Arnold described himself as very special and complex, and presented in therapy as being very arrogant and lacking empathy. In fact, he was so grandiose that he only agreed to therapy because he felt that the therapist learn something important from working with him. Given these symptoms, Arnold most closely meets the diagnostic criterion for

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Arnold's symptoms of grandiosity, lack of empathy, and arrogance align with Narcissistic Personality Disorder, as defined in the DSM-5. These characteristics are central to the diagnosis, differentiating it from the other disorders listed.

Arnold Described Himself as Very Special and Complex, and Presented