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Narcissistic Personality Disorder

Emily Ann Gorman, DO and Allison H Gase, DO Reviewed 06/2022
 


BASICS

DESCRIPTION

  • A personality disorder (PD) is an enduring pattern of inner experience and behavior that deviates from cultural norms and leads to impairment.

  • Narcissistic personality disorder (NPD) ...

DIAGNOSIS

HISTORY

  • Must rule out other general medical conditions or comorbid psychiatric illnesses

  • Grandiose sense of self-importance

    • Often overestimate own abilities and accomplishments while devaluing ...

TREATMENT

GENERAL MEASURES

  • Comorbid mental illnesses (e.g., anxiety, depression) should be treated.

  • Individual and group psychotherapy is offered for NPD, with only anecdotal reports of success. Regardl...

ONGOING CARE

PATIENT EDUCATION

The National Institute of Mental Health (NIMH) at www.nimh.nih.gov 

PROGNOSIS

Depends on presence of comorbid disorders and level of functioning. Likelihood of remission fo...

REFERENCES

1
American Psychiatric Association. Section II, Personality Disorders. Section III, Alternative DSM-5 Model for Personality Disorders. Diagnostic and Statistical Manual of Mental Disorders, ...

CODES

ICD10

F60.81 Narcissistic personality disorder 

SNOMED

80711002 Narcissistic personality disorder 

CLINICAL PEARLS

  • DSM-5 supports pathologic central grandiosity, with core dysfunction rooted in managing needs for validation and admiration.

  • The relative stability of self-image as well as the lack of ...

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