According to the DSM-5, the exact cause or causes are unknown. Potential contributors include:
- · Genetic changes and heritability
- · Changes in the structure or functioning of the
brain
- · A parenting style either excessively pampering/spoiling or excessively critical (either can start a child on a journey of entitlement, an overestimation of his/her own abilities, the manipulation of others for his/her own ends, and a need to be viewed as better than everyone else).
Risk factors may include:
- · Family history of mental health disorders
- · Unpleasant family life during childhood
- · Adverse Childhood Experiences, ACE’s
- · Conduct disorder during childhood
More tomorrow.
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