Treatment for co-occurring alcoholism and narcissistic personality disorder is essential to help the individual recover from both conditions. Treatment may involve medications, cognitive behavioral therapy, support groups, or in some cases, hospitalization. It is important to remember that no two people are the same, so there needs to be a tailored approach to each individual’s needs. Yes, it is common for individuals with narcissistic personality disorder to struggle with substance abuse. This is because they may use drugs or alcohol to cope with feelings of inadequacy or enhance their sense of superiority.
In some cases, medications may be prescribed to help manage symptoms of depression or anxiety. Physically, alcohol can cause serious damage to the liver and other organs, as well as an increased risk of cancer. Mentally, alcohol can cause depression, anxiety, and suicidal thoughts.
Is the Addict in Your Life Also a Narcissist?
To get started, contact a doctor or other healthcare professional, or reach out to a therapist. Genetics also seem to play a role in the development of both conditions. Further research into the causes of AUD might help experts develop more treatment options.
Taking responsibility for actions and behaviors would mean moving out of denial and not only having to admit the truth but becoming fully responsible for it. If they fully acknowledge their drinking problem they know they can no longer justify their drinking. This prevents them from seeking help, and families very often have to contact a professional interventionist for resolution.
Next steps
NPD and AUD frequently co-exist and can increase the effects of each other. People with a pattern of narcissism often turn to alcohol to reinforce a false sense of covert narcissism and alcoholism grandiosity. People with AUD, also known as alcoholism, can display patterns of narcissism, including self-absorption and an underlying craving for admiration.
- Drinking when consequences are obviously damaging or will cause major losses, are both signs of severe alcohol abuse.
- Another study from 2019 found a link between drinking and the narcissistic traits of devaluing and entitlement-rage.
- They may also defend the narcissist’s actions and make excuses for them, even if they are hurtful or abusive.
- People with NPD tend to have difficulty receiving criticism from others, and as such, they might find it difficult to commit to psychotherapy and lifestyle changes.
Narcissists with low self-esteem may gain acceptance from others or a sense of security through alcohol consumption or use it as a coping mechanism for dealing with distress. It can be hard to discern even from a clinical perspective if alcoholism is separate from narcissism. The takeaway is that the individual needs treatment to make significant changes in their life. Depending on the severity of the problem, residential or inpatient treatment may be necessary. Once detox is completed and sobriety has begun, outpatient therapy can be beneficial. It is also recommended to utilize family or couples counseling to heal relationships as well.