The most common and most likely answer to this crossword clue is the 11 letter word MEGALOMANIA
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More clues leading to the result MEGALOMANIA
Buddy explains!

The straight part
We know that "narcissistic personality disorder" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case narcissistic personality disorder = megalomania.The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.
What does MEGALOMANIA mean?
MEGALOMANIA noun- A psychopathological condition characterized by delusional fantasies of wealth, power, or omnipotence.
- Narcissistic personality disorder.
- An obsession with grandiose or extravagant things or actions.