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Dr. Vijayakumar D.R MBBS, DPM, DNB (NIMHANS), CCST (UK)
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Narcissistic Personality Disorder

Diagnostic Criteria

A  pervasive  pattern  of  grandiosity  (in  fantasy  or  behavior),  need for  admiration,  and  lack  of  empathy,   beginning  by  early  adulthood  and  present  in  a  variety  of  contexts, as  indicated  by  five     (or   more) of  the  following:

  1. Has  a  grandiose  sense  of   self-importance (e.g.,  exaggerates  achievements  and  talents,  expects  to  be  recognized  as  superior  without  commensurate  achievements).
  2. Is  preoccupied  with  fantasies  of  unlimited  success,   power,  brilliance,  beauty,  or  ideal  love.
  3. Believes  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).
  4. Requires excessive admiration.
  5. Has  a  sense  of  entitlement  ( I. e.,  unreasonable  expectations  of  especially  favorable  treatment  or  automatic  compliance  with   his  or her  expectations).
  6. Is  interpersonally  exploitative (i.e.,  takes  advantage  of  others  to  achieve  his  or  her  own  ends).
  7. Lacks  empathy:  is   unwilling  to  recognize  or  identify  with  the  feelings  and  needs  of  others.
  8. Is  often  envious  of  others  or  believes  that  others  are  envious  of  him  or  her.
  9. Shows arrogant, haughty behaviors or attitudes.