Set clear boundaries and expectations, be fact-based and up front about what you can and cannot do
If patient making unreasonable demands/entitlement, circle back to emphasize the patient does deserve excellent medical care
Tolerate emotions but not outbursts
Referral for outpatient psychiatric treatment, as psychotherapy is the primary treatment.
Narcissistic personality disorder
Other personality disorders
Histrionic personality disorder
Mania or hypomania
Dependent personality disorder
Substance use disorders
Paranoid personality disorder
Borderline personality disorder