Feelings of entitlement are common among those with alcoholic narcissism 2. They believe they deserve special treatment and may become irritable or angry when their expectations are not met. Individuals with alcoholic narcissism may exhibit manipulative tendencies 3. They often use manipulation as a means to control and exploit others, ensuring their own needs and desires are met. If you or someone you care about is struggling with these issues, don’t hesitate to take the first step toward healing.
Take Action for Recovery and Better Health
It’s important to take care of yourself to be able to help or take care narcissism and alcoholism of other people. A narcissist exhibits destructive behavior due to a lack of empathy and authentic emotions. They often hurt people because they don’t have the ability or want to understand other people’s emotions. They will also deny when they had a drink or that their drinking has unhealthy consequences.

Define Treatment Goals
Alcoholism, also known as alcohol use disorder (AUD), is a chronic disease characterized by the inability to control alcohol consumption despite potential negative consequences. Narcissism is a personality disorder in which the individual generally has an inflated sense of self-importance, and a deep desire for admiration and excessive attention. Read further to understand both narcissism and alcoholism and the potential correlations between the two disorders. Narcissistic Personality Disorder (NPD) is characterized by a pervasive pattern of grandiosity, a constant need for admiration, and a lack of empathy. Individuals with NPD often have an inflated sense of their own importance and a deep need for excessive attention and admiration.
Narcissistic personality disorder and alcoholism frequently coexist, but there are some differences. There aren’t any psychiatric medications specifically approved for treating NPD, but if you have a co-occurring mental health condition, you may receive medications to treat those additional symptoms. While these meds won’t directly treat NPD symptoms, they can improve overall mental well-being. Research shows narcissists are less likely to believe they would have a problem with substance abuse in the first place and less likely to admit they have a problem –– leading to treatment delays. The more vulnerable narcissist is to alcohol the more guilt and shame they can block. Thus narcissists may probably be affected by excessive drinking and thus become alcoholics.
NPD diagnosis

Although narcissistic individuals may project confidence and superiority, many experience profound self-esteem issues beneath the surface. This internal instability often drives the need for external validation and can contribute to unhealthy behaviors, such as substance use, to regulate mood or escape painful feelings. Understanding these dynamics is crucial in addressing the complexities of alcohol use in individuals with narcissistic traits. When facing such a situation, it’s crucial to acknowledge the signs and take proactive steps towards finding support and assistance.
You can connect with a mental health professional using the Healthline FindCare tool. You can take steps to prevent relapse, such as recognizing your triggers and joining a support group. If you do relapse, try to seek help again — it’s still possible to make a full recovery. There are no medications to treat NPD, but if you also experience depression or another mental health condition, a doctor may prescribe medications to treat the other condition. However, treatments like psychotherapy, group support, and self-care strategies can help people with either condition feel much better. In other words, those who had narcissistic tendencies were more likely to use alcohol and experience problems because of alcohol use.
- Along with emotionally or physically neglecting their loved ones, they sometimes commit physical abuse.
- John’s story is just one example of how narcissism and addiction can intertwine, each feeding off the other like a twisted symbiotic relationship.
- People tend to repeat behaviors and cycles, enabling the trauma to continue in new relationships and generations.
Levels of Care

It’s like watching someone constantly trying to one-up themselves, pushing the boundaries further and further. A narcissist will believe that they are prevalent and well-liked and deserve to be a leader without necessarily having the traits. They are deeply resentful of others who have what they desire yet believe people are very jealous of them. Narcissists are also incredibly talented at probing for attention and compliments, such as referring to themselves as ugly, fat, or stupid. Positive affirmations from others discounting the negativity will build up the narcissist’s insatiable need for attention and accolades. Professional help can provide strategies for managing symptoms and promoting recovery.
- It’s not selfish to protect your own mental health; in fact, it’s essential for creating a stable environment that supports recovery.
- She notes Refuge Recovery as a Buddhist-based group, Celebrate Recovery for a Christian approach, or Smart Recovery as a more secular, CBT-based group.
- Mood-related symptoms may include irritability, anxiety, and depression, especially when unable to drink.
- Integrated treatment approaches show promise for addressing both narcissistic traits and problematic alcohol use.
FAQ About Alcoholic Narcissists and the Link Between Alcoholism and Narcissism
Common narcissistic traits of NPD include grandiosity, inflated self-image and self-worth, as well as a lack of empathy. Remember, seeking professional help from qualified therapists, counselors, and treatment centers specializing in narcissism and addiction is essential in developing an individualized treatment plan. If you or someone you know is struggling with narcissism and alcoholism, reach out to a mental health professional to explore the available options for support and recovery.
Vulnerable vs. Grandiose Narcissism
Identifying covert narcissism in individuals struggling with addiction can be like trying to solve a puzzle with half the pieces missing. The symptoms of addiction often overshadow the subtle signs of covert narcissism, making diagnosis and treatment challenging. Although experts believe that genetic factors can make people up to 50% more inclined toward alcohol use disorder, addiction has many possible causes. These include environmental factors, social factors, and emotional factors. This study concluded that people with grandiose narcissism are more able to evaluate and recognize their problems with alcohol than people with vulnerable narcissism.
- If you have NPD and AUD, finding support can be challenging because they are two separate disorders with two separate treatment approaches.
- Co-occurring disorders are substance use disorders and mental disorders that exist at the same time.
- Even so, with a combination of therapy, support, and persistence, around a third of people with AUD will maintain sobriety for at least a year and sometimes for decades.
- People with grandiose narcissism tend to have very high self-esteem, behave in a dominant way, and overestimate their own capabilities.
Grandiose narcissism/overt narcissism
Ultimately, their recovery and personal growth depend on their willingness to address their issues. If your partner’s conditions worsen, prioritize yourself and any loved ones involved. The combination of covert narcissism and addiction doesn’t just marijuana addiction affect the individual; it sends shockwaves through their entire social network. Romantic partners, family members, and friends often find themselves caught in a web of manipulation, guilt, and codependency. Support groups like Narcissists Anonymous (yes, it’s a real thing) and traditional 12-step programs can provide a sense of community and accountability.
What are the five main habits of a narcissist?
People with narcissistic traits may turn to alcohol as a form of self-medication. Alcohol can temporarily alleviate insecurity, anxiety, or depression, providing confidence and relief from emotional pain. By numbing their emotions, individuals with narcissistic tendencies may rely on alcohol to maintain their grandiose self-image and mask their underlying insecurities.
Some may have high self-esteem and a healthy sense of self-worth, while others may exhibit extreme narcissism and a lack of empathy for others. Additionally, there are different types of narcissism, including vulnerable narcissism and grandiose narcissism. As we close this chapter, let’s raise a (non-alcoholic) toast to empathy and understanding. Whether you’re struggling with these issues yourself or know someone who is, remember that behind the grandiose facade and the bottle lies a human being in pain. Understanding the complexities of alcohol and narcissistic personality disorder is the first step towards compassion and healing. Have you ever come across someone who is not only self-absorbed but also struggles with alcohol abuse?
