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"Thank you for this information. I can now make a comprehensive plan in dealing with a member of my family who has had this disorder for over 60 years. At first, I thought I was the one that was delusional! But, now that I am researching her disorder, I can begin creating boundaries with this person so I can have my own life, while expressing my love and concern for her."

~ Stacy














Recommended Reading


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The Wizard of Oz and Other Narcissists: Coping with the One-Way Relationship in Work, Love, and Family


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Disarming the Narcissist: Surviving & Thriving With the Self-Absorbed, by Wendy T. Behary

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Narcissistic Personality Disorder DSM

One term you may have heard come up in studying this disorder is Narcissistic Personality Disorder DSM. But what does this ‘DSM’ mean?

Narcissistic Personality Disorder DSM is short for the definition, causes, and treatment of the disorder, as it is explained in the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition. Known as DSM-IV for short, this is the Bible of mental disorders, published by the American Psychiatric Association. You can be assured that what you read in the DSM-IV is the inside information that your doctor or psychiatrist will be giving you.

You can go to the source and look at the DSM-IV for yourself. The book is not just for those in the US – many other countries refer to it also. With every mental health issue covered, it will give you the basics such as stats, what is thought to lead to the onset of such conditions, as well as the up-to-date opinion of what the best treatments are. If you wish to check on what your doctor (or even this site) says is accurate, refer to the Narcissistic Personality Disorder DSM file. It is where we get much of our information.

If you are referring to it yourself, the exact index number for this disorder is DSM-IV-TR = 301.81 and is on p. 717.

The DSM-IV identifies the factors that we outline in other sections, including the correct diagnosis, treatment, and symptoms of the disorder. For instance it recognises that NPD sufferes can display things like:

  • an exaggerated sense of self importance
  • tends to exaggerate achievements and talents
  • Thinks that they deserve recognition, even without doing anything to expect such recognition

You can read about all of these features in the DSM throughout this guide, or else purchase the book yourself here. However, for the general readers dealing with NPD, we recommend more accessible books to find assistance.