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Do you feel annoyed by almost everything your partner does? Has your sex life declined or changed? Do you think your partner is having (or had) an affair? Do you feel like you are just existing together? Do you feel that you often don't agree on multiple important issues?  

Do you experience an exaggerated sense of self-importance that frequently involves the need to exaggerate your talents or accomplishments?  Do you believe you are special and unique and can only be understood by, or should associate with other special or high-status people or institutions? Do you find that you constantly have a willingness to take advantage of others to achieve your own goals? Do you require excessive admiration from others?  

Substance Use

Have loved ones ever commented on my substance use? Have I ever lied about my use to people I care about?  Do I ever feel guilty about my use? Has my quality of life gotten worse?  Have I ever thought I need to cut back on my use of alcohol, pills, or substances?  

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