The idea of vulnerable versus grandiose narcissism comes from the psychodynamic idea that people with narcissistic traits believe they need to be perfect to be okay. While helping your partner, do not neglect your well-being and practice self-care. Engage in activities that bring you joy, maintain a healthy lifestyle, and take time for yourself. Engaging in self-care helps you build resilience and maintain your emotional health. In summary, whether alcohol is to blame or not, having a person with narcissistic traits in your life can be exhausting and upsetting.
Treating alcohol use disorder (AUD)
- Both grandiose and vulnerable narcissism are strong predictors of alcohol-related problems, according to a 2018 study of 345 college students.
- 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.
- Narcissism is a personality disorder that may cause individuals to display grandiose and self-involved behaviors.
- They might infrequently have bouts of excessive drinking, for example, but find that it doesn’t affect their life and that it’s easy to cut back on alcohol (or to stop drinking entirely).
- These activities provide an outlet for emotions and promote mental well-being.
When these two disorders co-occur, their effects can amplify each other, leading to more severe emotional, behavioral, and interpersonal challenges. Here’s what you need to know about NPD and alcohol use disorder, including how they intersect and how to treat them. Ultimately, the correlation between narcissism and alcoholism highlights the need for integrated treatment approaches that address both personality traits and substance use. By understanding the underlying motivations for alcohol abuse in narcissists, clinicians and loved ones can offer more effective support, fostering healthier coping mechanisms and long-term recovery. Recognizing this connection is the first step toward breaking the cycle and promoting lasting change.
Treatment for co-occurring disorders

They avoid their inner feelings and thoughts by drinking excessive amounts of alcohol. Ria Health offers several FDA-approved medications for alcohol use disorder. Clinicians work together to ensure all https://highendinteriordesigner.com/2021/04/05/can-i-drink-alcohol-if-i-have-high-blood-pressure-3/ departments provide cohesive and consistent treatment for clients struggling with their surroundings. Narcissism and alcoholism feed off one another, and if either is left untreated, the risk of relapse and severe illness or injury increases significantly. Alcohol detox helps clients learn essential social skills and other tools to manage the symptoms of NPD. In the United States, around 5 million people reported using cocaine in 2023.
Narcissism and alcohol use disorder
First off, not all alcoholics are narcissists, and not all narcissists are alcoholics. 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. Understanding this connection is crucial, not just for those struggling with these issues, but for their loved ones, healthcare professionals, and society at large. After all, knowledge is power, and in this case, it might just be the lifeline someone needs to break free from this destructive duo. Narcissistic Personality Disorder (NPD) and Alcohol Use Disorder (AUD) are two separate mental health conditions that can co-occur.
Treating narcissists with addiction is a bit like trying to solve a Rubik’s cube blindfolded – it’s complex, challenging, and requires a great deal of skill and patience. Traditional addiction treatment approaches often need to be modified to address the unique challenges posed by narcissistic personality traits. The Dark Triad of personality—narcissism, Machiavellianism, and psychopathy (1)—attracted enormous research interest in the past decades. Treating people with narcissistic personality disorder and alcoholism can be very challenging. Some of the traits of NPD can make it very challenging for people to engage in the treatment process. Both types of pathological narcissism (abnormal efforts to regulate the self) are also linked to alcoholism.

Women, conversely, may internalize their struggles, using alcohol to self-medicate emotional pain or to navigate the pressures of balancing multiple roles. Social norms further exacerbate these differences, as women with narcissistic traits may face greater stigma for alcohol use, leading to secretive drinking patterns that increase the risk of dependency. In his book, The Narcissist You Know, Joseph Burgo includes the “Addicted Narcissist” as one type of Extreme Narcissism. This is particularly true with NPD and alcoholism which have symptoms that overlap and often affect each other. This makes it hard to tell if the root problem is narcissism or alcoholism.
- Partners of narcissists with alcohol addiction often become enablers, caught in an endless loop of trying to “fix” someone who refuses to change.
- They also have a deep hatred of the self which they cover with a highly extroverted persona.
- Even if their behaviors hurt others, alcoholics do what they feel they need to continue drinking.
The cycle of addiction and narcissism is complex and can be challenging to break. Narcissism and alcoholism alcohol rehab can reinforce each other, aggravating the severity of both conditions. While grandiose narcissists possess high self-esteem, vulnerable narcissists tend to have low self-esteem.
Impact on Relationships

Knowing the signs and symptoms of each condition can help you identify which one is at play. We aim to support the widest array of browsers and assistive technologies as possible, so our users can choose the best fitting tools for them, with as few limitations as possible. This website utilizes various technologies that are meant to make it as accessible as possible at all times.
Alcohol Use Disorder and Narcissistic Personality Disorder
Children who are consistently praised for their perceived superiority or shielded from criticism may internalize a grandiose self-image that is fragile and easily threatened. When faced with challenges or failures, such individuals may turn to alcohol as a means of regulating their emotions and maintaining their self-worth. This maladaptive coping mechanism alcoholic narcissist can lay the foundation for problematic alcohol use in adolescence and adulthood.