A patient is characterized by feelings of envy, entitlement, and a lack of empathy. What diagnosis is likely?

The description of a patient characterized by feelings of envy, entitlement, and a lack of empathy is most consistent with Narcissistic Personality Disorder. This disorder is marked by an inflated sense of self-importance, a deep need for admiration, and a lack of empathy for others. Individuals with this disorder often exhibit behaviors rooted in grandiosity and may react negatively to criticism or perceived slights. Envy can manifest as they believe they deserve special treatment and become resentful when they feel this is not being met.

In contrast, Antisocial Personality Disorder primarily involves a pattern of disregard for the rights of others, often resulting in criminal behavior and deceitfulness, rather than the qualities of entitlement and a strong need for admiration seen in narcissism. Borderline Personality Disorder focuses on instability in interpersonal relationships, self-image, and emotions, often involving intense episodes of anger, depression, and anxiety rather than the more stable yet inflated self-image characteristic of narcissism. Depressive Personality Disorder is centered around chronic feelings of sadness, low self-esteem, and inadequacy, which do not align with the described characteristics of envy and entitlement.

Thus, the symptoms presented align strongly with Narcissistic Personality Disorder, making it the appropriate diagnosis in this scenario.