The contrast between DSM and ICD highlights a broader debate in mental health: Should diagnosis be rigid and categorical or flexible and dimensional? The ICD’s nuanced, clinically informed, and culturally sensitive approach better aligns with the realities of Cluster B personality disorders and human psychology. Clinicians, researchers, and patients benefit from diagnostic systems that reflect the complexity, fluidity, and cultural embeddedness of personality disorders. Moving toward ICD-like models promises improved understanding, treatment, and outcomes for those affected by these challenging conditions. NPD: American Hype or Clinical Entity? (DSM 5-TR vs. ICD-11) (University of Applied Sciences)