This is the wrong moment to get rid of Narcissistic Personality Disorder (N.P.D.). To obliterate the line between pathological self-absorption and its healthier, more transient counterpart self-expression at a time when our identities have gone digital abandons the cultural moment and paints psychiatrists and psychotherapists as unwilling to come into the 21st century. In the days of social networks, multiplayer video games and online worlds never has there been a more important time for the mental health community to be deeply engaged in describing the continuum of narcissism.