Excessive admiration that is never balanced with realistic feedback.
Excessive praise for good behaviors
Excessive criticism for undesirable behaviors in childhood
Overindulgence and overvaluation by family members or peers.
Being praised for perceived exceptional looks or abilities by adults
Adverse Childhood Experiences (e.g., abuse)
Unpredictable or unreliable caregiving from parents
Learning manipulative behaviors from parents or peers
Valued by parents as a means to regulate their own self-esteem