According to the DSM-5, a pattern diagnosed as a personality disorder must deviate substantially from the norms and expectations of the individual's:

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The DSM-5 specifies that for a pattern of behavior to be diagnosed as a personality disorder, it must deviate markedly from the expectations of the individual's culture. This includes the range of what is considered normal in the individual's cultural context.

According to the DSM-5, a Pattern Diagnosed as a Personality