Narcissistic personality disorder (NPD) is a cluster B personality disorder defined as comprising a pervasive pattern of grandiosity (in fantasy or behavior), a constant need for admiration, and a lack of empathy. In the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (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:
*A grandiose sense of self-importance
*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
*Interpersonally exploitive behavior
*A lack of empathy
*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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