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Narcissistic Personality Disorder

Emily Gorman, DO and Stephen E. Auciello, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • A personality disorder (PD) is defined as an enduring pattern of inner experience and behavior that causes dysfunction, is inflexible, persists across multiple situations, and leads ...

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 devaluin...

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
Wright AG, Pincus AL, Thomas KM, et al. Conceptions of narcissism and the DSM-5 pathological personality traits. Assessment.  2013;20(3):339–352. [View Abstract on OvidMedline]
2
Roepke...

ADDITIONAL READING

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

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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