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Narcissistic Personality Disorder

Allison H Gase, DO Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Derived from the Greek mythological deity Narcissus, who became so infatuated with his own reflection that it eventually precipitated his own death.

  • Narcissistic Personality Disorder ...

DIAGNOSIS

HISTORY

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

  • Traditionally, patients must be ≥18 years of age to be diagnosed with NPD. For NPD to be diagnosed in ...

TREATMENT

GENERAL MEASURES

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

  • Personality disorders are often difficult to treat and require a long-term management opt...

ONGOING CARE

PATIENT EDUCATION

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

PROGNOSIS

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

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.

  • NPD has a strong correlation with past childhood trauma and ...

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