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Diagnosis information
Core diagnostic criteria, specifiers, differential considerations, and documentation support in one open, scan-friendly view.
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Core criterion A
Pervasive pattern of grandiosity, need for admiration, and lack of empathy beginning by early adulthood; ≥5 of 9: grandiose sense of self-importance; preoccupation with fantasies of unlimited success/power/brilliance/beauty/love; believes he/she is special; requires excessive admiration; sense of entitlement; interpersonally exploitative; lacks empathy; envious of others or believes others are envious; arrogant
Consistent with [Narcissistic Personality Disorder] [specifier(s)]. Since adolescence or early adulthood, there has been a pervasive pattern of grandiosity; exaggerated self-importance; fantasies of unlimited success, power, brilliance, beauty, or ideal love; belief in being special and needing to associate with high-status individuals; requirement for excessive admiration; sense of entitlement; interpersonal exploitative behaviour; lack of empathy; envy of others; belief others envy them; arrogant or haughty attitudes, forming a pattern meeting the threshold for a stable and enduring narcissistic personality structure. The presentation is further characterised by interpersonal sensitivity to criticism, fragile self-esteem, and fluctuating self-worth tied to external validation. These symptoms have resulted in clinically significant impairment in interpersonal, occupational, or social functioning.
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