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Last week, a purported member of USDoD identified only as Felice told the hacking forum that they were offering “the full NPD database,” according to a screenshot taken by BleepingComputer.

“It’s not going to be NPD trying to help. It’s going to be some bad guy overseas” trying to con them out of sensitive information, she said.

Psychiatry’s diagnostic manual, the DSM-5, outlines nine behavioral patterns involving grandiosity, empathy, and a person’s need for admiration, of which a patient must meet at least five for a formal diagnosis of NPD.

Another complication is that NPD often goes undiagnosed and untreated, and many mental health clinicians have little experience with it.

The new Sick Kids hospital cost about £150m to build, but its full price tag over 25 years, including maintenance and facilities management fees, will be £432m under the NPD deal.