DSM-IV Criteria

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"Getting a diagnosis for a narcissist is like lifting a veil that is clouding your eyes and seeing the world for the first time." ~Mette

"I agree," Susy wrote, "nothing made sense before learning about NPD. Then you learn about it and everything fits together like the pieces of a puzzle." 

DSM-IV Criteria for 

Narcissistic Personality Disorder

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, as indicated by five (or more) of the following:

(1)  has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements)

(2)  is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love

(3)  believes that he or she is "special" and unique and can only be understood by, or should associate with, other special or high-status people (or institutions)

(4)  requires excessive admiration

(5) has a sense of entitlement, i.e., unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations

(6)  is interpersonally exploitative, i.e., takes advantage of others to achieve his or her own ends

(7)  lacks empathy:  is unwilling to recognize or identify with the feelings and needs of others

(8)  is often envious of others or believes that others are envious of him or her

(9)  shows arrogant, haughty behaviors or attitudes

Resources

You might also be interested in reading: Differential Diagnosis

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