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Narcissistic Personality Disorder (NPD) is listed in the American Psychiatric Association’s Diagnostic & Statistical Manual of Mental Disorders as an Axis II, Cluster B Disorder. Symptoms include an excessive need for admiration, blatant disregard for others' feelings, a sense of entitlement, and an inability to handle any criticism.

Narcissistic Personality Disorder is indicated by five (or more) of the following:

1. Has a grandiose, exaggerated sense of self-importance. Expects to be recognized as superior, even though they may not have accomplished the achievements necessary to warrant it. 

2. Is preoccupied with fantasies about success, power, brilliance, beauty, or ideal love and the perfect partner.

3. Believes that they are superior and can only be understood by (and should associate with) other superior, high-status people.

4. Has a need for excessive admiration.

5. Has a sense of entitlement. Has an unreasonable expectation of special, favorable treatment.

6. Is exploitative: will take advantage of others for the benefit of themselves and to achieve their own goals.

7. Lacks empathy. Is unable or unwilling to recognize or identify with the feelings and needs of others.

8. Is intensely envious of others and believes that others are envious of them.

9. Displays arrogant, pompous, or haughty behaviors.

DSM Criteria for Narcissistic Personality Disorder (NPD)