What defines Narcissistic Personality Disorder?

Narcissistic Personality Disorder (NPD) is characterized primarily by an enduring pattern of grandiosity, a need for admiration, and a lack of empathy towards others. Individuals with NPD tend to have an exaggerated sense of self-importance and often believe they are superior to others. This is why the need for admiration and grandiosity is the defining feature of this disorder. They may expect recognition or special treatment without appropriate achievements and often react to criticism with anger or disdain.

The other options focus on characteristics of different mental health disorders. Pervasive feelings of despair and sadness are more aligned with mood disorders such as depression. Emotional instability and impulsive behavior are indicative of Borderline Personality Disorder, while fear of abandonment and attachment issues typically relate to attachment disorders, often seen in conditions like Avoidant or Dependent Personality Disorders. Therefore, option C accurately captures the central traits of Narcissistic Personality Disorder.