Narcissism or Asperger’s? How to Tell the Difference

Young person with shoulder-length hair lies on stomach in park using laptop computerAs a therapist working with people affected by someone else’s personality condition, I’m often asked the question, “How do I know if my partner is a narcissist or if they have Asperger’s?” This is an interesting question. I did some research in order to give justice to this topic.

For one thing, both are on a spectrum. Narcissism is a personality condition that ranges from mild to severe. In the most severe instances, the person demonstrates sociopathic tendencies or antisocial personality.

Autism also resides on a spectrum. It is a neurologically caused developmental condition. Prior to 2012, people with mild symptoms, considered “high functioning,” were identified as having Asperger’s syndrome. With the publication of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), this label disappeared, replaced by autism spectrum.

Since mirror neurons are part of the brain’s social interaction system—involved with social cues, imitation, empathy, and the ability to decode intentions of others—some scientists have found that people on the autism spectrum have a dysfunctional mirror neuron system (University of California, San Diego, 2005). It appears mirror neurons also play a role in personality condition-related issues.

An emotionally neglectful childhood, involving parents who did not empathize, may result in narcissistic traits in adulthood. It has been suggested that this occurs because of under-utilized mirror neurons in childhood, which leads to dysfunctional mirror neurons in adulthood (Kellevision, 2015).

Here is a table depicting some of the similarities and differences between the two conditions. Can you see your loved one’s symptoms in either column? Could it be your loved one displays symptoms of both?


High-Functioning Autism (Asperger’s) Narcissism
Does not understand social interaction Manipulative
Does not do silent treatment Uses silent treatment as a weapon
You can say no May punish you if you say no
Does not do guilt trips Uses guilt trips as a manipulative tool
Does not sit on the “pity pot” Feels sorry for themselves and envious of others’ successes
Clueless about damage they cause even though they can be hurtful and selfish Hurts other people’s feelings and doesn’t care
Lacks empathy, but is not malicious Lacks empathy, and may be malicious
Lacks intuition Has intuition and uses it to get narcissistic supply
Not connected to their feelings Hyper-connected to their feelings
Tends to be one-dimensional Tends to flip into different modes or personalities (Dr. Jekyll/Mr. Hyde)
Does not blame others Tends to blame others
Wants a playbook (structure and predictability) Wants chaos and control
Triggered by lack of familiarity Triggered by ego threats
On a spectrum from low functioning to high functioning On a spectrum from “normal”-range behavior to psychopathy/antisocial personality
Not sensitive Insensitive


If Someone You Care About Is on the Autism Spectrum

If you are in a relationship with a person on the autism spectrum, it is helpful to know how to take care of yourself. Here are some tips:

  • Be in the right “head space.”
  • Take charge of your own life. It is helpful to be flexible and adaptable.
  • Understand you have to do things on your own. Your partner will probably not be able to do the things that are important to you—at least not in a satisfying manner. Rather than getting upset by this, I recommend practicing acceptance. It is liberating to understand the situation and adjust yourself accordingly rather than expecting the situation to adjust to you.
  • Realize you can teach a person on the autism spectrum how to be different. This will require patience and perseverance. Do not be satisfied with the status quo; instead, get in there and help your loved one learn how to relate to you in a healthy way.
  • Recognize that if your partner hurts you, it is not intentional. Don’t take it personally and don’t be surprised. They do not do this to be controlling, feed their ego, or fulfill a personal need for superiority.
  • Research and study autism and learn what you can to have compassion for your partner.

If Someone You Care About Has a Personality Condition

If you are with a person with a personality condition such as narcissism, then you may have similar unfulfilled relationship issues, as well as the added bonus of emotional abuse. Following are some suggestions for coping with this type of relationship:

  • Observe the person’s behavior, don’t absorb it.
  • Understand that people with narcissism do not cooperate or collaborate well; you will have to learn to be independent in this type of relationship.
  • Do not expect the person to ever have empathy or compassion for you.
  • Develop healthy, happy connections within other relationships. Don’t expect them in your relationship with the person with narcissism.
  • Recognize that your partner may derive pleasure from hurting you. Why may be difficult to understand. Study the concept of “narcissistic supply” and you will discover that people with narcissism are “fed” by the reactions they get. It may help the person feel in control, superior, or powerful.
  • Realize you may not be able to teach a person with narcissism how to be different. No matter how much patience and perseverance you have, you may discover nothing works to change the other person. You can only change yourself.
  • Research and study personality conditions and learn to have compassion for yourself.


  1. Goulston, M. (2011, November 17). Just listen – Don’t confuse a narcissist with Asperger’s syndrome. Retrieved from—dont-confus_b_316169.html
  2. Kellevision, (2015, August 6). Psychopaths, autism, empathy, and mirror neurons. Retrieved from
  3. Oberman, K., & Ramachandan, V. (2007, June 1). Broken mirrors: A theory of autism. Scientific American. Retrieved from
  4. University of California, San Diego. (2005, April 18). Autism linked to mirror neuron dysfunction. Retrieved from

© Copyright 2017 All rights reserved. Permission to publish granted by Sharie Stines, PsyD, therapist in La Mirada, California

The preceding article was solely written by the author named above. Any views and opinions expressed are not necessarily shared by Questions or concerns about the preceding article can be directed to the author or posted as a comment below.

  • Leave a Comment
  • Glenn


    November 14th, 2017 at 6:47 AM

    Interesting question for sure. I love the comparative chart that you have listed above because looking at that you really do notice the big differences between the two; whereas if you are just looking at someone with their surface behaviors, you might think that they are one and the same. This is a great tool for breaking those similarities down and seeing where the real differences are.

