Narcissistic personality disorder - DSM criteria

The DSM criteria for narcissistic personality disorder are:

  • A pervasive pattern of grandiosity, need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts

    • Has a grandiose sense of self-importance
    • Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love
    • Believes that (s)he is ‘special’ and unique and can only be understood by, or should associate with, other special or high status people
    • Requires excessive admiration
    • Has a sense of entitlement
    • Is interpersonally exploitative
    • Lacks empathy
    • Is often envious of others or believes that others are envious or him or her
    • Shows arrogant, haughty behaviours or attitudes
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