Narcissitic Personality Disorder


Notable Features:

  • Chronic course

High Yield:


  • The biggest blow to the narcissist's self-esteem is aging, thus these individuals are highly prone to having a mid-life crisis.


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.

Criteria (5 or more):

  1. A grandiose sense of self-importance

  2. Preoccupation with fantasies of unlimited success, power, brilliance, beauty, or ideal love

  3. Belief that he/she is special

  4. Arrogance and haughty behaviors

  5. Requires excessive admiration

  6. Sense of entitlement

  7. Interpersonally exploitative (uses others)

  8. Lacks empathy

  9. Often envious of others or believes others are envious of him or her

Often exaggerates achievements and talents, and expects to be recognized as superior without commensurate achievements

Often have unreasonable expectations of especially favorable treatment or automatic compliance with his/her expectations