  • Lynne


    March 15th, 2018 at 7:32 AM

    Yes I agree. Putting the list side by side made it easier to compare. Big thanks for that. I was a slow learner as far as see my hubby as a narcissist. Looking back the signs were there to be read. The internet wasn’t so easy 15 years ago so I did think it was me, being unwell added to my stress. Now I know for sure I’ve fibromyalgia and I’m dealing with it alone. I’m also 100% sure he’s a narcissist. So in recent years I’m stronger than ever and able to stand my ground. This brings out the worst in him ,but at least I’m no longer his whipping boy. I still get caught out from time to time but not often. I’ve a small group of friends so this support helps. Im family minded so it’s been difficult to put myself first ,but im learning. So good luck to anyone who’s in the same situation as myself. You need to free yourself and only you can do it. This doesn’t always mean divorce but you do have to develope self worth in spades.

  • Pryce


    November 14th, 2017 at 8:34 AM

    For the narcissist it is always about themselves and in a very selfish manner

  • Tatiana


    November 15th, 2017 at 11:20 AM

    I feel like you wrote this just for me. I want to be able to do more observing and not inhaling and absorbing that behavior, but you can probably tell that this is of course what I do. I let the way that others treat me and respond around me dictate how I then think and feel about myself. I know that this is the wrong thing to do but it is a powerful thing that certain people have over me, and try as I might, it is a habit that I have yet to be successful breaking.

  • Elizabeth


    December 20th, 2017 at 8:43 AM

    What should we do if our loved one possesses traits of both? For example, my husband does understand social interaction, uses silent treatment and guilt to manipulate me, and I have learned that I can most definitely not say no. However, he’s very one-dimensional and not connected to his feelings. He’s clueless about the damage he causes. And then on the flip side again, he definitely sits on the pity pot and blames others.

  • Robin


    March 14th, 2018 at 6:15 PM

    Elizabeth he is a narcissist, I lived with one for 38 years and he almost destroyed me and his family in the process of trying to be in control. It took me 18 months of visits to a psychologist before I could really step back and see what was happening, that’s how much he screwed with my brain. I have a 32 year old daughter who still lives with me and has high functioning autism, her personality is nothing like his was. His was all about him, him, him, her’s is more about where she belongs in this world and the bubble (as she calls it) she lives in and has to step out of to face what goes on in the rest of the world. He was a great one for untruths, it worries my daughter to not stick with the truth. Educate yourself on both afflictions, I found my final answer on a site called ‘First Wives World’ if I may add this here, it was like a weight lifted from my shoulders after reading the piece of information where someone else had suffered under a narcissist. I hope this helps a little to work out where your are at. Good luck but definitely question his actions in your own mind if you feel they are not right.

  • marie


    May 22nd, 2018 at 12:07 AM

    Can I please get a clarification here?
    Is the author advocating that partners of aspies should stay? I really struggle with this because codependents are urged to draw boundaries with people who do not meet their emotional needs. Clearly, aspies struggle with meeting the emotional needs of their partners. But what I’m getting here is we should be more understanding and more patient in dealing with aspie partners because their shortcomings actually point to a developmental disorder.

  • Mel


    June 1st, 2018 at 2:29 AM

    I think you are barking up the wrong tree – your first mistake is to assume aspergers and high functioning autism are the same thing – THEY ARE NOT! And from that point you are going down the superficial hill that most people go down when they do not have the skill, experience or knowledge of autism.
    Bottom line? Narcissism IS high functioning autism where intervention has failed and been fooled by a child desperate to survive and appear ‘normal’ as they approach teens and social survival starts to become paramount. Narcissism is nothing more that a set of hooks for the unsupported autistic mind to function.

  • Isa


    June 23rd, 2018 at 2:27 PM

    Very good, helpful article. Finally someone who understands and indicates the right direction to deal with it. Thank you.

  • Robin S

    Robin S

    June 24th, 2018 at 6:15 PM

    I really don’t believe the previous person is correct. As I said previously I have a daughter (unmarried) who has high functioning autism, I have another daughter who doesn’t have autism, but has two children with it. A daughter who was recently diagnosed in the same autism range as my unmarried daughter, and a son who is much lower on the spectrum and yet another daughter in that family who is normal. Why this happened no one has an answer. All these children DO NOT exhibit full blown narcissism as my ex partner did. I have read a lot about autism and still have a lot to read to try to understand it. Aspergers is now spoken of as high functioning autism and is not labeled as narcissism. Yes these two afflictions are both on the autism spectrum, but are somewhat different. Narcissism is about control and lack of empathy and the worst are psychopaths, whereas high functioning autism tends to display quite a high intelligence driven towards a single aspiration of what interests them the most. There have been and are many famous people on this list, look it up. Yes they may not realise that their emotions confuse the more normal people, but they do have a certain amount of empathy. If they don’t then they are definitely in the narcissistic range. I have included a link if I may that may help with some understanding of the situation. . Research I have found has moved me forward in my understanding. But when researching have an open mind and don’t just research one article, there is a lot of rubbish on the internet, but there is also some very good information that can improve the knowledge of anything you want to learn about and especially the autism spectrum.

Leave a Comment

By commenting you acknowledge acceptance of's Terms and Conditions of Use.



* Indicates required field.

Therapist   Treatment Center

Advanced Search

Search Our Blog

Title   Content   Author is not intended to be a substitute for professional advice, diagnosis, medical treatment, or therapy. Always seek the advice of your physician or qualified mental health provider with any questions you may have regarding any mental health symptom or medical condition. Never disregard professional psychological or medical advice nor delay in seeking professional advice or treatment because of something you have read on