#icd10

This is written by Trump's niece, Mary, who's a psychiatrist.

She said in an interview with Randy Rainbow on his podcast a while back that in order to meet the criteria for Narcissistic Personality Disorder, a person must meet five out of nine criteria in the DSM. She said that Donald meets all nine!

Diagnostically, his medical records would have NPD on them, it would look like this:

F60.81 Narcissistic Personality Disorder (NPD)

That diagnosis is from the ICD-10, 2026 with all 2026 updates.

Lowering the marriage age, making sure girls are married off before the age of 18, wanting women to NOT get an abortion by any means necessary-even to save a woman's life-and want all domestic violence shelters shut down is part of Project 2025, which is now being rebranded into Project 2026.

There are 18 Project 2025 contributors and architects sitting in the Trump Administration, the most known being Brandon Carr. How many broadcasting licenses has he threatened to pull, and how many networks have caved?

And yet, somehow, that’s the first thing people expect.

Over the past five years, I’ve been asked to “read someone’s mind” more times than I can count. Sometimes it comes from curiosity. Sometimes from genuine innocence. Sometimes it’s framed like a challenge— go on, tell me what I’m thinking. And almost every time I say, “I can’t,” there’s that brief pause. That look. A quiet disappointment, as if I’ve failed to live up to something they were certain I could do.

It’s not their fault entirely. Psychology has been romanticized into something it is not. Movies, shows, even casual conversations have shaped this idea that psychology is a shortcut into people’s minds— that with enough training, you can decode someone instantly, extract truths, or reveal secrets just by looking at them.

But psychology doesn’t work like that.

Psychology is a science. And like any science, it is slow, structured, and grounded in evidence. It relies on observation, data, patterns, and context. It does not rely on intuition alone, and it certainly does not operate through telepathy.

When we study psychology, we are not learning how to “read” people in a mystical sense. We are learning how to understand behaviour. We look at patterns, how someone responds to situations, how their thoughts influence their actions, how past experiences shape present functioning. Even then, what we form are interpretations, not instant truths.

There is no moment where you look into someone’s eyes and suddenly “know everything about them.”

At best, psychology trains you to notice. To observe more carefully. To pick up on subtle cues, tone, posture, inconsistencies, but even these are not conclusions. They are hypotheses. They need time, context, and often direct conversation to make sense.

One of the most common questions I get is:

“Can you tell something about me?”

It sounds reasonable. Almost harmless.

But if you pause for a moment, you’ll notice something deeper. People are rarely asking for an observation. They are asking for recognition. They want to hear something that aligns with how they already see themselves. They want validation, not analysis.

And without context, without interaction, without understanding their background, anything I say would not be psychology, it would be guesswork.

Psychology does not function in fragments. It cannot build meaning out of a single glance, a single message, or a single interaction. It requires patterns over time. It requires history. It requires context.

For example, two people may appear quiet in a social setting. One may be anxious, overwhelmed by internal fear. The other may simply be reserved, comfortable in silence. The behaviour looks the same. The meaning is entirely different. Without understanding the underlying process, any assumption would be inaccurate.

This is what psychology actually teaches us, to question surface-level interpretations.

It teaches us that behaviour is layered. That thoughts, emotions, environment, and past experiences interact in complex ways. That childhood experiences, attachment styles, and social conditioning can quietly shape who we become. That what you see is rarely the whole story.

And none of this happens instantly.

Another layer to this misconception appears in digital spaces. People often ask, “read my mind” or “tell me about me” through a screen. But psychology depends on observation, facial expressions, tone, behaviour, interaction patterns. Without these, there is no data. It becomes an empty exercise.

You cannot analyse what you cannot observe.

That said, the curiosity itself is not a problem. In fact, it is one of the most human things. Wanting to be understood. Wanting to understand others. Wanting someone to look at you and know you.

Psychology does not take that desire away. It simply reframes it.

It replaces the fantasy of instant understanding with the reality of careful, evidence-based insight. It shows that understanding a person is not about decoding them in seconds, but about paying attention over time. About asking the right questions. About listening, not assuming.

So no, I don’t read minds.

But I do study behaviour. I try to understand patterns. I learn how people think, feel, and respond. And in doing so, I’ve realized something far more important than mind reading:

People are not puzzles to be solved in a moment.

They are processes to be understood over time.

Medical billers and coders often default to R53.1 for any weakness documentation — but that's not always the right call.

