Narcissistic Personality Disorder

Narcissistic Personality Disorder

Narcissistic Personality Disorder

Review the DSM-5TR and choose a personality disorder and review the following:

  • Introduction to the personality disorder
  • DSM-5 criteria
  • Differentials to the diagnosis
  • How you will discern this diagnosis from the differentials
  • Treatment options- pharmacological and non-pharmacological
  • Considerations for treating patients with this disorder.
  • Conclusion

Include at least three scholarly articles and in APA format

Narcissistic Personality Disorder

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APA

Review of Narcissistic Personality Disorder (NPD)

Introduction to Narcissistic Personality Disorder (NPD)

Narcissistic Personality Disorder (NPD) is a complex and pervasive pattern of grandiosity, need for admiration, and a lack of empathy, beginning in early adulthood and present across various contexts. Individuals with NPD are often preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love. This personality disorder significantly affects interpersonal relationships and social functioning, with those suffering from NPD often struggling to maintain meaningful connections due to their sense of entitlement, lack of empathy, and exploitative behavior (American Psychiatric Association [APA], 2022).

DSM-5 Criteria for NPD

According to the DSM-5-TR (APA, 2022), a diagnosis of NPD is made when a person exhibits at least five of the following characteristics:

  1. A grandiose sense of self-importance (exaggerates achievements and talents).
  2. Preoccupation with fantasies of unlimited success, power, brilliance, beauty, or ideal love.
  3. Believing they are “special” and unique and can only be understood by other special or high-status people.
  4. Requiring excessive admiration.
  5. A sense of entitlement.
  6. Being interpersonally exploitative (taking advantage of others to achieve personal goals).
  7. Lacking empathy (unwilling to recognize or identify with the feelings and needs of others).
  8. Being often arrogant, haughty, or envious of others or believing others are envious of them.
  9. Demonstrating a pattern of arrogant behaviors or attitudes.

Differentials to the Diagnosis

Several other personality disorders or conditions may share symptoms with NPD, making differential diagnosis necessary. These include:

  1. Antisocial Personality Disorder (ASPD): Both NPD and ASPD can exhibit a lack of empathy and manipulative behaviors. However, individuals with ASPD tend to be more overtly aggressive and violate others’ rights, whereas NPD individuals typically focus on admiration and status.
  2. Borderline Personality Disorder (BPD): Both NPD and BPD can involve unstable relationships, but BPD is characterized by intense emotional fluctuations and fear of abandonment, which is not a hallmark of NPD.
  3. Histrionic Personality Disorder (HPD): Both NPD and HPD involve a need for attention, but HPD is characterized by…