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December 2021

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Sober living

Narcissistic Personality Disorder NPD, Drug Abuse & Alcoholism

However, treatments like psychotherapy, group support, and self-care strategies can help people with either condition feel much better. Although alcohol misuse and AUD can cause someone to display narcissist-like behavior, this behavior might change when they’re sober or in recovery. The behavior might also only appear when their misuse began. In fact, some research suggests that alcohol misuse might be more common among people who have narcissistic tendencies.

If you or a loved one is suffering from alcoholism or NPD, we are here. These three statements are a good place to start when beginning to establish boundaries with an addicted loved one. As time progresses, you will begin adding and altering these rules to better fit your specific situation.

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Self-centeredness often leads to acting manipulatively toward others. Instead of being honest and willing to accept what may or may not happen, alcoholics will use manipulation to get what they want, like money, alcohol, or something they need. Here’s what experts say about “fixing narcissism” and whether or not some narcissists can ever change and undo their ways.

  • Recognizing these commonalities can help you understand and cope with people who have Narcissistic Personality Disorder, untreated alcoholism, or both.
  • So whenever anyone’s looking for someone to represent the narcissist, well, they only need to find the closest excessive drinker.
  • CBT has worked for people with alcohol problems and personality disorders.
  • Their needs are primary.While both may function relatively normally in many settings , their self-focus inevitably re-emerges.
  • While narcissism is a personality disorder and alcoholism is an addiction, narcissists and alcoholics share several characteristics.
  • Those with personality disorders can use alcohol as a way to experience short-term relief.

Sometimes, in active addiction, we do things we aren’t proud of. We may have hurt the ones we love, do things we are ashamed of, and caused harm to ourselves. Although you may have gotten substance abuse treatment and are…

How do you recognize an alcoholic?

Healthcare professionals may ask people about their drinking habits to assess AUD. To diagnose NPD, a doctor may refer people to a psychiatrist. A psychiatrist may carry out a standard psychiatric interview, which healthcare professionals use to diagnose personality disorders. Healthcare professionals may also use the Narcissistic Personality Inventory to diagnose narcissism. Narcissists or people with narcissistic personality disorder may use alcohol to help them cope with aspects of their disorder.


But crying is meaningless because they still won’t stop narcissism and alcoholism. Alcoholics will give many excuses for their alcohol consumption rather than take responsibility. Often, they will blame everyone but themselves for their extreme alcohol consumption.

They are self-centered and feel entitled

Prone to withdraw, stonewall, or attack when confronted. Narcissists and alcoholics can become highly defensive if you question their actions or point out their unhealthy behaviors. Both may sulk, become non-communicative, or lash out at you for pointing out the faults and dysfunction they desperately seek to deny or hide. Narcissism involves difficulty accepting fault for one’s mistakes. People with narcissism usually have incorrect perceptions about their life and what people think of them.

  • Alcohol use disorder is the medical term for alcohol abuse or alcoholism.
  • Nolen-Hoeksema S. Gender differences in risk factors and consequences for alcohol use and problems.
  • Overt narcissists or classic narcissists have a larger-than-life view of themselves.
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