Here's the key difference:

R53.1 — Use when weakness is documented as a symptom and no definitive diagnosis has been confirmed yet

M62.81 — Use when the provider documents "muscle weakness (generalized)" as the actual condition

Getting this wrong leads to denials. R53.1 actually excludes M62.81 in the ICD-10-CM guidelines — so using R53.1 as a blanket code for all weakness documentation is a billing error.

The FY2026 guidelines also cover leg weakness, arm weakness, bilateral lower extremity weakness and more.

I just wanted to try out talking about that experience. maybe someone will relate, or find it useful.

i don't really remember how my tics started. i have a tendency of not acknowledging my feelings and brushing things off. i have always been a little jumpy, so I just blamed my weird shrugs and other weird unwanted movements on being easily scared.

they got really bad after my 18th birthday. and soon i asked my parents to see a neurologist.

before that we had conversations about me seeing a specialist, but i didn't want to hear about it. i wanted to pretend that everything was normal.

i went to the neurologist privately. which means that i didn't have to wait too long for the visit but I had to pay for it. my school needed a confirmation that i do have that disorder for my final exams.

i was very stressed, but the doctor was super nice. i had prepared a whole document in which i described all my symptoms, with dates if i could remember them, what my tics feel like, what makes them worse, what makes them better, family history of tics, or similar conditions, etc.

she was really nice and understanding. i don't remember the specific questions that she asked, but something about what is distracting/difficult about them. stuff like that.

she asked me to close my eyes and touch my nose, or left ear, stuff like that. also she had a little stick (like the ones doctor use to look into someones throat) and she would lead it from my fingertips up to my shoulders. she also checked my knee jerk reaction.

over all it was more of a chat, than an actual physical test.

she gave me a prescription for a brain scan (magnetic resonance, which i couldn't do due to having braces, and we switched to an MRI with contrast) - nothing wrong with it, thank fuck. and she prescribed me medication. i fucking hated those meds. they were Awful.

I never got a diagnosis from her. She gave me meds, and reassurance that this is probably psychological, which was enough at the time. Even tho she was a really good neurologist, tics were not her speciality, so i tried another guy.

AND BOY O BOY

he was supposed to be the lead specialist on tic disorders in my country. and maybe he was.

i spend 4h traveling from my city to the capital, just so i could see him.

i knew that he would probably asked my father my childhood, so i was prepared that my dad would be present for a while during the visit. but no, the doctor ever asked him to go out of the room, after the conversation about my childhood ended (it was brief, i had no symptoms in childhood). the doctor would ask my dad about other stuff as well, stuff i could have easily have talked about myself.

and then he asked me about my self harm, and depression, and suicidal thoughts (with my father still present in the room). i answered truthfully, even tho I REALLY wanted to lie. i came out of that visit with my F95.9 diagnosis, and a bunch of other diagnosis like anxiety and stuff. and a prescription for anti-anxiety drugs that i never bought.

“Damned if you do, bored if you don’t.”

I think constantly feeling bored, is one of the worst parts of antisocial personality disorder. Boredom is sort of ever present. We might forget about it for a short time, but it’s always there. Boredom is an intense beast for us. Somehow you can’t run from it.

It's a feeling that pressures you to do anything and on the other side it makes you feel lazy.

You just sit there, maybe watching TV and often no matter what film it is, you'll get the feeling of wasting your time, of needing to do something else. It's almost like craving for action. This feeling builds up the longer you do nothing about it, it gets irritating and then you have to make the decision what to do. This sort of time period is when I am at the greatest risk to do something impulsive, and overall bad for me.

I know for myself, that I need constant stimulation. The problem is, I expect and always need more. I want different stimulations. I describe it this way. New things, new information, they are the new toy in the toy box. It's the best thing ever, for a little while. Then it tarnishes and looses its luster. I still have it, but now I want a new toy. It's a continual cycle.

Also because of chronic boredom, I find it very difficult to have routines. I really would like to have some sort of routine,but I just can’t help it. Most of the time I can keep up with a routine for a few days, at some point though, it starts to overwhelm me. When I am forcing myself to keep going, I can’t concentrate.

Even when I’m with my friends, I sometimes get the feeling they are not entertaining me and instantly get bored. I find that frustrating, I value and respect my friends and I don’t want to feel the sudden urge to go home and spend my time otherwise. I know it’s not they’re responsibility to keep me entertained, and yet somehow I always get annoyed, they could tell me a story or something like that. I get really irritated in such situations, because it’s also me who could tell a story, but suddenly nothing comes to my mind. That’s weird, because I’m actually prone to not shutting up.

