ICD-10 Criteria

Narcissistic Personality Disorder According to ICD-10

Classification: F60.80

The general criteria for a personality disorder (F60) must be met, and at least five of the following nine characteristics or behaviours must be present:

The Nine Criteria

1. Grandiosity

A grandiose sense of one’s own importance (e.g. affected individuals exaggerate their achievements and talents, expecting to be regarded as significant without corresponding accomplishments).

2. Fantasies of Success and Power

Preoccupation with fantasies of unlimited success, power, brilliance, beauty, or ideal love.

3. Sense of Uniqueness

The conviction of being special and unique, and of being understood only by, or of being able to associate only with, other special or high-status people (or appropriate institutions).

4. Need for Admiration

A need for excessive admiration.

5. Sense of Entitlement

Unreasonable expectations of particularly favourable treatment or automatic fulfilment of expectations.

6. Exploitation of Relationships

The exploitation of interpersonal relationships, taking advantage of others to achieve one’s own goals.

7. Lack of Empathy

A lack of empathy, a refusal to recognise or identify with the feelings and needs of others.

8. Envy

Frequent envy of others or the conviction that others are envious of the affected person.

9. Arrogant Behaviour

Arrogant, haughty behaviours and attitudes.

Summary Checklist

Criterion	Description
1	Grandiose sense of one’s own importance
2	Fantasies of success, power, beauty
3	Conviction of uniqueness
4	Need for excessive admiration
5	Unreasonable sense of entitlement
6	Exploitation of interpersonal relationships
7	Lack of empathy
8	Envy or conviction of being envied
9	Arrogant, haughty behaviour