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Vulnerable narcissists may internalize their feelings of superiority, while grandiose narcissists externalize them more openly. All personality and substance use disorders are diagnosed based on a strict set of criteria described in the DSM-5. A relapse, or a return to drinking, can be seriously challenging for someone with NPD and AUD and those who care about them. By definition, narcissists have a hard time accepting criticism and admitting when they’re wrong. They may deny, hide, or minimize if they start drinking again, particularly since they may have made https://ecosoberhouse.com/ their sobriety the new focus of attention for their family and friends. If you are in a relationship with an alcoholic narcissist or have one in your family, you already know how challenging it can be to deal with them.
- Early intervention and treatment are the best ways to ensure a person avoids the severe side effects of narcissism and alcoholism.
- It’s also essential to remember that support from others, whether from friends, partners, or family, can have a lasting impact.
- While not every person with NPD is an alcoholic, and not every alcoholic has NPD, the overlap between these mental health conditions can result in unique challenges for those with a dual diagnosis.
- Individuals with NPD often have an inflated sense of their own importance and a deep need for excessive attention and admiration.
- Often, family therapy reduces the negative effects on children or partners.
- At Mainspring Recovery, we know how important it is to have a trusted partner while you leave drugs and alcohol behind.
How to Live With an Alcoholic Narcissist

Another factor that contributes to the link between narcissism and alcoholism is the tendency of narcissists to use alcohol as a means of escapism. Narcissists often struggle with underlying feelings of emptiness, dissatisfaction, and a constant need for what is Oxford House validation. Alcohol can serve as a temporary means of escape from these negative emotions and the pressures of maintaining a grandiose self-image.
- The impact on personal relationships can be far-reaching, causing rifts that are difficult to repair.
- Aggressive behavior and pathological narcissism were linked to alcohol overuse in a 2017 study of Canadian men.
- By dampening their emotional state, alcoholics can temporarily escape from their emotional disturbances, further reinforcing their narcissistic tendencies and self-absorbed behaviors.
Is There a Link Between Narcissism and Alcoholism?
We can provide a medically supervised detox (a necessity covert narcissist alcoholic for alcohol withdrawal) and a range of outpatient programs, beginning with the most intensive partial hospitalization program (PHP). This is why it’s hard for narcissists and alcoholics to maintain relationships. It should be noted that narcissism is a trait, but can also be part of a personality disorder.
What is Alcohol Use Disorder (AUD)?

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. Narcissistic personality disorder (NPD) and alcohol use disorder (AUD) are closely linked. Both are mental health conditions that can damage relationships, cause personal distress, and undermine a person’s quality of life and sense of well-being.