Don’t get me wrong, I do have some things that I genuinely enjoy. 9/10 times these scenarios are really fun. When I think about it, it’s actually good that I keep them special. Otherwise they’ve become boring after some time.

Well, part of that is because the diagnostic criteria's phrasing is pretty ableist. I can give you a quote from the most recent DSM (DSM-V TR, 2022) which is the book that professionals in the USA diagnose out of. I cannot give you the current criteria for ASPD outside of the US, because the ICD-11 has gotten rid of individual personality disorders in favor of a general "Personality Disorder" diagnosis with 3 severities but no clusters or individual disorders. I can give you the previous criteria from ICD-10, however.

(From DSM-V TR, 2022 - "Antisocial Personality Disorder, Diagnostic Criteria")

"A. A pervasive pattern of disregard for and violation of the rights of others occurring since age 15 years, as indicated by three (or more) of the following: 1. Failure to conform to social norms with respect to lawful behaviors, as indicated by repeatedly performing acts that are grounds for arrest 2. Deceitulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure. 3. Impulsivity or failure to plan ahead 4. Irritability and aggressiveness, as indicated by repeated physical fights or assaults. 5. Reckless disregard for safety of self or others 6. Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations. 7. Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another B. The individual is at least age 18 years. C. There is evidence of conduct disorder with onset before age 15 years. D. The occurrence of antisocial behavior is not exclusively during the course of schizophrenia or bipolar disorder."

The important thing to remember is that the DSM specifically states it is not meant to be used like a cookbook, where a list of ingredients makes a final outcome. That is to say, having ASPD isn't as simple as having 3/7 of the numbered criteria and fitting the lettered criteria. There is nuance to understanding what ASPD looks like and feels like, the diagnostic and associated features sections, development criteria that must also make sense (aka what, as far as we currently know, are either genetics and/or environments that cause ASPD) within your life experience, as well as differential diagnosis to make sure the symptoms don't fit better elsewhere.

The associated features section of the DSM-V TR section on ASPD is fairly long, so I am unable to put all of that here.

The differential diagnosis section of the DSM specifically mentions a few types of disorders to look out for that may appear to be ASPD based on symptoms alone, which I can list here.

Substance Use Disorder: If someone would also qualify for a substance use disorder diagnosis, then ASPD is only diagnosed if ASPD symptoms were present from young childhood and to present day. Both can be diagnosed, even if both were present in childhood and adulthood, but it is not ASPD if no ASPD traits were shown in childhood prior to the use of substances.

Schizophrenia and Bipolar disorders: If ASPD symptoms are only present during episodes associated with Bipolar disorder (manic episodes) or Schizophrenia (psychosis), then that isn't considered ASPD.

Other Personality Disorders: ASPD *can* co-occur with other personality disorders, but you want to research all of them to be certain that it a different PD doesn't fit better than, rather than in addition to, ASPD.

(From ICD-10 Dissocial Personality Disorder)

"Personality disorder characterized by disregard for social obligations, and callous unconcern for the feelings of others. There is gross disparity between behaviour and the prevailing social norms. Behaviour is not readily modifiable by adverse experience, including punishment. There is a low tolerance to frustration and a low threshold for discharge of aggression, including violence; there is a tendency to blame others, or to offer plausible rationalizations for the behaviour bringing the patient into conflict with society."

(It is worth noting the word "gross" used in the phrase gross disparity is referring to a secondary definition of gross, meaning large/important/marked/prominent. They are not being bluntly ableist on main in the ICD).

In the ICD, they note exclusions, which I believe is similar to the differential diagnosis section in the DSM, for Emotionally Unstable Personality Disorder (BPD) and Conduct Disorders.

Overall, this criteria has its own serious issues for both versions, but it is the diagnosing criteria (current for the DSM and recent but not current for the ICD, as mentioned above) for Antisocial/Dissocial Personality Disorder and therefore needs to be a part of any research into self diagnosis.

I would highly recommend looking into the DSM entry itself for ASPD as it is lengthy but thorough (and yes, somewhat stigmatizing) in its explanation of how ASPD tends to present itself. Putting the term PDF after DSM-V TR definitely does (cough) not (cough) produce some results that would aid you in this, and idk why anyone would do that when there is a perfectly legal way to buy the DSM for over $100 for a PDF version.