Reach out to loved ones you trust who can walk with you through the recovery journal. Because a person with NPD will often approach therapy with ambivalence or negative feelings, they are more likely to give up prematurely. They also tend to have a low tolerance for stress and will often give up and walk away than deal with it. Treating each condition independently can sometimes lead people to “choose one over the other,” especially if care is not coordinated.

narcissism and alcoholism

An overall mean score of narcissism was calculated for the two subscales (i.e., grandiose and vulnerable narcissism). Internal consistency in the current study was alpha of .84 for the grandiose narcissism subscale and .79 for the vulnerable narcissism subscale. An individual may be an alcoholic narcissist, someone who has NPD and then develops alcohol addiction and dependence. But their alcoholic personality leads them to act in ways that are similar to a narcissist.

Pathological narcissism and maladaptive self-regulatory behaviours in a nationally representative sample of Canadian men

This approach entails addressing both alcoholism and any co-occurring conditions, such as bipolar disorder or borderline personality disorder. Integrated treatment plans provide comprehensive care, targeting each disorder simultaneously for optimal recovery outcomes. At the core of alcoholic narcissism lies deep-seated insecurity and fragile self-esteem [1]. These individuals often harbor feelings of inadequacy, which narcissistic traits help mask.

If you or a loved one is suffering from alcoholism or NPD, we are here. Similarly, addiction can cover inner conflicts and uncomfortable feelings. The longer the feelings are unaddressed, the more daunting it can become to look inward and face them.

Personality Characteristics of Alcoholics: What Are They?

With NPD, for example, there are no drugs specifically used for the treatment of the personality disorder, but antidepressants or anxiolytics may be prescribed if depression or anxiety is present. Exhibiting narcissistic behaviors when drunk, for example, doesn’t inherently mean that a person has NPD. Alcohol can influence narcissistic behaviors, such as arrogance, self-importance, and feelings of superiority that aren’t otherwise present when sober. Personality disorders like NPD are those in which a person has a rigid and unhealthy pattern of thinking, functioning, and behaving. Substance abuse disorders like AUD are characterized by mental and physical addiction. Narcissists who are also alcohol addicts tend to be even more emotionally reactive.

Why do alcoholics lack empathy?

Scientists suspect that chronic heavy drinking damages parts of the brain that are crucial to decoding others' emotions and to processing humor, especially irony.