NPD is defined in DSM-5 as comprising a pervasive pattern of grandiosity (in fantasy or behaviour), a constant need for admiration, and a lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by the presence of at least 5 of the following 9 criteria: 1. A grandiose sense of self-importance (eg, the individual exaggerates achievements and talents and expects to be recognized as superior without commensurate achievements) 2. A preoccupation with fantasies of unlimited success, power, brilliance, beauty, or ideal love 3. A belief 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. A need for excessive admiration 5. A sense of entitlement (ie, unreasonable expectations of especially favourable treatment or automatic compliance with his or her expectations) 6. Interpersonally exploitive behaviour (ie, the individual takes advantage of others to achieve his or her own ends) 7. A lack of empathy (unwillingness to recognize or identify with the feelings and needs of others) 8. Envy of others or a belief that others are envious of him or her 9. A demonstration of arrogant and haughty behaviours or attitudes I am Dr Beth Colby, a psychiatrist from London. Other videos on my Talk Mental Health channel include: Common Mental Health Conditions: 10 Symptoms of Depression 10 Tips for Self Help for Depression (in 2 parts) Treatments for Depression/What will Happen if I tell my Doctor I am Depressed? What is Anxiety? What is Generalised Anxiety Disorder? Positive and Negative Symptoms of Schizophrenia Paranoia: Paranoid Schizophrenia, Persistent Delusional Disorder and Paranoid Personality Disorder Bipolar Affective Disorder Explained What is Autism? Autistic Spectrum Disorder ICD-11 v ICD-10 v DSM-5 What is Panic Disorder? What are Panic Attacks? What is Mania? Paranoid Personality Disorder Histrionic Personality Disorder Anxious Avoidant Personality Disorder Dependent Personality Disorder Schizoid Personality Disorder Anankastic Personality Disorder Emotionally Unstable Personality Disorder Dissocial Personality Disorder Psychiatric Terminology: Psychotic Disorders, Affective Disorders and Neurotic Disorders What Happens When Somebody is Sectioned? Current Mental Health Issues and News: Suicides in Afghan Veterans Coronavirus Panic Coping with Coronavirus Anxiety Coronavirus will Harm People's Mental Health Loneliness PTSD in COVID-19 NHS Staff Eco-Anxiety 'Mini Versions', under 2 minutes long, of my videos include: 10 Symptoms of Depression 10 Tips for Self Help for Depression Positive and Negative Symptoms of Schizophrenia Anxiety Mania Anxious Avoidant Personality Disorder Emotionally Unstable Personality Disorder Anankastic Personality Disorder Translated videos include: Into Kurdish: What is Anxiety? 10 Symptoms of Depression Into Farsi: What is Anxiety? 10 Symptoms of Depression If you would like me to do videos on any other topics, or have any questions, please write a message in the comments section.