What are the DSM-5 diagnostic criteria for narcissistic personality disorder (NPD)?

Updated: May 16, 2018
  • Author: Sheenie Ambardar, MD; Chief Editor: David Bienenfeld, MD  more...
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Answer

In DSM-5, NPD is defined as comprising a pervasive pattern of grandiosity (in fantasy or behavior), a constant need for admiration, and a lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by the presence of at least 5 of the following 9 criteria: [1]

  • A grandiose sense of self-importance (eg, the individual exaggerates achievements and talents and expects to be recognized as superior without commensurate achievements)

  • A preoccupation with fantasies of unlimited success, power, brilliance, beauty, or ideal love

  • A belief that he or she is special and unique and can only be understood by, or should associate with, other special or high-status people or institutions

  • A need for excessive admiration

  • A sense of entitlement (ie, unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations)

  • Interpersonally exploitive behavior (ie, the individual takes advantage of others to achieve his or her own ends)

  • A lack of empathy (unwillingness to recognize or identify with the feelings and needs of others)

  • Envy of others or a belief that others are envious of him or her

  • A demonstration of arrogant and haughty behaviors or attitudes


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