Narcissistic personality disorder - Revision history

ClaireLewis at 14:45, 11 October 2019

2019-10-11T14:45:54Z

← Older revision		Revision as of 14:45, 11 October 2019
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	==Differential Diagnosis==		==Differential Diagnosis==
	*Other personality disorders		*Other [[personality disorders]]
	*Mania or hypomania		*[[bipolar disorder\|Mania]] or hypomania
	*Substance use disorders		*[[substance abuse\|Substance use disorders]]

	==Evaluation==		==Evaluation==

ClaireLewis: /* Management */

2019-08-29T20:20:22Z

Management

← Older revision		Revision as of 20:20, 29 August 2019
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	==Management==		==Management==
	*Referral for outpatient psychiatric treatment, as psychotherapy is the primary treatment.		*Set clear boundaries and expectations, be fact-based and up front about what you can and cannot do
			*If patient making unreasonable demands/entitlement, circle back to emphasize the patient ''does'' deserve excellent medical care
			*Tolerate emotions but not outbursts
			*Referral for outpatient psychiatric treatment, as psychotherapy is the primary treatment.

	==Disposition==		==Disposition==

Mholtz at 22:12, 21 October 2017

2017-10-21T22:12:41Z

← Older revision		Revision as of 22:12, 21 October 2017
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	==Background==		==Background==
	A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy		*A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy

	==Clinical Features==		==Clinical Features==
Line 15:		Line 15:

	==Differential Diagnosis==		==Differential Diagnosis==
	*Other personality disorders~~<br />~~		*Other personality disorders
	*Mania or hypomania~~<br />~~		*Mania or hypomania
	*Substance use disorders~~<br />~~		*Substance use disorders

	==Evaluation==		==Evaluation==
	A clinical diagnosis; however if entertaining other organic causes may initiate workup below		*A clinical diagnosis; however if entertaining other organic causes may initiate workup below

	{{General ED Psychiatric Workup}}		{{General ED Psychiatric Workup}}

	==Management==		==Management==
	Referral for outpatient psychiatric treatment, as psychotherapy is the primary treatment.		*Referral for outpatient psychiatric treatment, as psychotherapy is the primary treatment.

	==Disposition==		==Disposition==
	~~Home~~		*Discharge

	==See Also==		==See Also==


	==External Links==		==External Links==


	==References==		==References==

Humanguy: Created Page

2016-11-05T00:38:37Z

Created Page

New page

==Background==
A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy

==Clinical Features==
*Five (or more) of the following criteria, beginning by early adulthood and present in a variety of contexts:<ref>American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.</ref>
**Has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements).
**Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love.
**Believes 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).
**Requires excessive admiration.
**Has a sense of entitlement (i.e., unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations).
**Is interpersonally exploitative (i.e., takes advantage of others to achieve his or her own ends).
**Lacks empathy: is unwilling to recognize or identify with the feelings and needs of others.
**Is often envious of others or believes that others are envious of him or her.
**Shows arrogant, haughty behaviors or attitudes.

==Differential Diagnosis==
*Other personality disorders<br />
*Mania or hypomania<br />
*Substance use disorders<br />

==Evaluation==
A clinical diagnosis; however if entertaining other organic causes may initiate workup below

{{General ED Psychiatric Workup}}

==Management==
Referral for outpatient psychiatric treatment, as psychotherapy is the primary treatment.

==Disposition==
Home

==See Also==

==External Links==

==References==
<references/>

[[Category:Psychiatry]]