Under the concept of narcissism most people consider something like vanity, a negative character trait, relatively benign compared to other negative traits such as aggression, viciousness or callousness. Today we would say that narcissism is love towards oneself. In everyday speech it is almost synonymous with being focused or preoccupied with oneself and it is used to describe those who often talk about themselves. However, narcissism is not specific for our time. It is a fact of human existence. We all have a certain amount of narcissism, the only question is how big and how mature it is. It is natural to love and to take care as well as oneself to be preoccupied with, but the real question is to what extent and how. We distinguish between healthy and pathological narcissism. Pathological narcissism can be grandiose or vulnerable. The most severe form of narcissism is malignant narcissism. Freud divided narcissism into primary and secondary. Following Freud's theory two most important theories of narcissism are those of Heinz Kohut and Otto Kernberg. This paper describes results of the research conducted in the Psychiatric hospital „Sveti Ivan“ on a sample of 92 subjects engaged in helping professions. The level of pathological narcissism and the association between certain dimensions of narcissism and symptoms of depression, anxiety and stress were examined.