Diagnosis: NPD

Narcissism exists on a spectrum and is comprised of many potential combinations of various components. There are people with the minimum number of traits required for a diagnosis, there are people who are very severely affected, and a range of levels in between.

In order to be diagnosed with NPD, a person needs FIVE or more traits from the list below. It is not necessary to have all of them, and this accounts for the slight variations in behavior between and among narcissists.




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
2. Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love
3. Believes s/he is “special” and unique and can only be understood by other special people
4. Requires excessive admiration
5. Strong sense of entitlement
6. Takes advantage of others to achieve his or her own ends
7. Lacks empathy
8. Is often envious or believes others are envious of him
9. Arrogant affect


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