
Narcissists frequently turn to alcohol as a coping mechanism for their underlying insecurities and emotional turmoil. This self-medication often exacerbates their narcissistic tendencies, making them increasingly demanding, arrogant, and difficult to handle. Alcohol diminishes their ability to regulate emotions and behaviors, intensifying their need for control and admiration. A comprehensive recovery plan is the safest and most effective way to overcome a co-occurring disorder.
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Even when an alcoholic doesn’t have a full diagnosis of NPD, they act in ways that are similar to a narcissist. An alcoholic narcissist, or someone with narcissistic personality disorder, is one of many conditions that can co-occur with alcoholism, or alcohol use disorder (AUD). But, AUD can cause some people to develop narcissistic characteristics. Alcoholism, or alcohol use disorder, is a chronic disease that leads to an inability to control drinking despite negative consequences.

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With both conditions, the benefits of therapy depend on your willingness to work on yourself. People with AUD or NPD might resist getting treatment or looking for help. It’s possible for people with AUD to successfully stop using alcohol when they have the right support and treatment. If you answered “yes” to most of the questions above, speaking with a therapist might be a good idea.
The Cycle of Addiction and Narcissism
- Alcoholics do the same when they put their drinking first without concern for how it affects others.
- It can also provide false self-confidence, relax the mind, and make them behave as they wish.
- But here’s where things get really interesting – the overlapping behaviors and symptoms.
- However, when these two troublemakers team up, they create a toxic tango that’s harder to break than a conga line at a wedding reception.
- Enablers are often family members, friends, or partners who feel responsible for the narcissist’s well-being and believe that they must do whatever it takes to make the narcissist happy.
This often involves an integrated approach that simultaneously addresses both Alcohol Use Disorder (AUD) and Narcissistic Personality Disorder (NPD). Therapies such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) can reprogram negative thought patterns and enhance emotional regulation. These therapies are tailored to confront both addictive behaviors and the empathic deficits characteristic of an alcoholic narcissist. Moreover, various online support groups act as virtual havens where shared experiences foster guidance and a sense of community. Rebuilding trust and mending these relationships is a marathon, not a sprint. Ensuring that the alcoholic narcissist remains committed to ongoing therapy is crucial for successful rehabilitation and the gradual restoration of a healthy family dynamic.

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- Both narcissists and alcoholics seek only one thing, attention, and alcohol respectively.
- People around them experience betrayal, rejection, manipulation, and emotional injuries.
- They also might attack people who point out what they’re trying to hide or deny.
- When we drink, our inhibitions melt away, and we start to believe that we’re the most attractive, fun, and intelligent person in the room.
- Combined treatment for SUDs and mental illness has proved to be consistently superior compared to separate treatments for each condition.
- Someone with narcissistic behaviors may begin drinking heavily for increased attention, for example.
This behavior reinforces the narcissist’s sense of entitlement and reinforces their belief that they are above the rules. Being in a relationship with an alcoholic narcissist can be challenging and emotionally draining. Their self-absorbed behavior can make it difficult for them to truly connect are all alcoholics narcissists with others, leading to superficial relationships that lack depth and meaning.
How do treatment approaches differ for individuals with both alcoholism and narcissism?
Both narcissists and alcoholics will become defensive once people confront them about their actions. Even though Narcissism and alcoholism are different, there are a few resemblances that are shared above that may suffice the similarities between narcissism and alcoholism. You may wish the narcissist would what is Oxford House understand the negative and painful effects of their toxic behavior on you. Narcissists lack the ability of self-realization and thus their emotional understanding is shallow and surfaced level. Similarly, alcoholics might blame situations, people, and circumstances that made them drink in the first place.


Dialectical behavior therapy (DBT) is particularly effective for those with NPD, as it teaches emotional regulation and interpersonal effectiveness. Group therapy provides a supportive environment where individuals can share experiences and gain insights from others facing similar challenges. Such environments also help reveal the narcissistic behavior in people with alcohol addiction that may otherwise go unaddressed. Integrated treatment approaches recognize the interplay between these disorders and provide comprehensive care. This approach is essential when dealing with the co-occurrence of alcoholism and narcissistic tendencies.
According to the National Institute of Mental Health, 22.6% of people with a personality disorder may also have a substance misuse disorder. Cultural influences and societal attitudes toward alcohol use also shape drinking behaviors. Some research suggests narcissistic traits may increase in prevalence in individualistic societies.
