Published in 2000 by the American Psychiatric Association, the DSM-IV Text Revision (DSM-IV-TR) is the latest version of the DSM. In order to meet DSM-IV-TR criteria for Narcissistic Personality Disorder, an individual has to display a pervasive sense of grandiosity, excessive need for attention, and lack of empathy across a broad array of situations. Five of the following nine criteria need to be met:

1. Grandiose sense of self-importance.
2. Preoccupation with fantasies of unlimited success.
3. Belief that he or she is special and only can be understood by other special, high status individuals or groups.
4. Need for excessive admiration.
5. Sense of entitlement—assumption that others should accommodate to the person’s needs and desires.
6. Interpersonally exploitative.
7. Lacking in empathy.
8. Often envious of others or believes others are envious of him or her.
9. Arrogant, haughty attitudes or behaviors.