissistic personality disorder (NPD), is fueling conversations about stigma, mental health, and living with NPD. The story, picked up by Newsweek and widely circulated online, highlights not only the challenges of the disorder but also the social backlash and misunderstanding that can accompany it. For Thai readers, the viral discussion offers an opportunity to examine how mental health language and stigma operate both globally and in Thai society.
Narcissistic personality disorder is defined by clinicians as a persistent pattern of exaggerated self-importance, a strong need for admiration, and a limited ability to empathize with others. While casual use of the term “narcissist” is common, the reality is more nuanced. Skidmore, who discusses his diagnosis openly online, argues that the popular image of narcissists as simply “toxic” or “bad people” is an oversimplification. “I don’t think narcissists are inherently better or worse people—it’s more complex than most people realize,” he told Newsweek in an interview.
In Thailand, where conversations about mental health are expanding but stigma remains, Skidmore’s story resonates. Thai culture places high value on public image and family reputation, which can intensify shame surrounding personality disorders. People with NPD may face barriers to seeking help and to acceptance within family and community, especially when mental illness is mischaracterized as personal flaw. The way Skidmore’s story is received—at times with compassion, at times with criticism—mirrors these complex attitudes.
International research confirms that misunderstanding and stigma remain major barriers for people with NPD. A 2017 review in the Journal of Personality Disorders found that individuals with NPD commonly face negative stereotypes and social rejection, regardless of symptom severity. Mental health professionals note that social vilification often deters people from pursuing diagnosis or therapy, worsening isolation. In-depth discussions about the term “narcissist” should distinguish clinical diagnosis from everyday usage.
Leading psychiatrists stress the need for empathy and clearer separation between clinical terminology and common slang. Experts argue that the clinical label should inform medical understanding, not be weaponized to shame or exclude someone. While it is important to protect oneself from harmful behaviors, pathologizing or dehumanizing people with any diagnosis hinders recovery for everyone involved.
For Thailand, these international conversations offer important guidance. As mental health topics become more visible through platforms like TikTok, LINE, and Facebook, local media, educators, and health professionals can promote accurate information. Mislabeling a behavior as narcissism based on limited information risks discrimination and discourages people from seeking care. This is particularly relevant for Thai youth, who are increasingly exposed to global mental health narratives while navigating traditional family expectations.
Historically, Thai society has viewed mental health through multiple lenses. In rural areas, symptoms may still be attributed to spiritual causes or moral failing, while urban areas see growing awareness coupled with judgment. The language used to discuss mental health often emphasizes abnormality rather than support, complicating recovery and acceptance.
Experts recommend destigmatizing mental health conversations by responsibly sharing personal experiences without sensationalism. Expanding mental health education in Thai schools, engaging trusted community leaders, and careful framing of diagnoses in media are suggested strategies. Individuals can contribute by approaching others with open-mindedness and compassion, avoiding haste to label or judge.
For those who suspect they may be dealing with self-esteem issues, relationship challenges, 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. Data from Thailand’s health authorities shows that seeking support is a proactive step toward wellbeing. Leading Thai psychiatrists emphasize that mental health care is a right, and kindness toward those who struggle strengthens society as a whole.
Let this global trend prompt reflection on our own assumptions and foster communities where every person is met with understanding rather than judgment. If you or someone you know might benefit from support, reach out to a healthcare provider or trusted advisor. Empathy, accurate information, and respectful dialogue are essential to reducing stigma and building a healthier society.