A patient exhibits grandiosity, lack of empathy, and exploitation in relationships. What is the likely diagnosis?

The symptoms described in the question align closely with the characteristics of Narcissistic Personality Disorder. This diagnosis is characterized by a persistent pattern of grandiosity, a constant need for admiration, and a lack of empathy for others. Individuals with this disorder often exploit relationships for their gain and may display an inflated sense of self-importance.

In this case, the presence of grandiosity indicates an exaggerated sense of one's achievements and abilities, reinforcing the likelihood of narcissism. Additionally, the lack of empathy is a key hallmark of this disorder, as individuals often struggle to recognize or care about the feelings and needs of others. Exploitation in relationships aligns perfectly with narcissistic traits, where personal gain often takes precedence over genuine connection or concern for others.

Other personality disorders listed in the options do not encapsulate these traits in the same way. Histrionic Personality Disorder, for example, is marked by attention-seeking behavior and excessive emotionality, which differs from the grandiose self-image and lack of empathy seen in narcissism. Borderline Personality Disorder is characterized by unstable relationships, self-image, and emotions, while Schizoid Personality Disorder involves detachment from social relationships and a limited range of emotional expression, again quite different from the traits associated with Narciss