Not all behavior that looks like conversational narcissism comes from self-centeredness. Some of it reflects genuine neurological differences in how people process social cues and communication rhythms. “One area of divergence from the ‘norm’ is communication styles. Autistic and ADHD individuals often have differences in attention regulation, executive functioning and information processing, as well as in how they interpret and respond to social cues and perspectives. This can look like conversational narcissism from the outside, when it’s actually someone trying to connect by sharing something meaningful or relevant from their own experience.”