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Narcissistic Personality Disorder

Emily Gorman, DO and Stephen E. Auciello, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Narcissistic personality disorder (NPD) is a cluster B personality disorder (PD), which is rooted in problems with impulse control and emotional regulation. This group also includes ...

DIAGNOSIS

HISTORY

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

  • Grandiose sense of self-importance

    • Often overestimate own abilities and accomplishments and devalue the ...

TREATMENT

GENERAL MEASURES

  • Individual and group psychotherapy is offered for NPD, with only anecdotal reports of success. Regardless of the modality, the goals should be to engage the patient, establis...

ONGOING CARE

PATIENT EDUCATION

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

PROGNOSIS

Prognosis for an adult with NPD is poor, although the person's adaptation to situations and re...

REFERENCES

1
Coleman D, Lawrence R, Parekh A, et al. Narcissistic personality disorder and suicidal behavior in mood disorders. J Psychiatr Res.  2017;85:24–28. [View Abstract on OvidMedline]
2
Coop...

ADDITIONAL READING

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013. 

CODES

ICD10

F60.81 Narcissistic personality disorder 

ICD9

301.81 Narcissistic personality disorder 

SNOMED

80711002 Narcissistic personality disorder 

CLINICAL PEARLS

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

  • Must meet at least 5 of 9 diagnostic crit...

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