Alcoholism, or Alcohol Use Disorder (AUD), is a chronic condition characterized by an inability to control or stop drinking despite negative consequences. Over time, excessive alcohol use rewires the brain, creating physical and psychological dependence. Some turn to alcohol or drugs for relief from their mental health symptoms. Using drugs or alcohol to manage mental health symptoms is called “self-medication.” Self-medicating with drugs or alcohol is an unhealthy coping mechanism that can lead to an addiction. In fact, some research suggests that alcohol misuse might be more common among people who have narcissistic tendencies. Group therapy sessions offer opportunities for narcissistic individuals to receive feedback and practice empathy.
Understanding Alcohol Use Disorder
With a focus on long-term recovery, our evidence-based services include medical detox, inpatient rehab, outpatient programs, and sober living. Whether you’re seeking help for yourself or a loved one, Nova Recovery Center provides compassionate care and lasting support every step of the way. The information on this page is provided for educational purposes only and should not be considered a substitute for professional medical advice, diagnosis, or treatment. Prescription medications, including antidepressants, should only be taken under the guidance of a licensed healthcare provider. Do not start, stop, or adjust any medication without first consulting your doctor. If you experience severe side effects, withdrawal symptoms, or thoughts of self-harm, call 911 immediately if you are in the United States, or seek emergency medical help.
- Alcohol abuse can coexist with narcissistic personality disorder, leading to additional challenges in both diagnosis and treatment.
- Narcissistic Personality Disorder affects more than just the individual—it often has a ripple effect on relationships, careers, and overall well-being.
- Communicate limits calmly and directly, focusing on specific behaviors rather than personal attacks.
- No, NPD does not directly cause alcoholism, but the two conditions often co-occur.
Manipulation and Control in Relationships
If you or someone you know is struggling with the relationship between alcoholism and narcissism, seeking professional help is crucial. Addressing both conditions simultaneously through integrated treatment can lead to effective recovery and a healthier future. Little Creek Recovery provides specialized care to help you break the cycle of these co-occurring disorders.

Habits for Proper Mental Health
A parent’s treatment of their child can also impact their likelihood of becoming a narcissist. Particularly, excessive praise or incredibly harsh criticism can distort an individual’s perception of themselves and others. When it comes to understanding the origins of their narcissism, an individual will be supported in recognising why they feel so superior to others and how such thoughts can be flawed and damaging. Many addictive substances trigger withdrawal symptoms when an individual has become dependent on them and is sober. Equally, those who experience intense bouts of worthlessness put a big emotional demand on those around them. Without seeking professional support, this demand can become unsustainable, pushing loved ones away.
Some individuals with narcissistic personality disorder may turn to alcohol as a means to enhance their grandiose self-image, cope with feelings of insecurity, or assert control over others. Alcohol can temporarily alleviate anxiety and boost confidence, reinforcing the narcissistic tendencies. While alcoholism cannot cause a personality disorder it can make the individuals how hostile behavior, paranoia, and edginess. Alcohol can become an outlet for an individual with a personality disorder who feels numb, dull, or excited about the intensity of their emotional experiences.
AUDADIS-IV methods to diagnose these disorders are described in detail elsewhere.42,71–76 In DSM-IV,1 “primary” excludes substance-induced disorders and those due to general medical conditions. In addition, past-year and prior-to-the-past-year diagnoses of PTSD were assessed in the Wave 2 NESARC. In a nutshell, grandiose narcissists may feel proud of their excessive alcohol use, and the problems it can cause, if it makes them stand out. Meanwhile, vulnerable narcissists deal with inner shame that can make them more likely to develop alcohol abuse problems later on as a way to cope. http://fuckpopo.synology.me/wordpress/index.php/2021/01/29/learn-what-spiritual-malady-is-and-the-role-it-2/ The narcissist-like behavior of some alcoholics may only be a result of their addiction—it may not be how they really are when sober. And while there are some links between alcoholism and narcissism overall, the connection isn’t as straightforward as some might think.

These groups offer coping strategies specific to living with alcoholism and narcissism. marijuana addiction Exercise, meditation, and journaling can help manage stress when dealing with a narcissistic alcoholic. These activities provide an outlet for emotions and promote mental well-being. Relationships with narcissistic alcoholics can become emotionally draining. Partners may feel unappreciated and undervalued, leading to resentment and conflict. NPD can significantly impact personal relationships and professional life.
Signs and Symptoms of Narcissistic Personality Disorder
It seems that many people who have NPD might also have AUD, but it’s not clear why. Someone who’s narcissistic might be self-absorbed and have an inflated sense of self-importance. Before we go further, it’s important to understand the terminology used in this article. For NPD, mood changes often relate to perceived slights or lack of admiration. In AUD, mood swings are typically tied to intoxication and withdrawal.
Narcissists May Be More Likely to Struggle with Alcohol Use Problems
This lack of empathy can be further diminished by alcohol use, creating a significant emotional disconnect in relationships. Treatment for dual diagnosis typically involves integrated approaches that address both conditions concurrently. This may include therapy, support groups, and medication when appropriate. People with narcissistic traits often have trouble maintaining healthy relationships. They may struggle with jealousy, have a sense of entitlement, and display manipulative behaviors.
Take Action for Recovery and Better Health
When combined with alcohol misuse, these tactics can intensify, making it even harder for loved ones to maintain emotional balance. When alcoholism and narcissism overlap, integrated care (one coordinated plan for both conditions) reduces mixed messages, medication conflicts, and drop‑off. Many reputable sources recommend screening and addressing both conditions simultaneously so progress in one area isn’t undermined by the other.
- Narcissists can become alcoholics, and alcoholics can be especially narcissistic when they drink.
- Our treatment programs provide a comprehensive, compassionate approach with medical stabilization and emotional support.
- Some turn to alcohol or drugs for relief from their mental health symptoms.
- People in this group were also less likely to see their alcohol use as a problem.
They do not realize that they can simultaneously address alcohol and depression with rehab. If you or a loved one needs help for a substance use disorder and a co-occurring mental health disorder, you can find help for both at Chapters Recovery Center. We can provide a medically supervised detox (a necessity for alcohol withdrawal) and a range of outpatient alcoholic narcissist programs, beginning with the most intensive partial hospitalization program (PHP).
The Diagnostic and Statistical Manual of Mental Disorders V (DSM-5) includes NPD with Cluster B personality disorders, or those that involve overtly emotional, unpredictable behavior. Prevalences of mood, anxiety, substance use, and other PDs among respondents with NPD were 49.5%, 54.7%, 64.2%, and 62.9%, respectively. Those with histrionic personality disorder seek attention and validation through dramatic and attention-seeking behaviors. This leads to excessive drinking as a means of coping with insecurities and seeking external validation. Alcohol addiction affects behavior and the way other people are treated.