Many experts use the criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association, to diagnose mental conditions.
DSM-5 criteria for narcissistic personality disorder include these features:
Having an exaggerated sense of self-importance
Expecting to be recognized as superior even without achievements that warrant it
Believing that you are superior and can only be understood by or associate with equally special people
Having a sense of entitlement
Taking advantage of others to get what you want
Having an inability or unwillingness to recognize the needs and feelings of others
Behaving in an arrogant or haughty manner
Although some features of narcissistic personality disorder may seem like having confidence, it’s not the same. Narcissistic personality disorder crosses the border of healthy confidence into thinking so highly of yourself that you put yourself on a pedestal and value yourself more than you value others.
Sam went to pick up Zack, and Missy answered the door to tell Sam that Zack was at his Smith grandparents’ house and didn’t want to be with Sam. Sam, again, stressed that Zack’s time with his father’s side of the family is just as important. Missy said, again, that she was simply respecting her 12 year old son’s choice. When Missy was asked about her family helping keep Zack away from Sam (see Story #7 “Beach Vacations” regarding narcissistic alienators’ mob tactics), she said her family was only, “supporting Zack.” Missy was then asked directly, “Do you think your family is better than our family?” Her response was, “Well LOOK at your family.” Which is a definitive, “yes.”