People with grandiose narcissism tend to have very high self-esteem, behave in a dominant way, and overestimate their own capabilities. Narcissistic personality disorder affects more males than females, and it often begins in the teens or early adulthood. Some children may show traits of narcissism, but this is often typical for their age and doesn’t mean they’ll go on to develop narcissistic personality disorder.

The Cycle of Addiction and Narcissism

are alcoholics narcissists

Although the overall R2 was small for problem evaluations, this result is novel since no other study has examined a narcissist’s perceptions of alcohol-related problems. Being in a relationship with an alcoholic narcissist can be a challenging and emotionally draining experience. The combination of alcoholism and narcissism can create toxic dynamics that significantly impact both the individual and those around them. In this section, we will explore the toxic dynamics involved in relationships with alcoholic narcissists and the development of codependency and enabling behavior.

How does it link with addiction?

  • Alcohol impairs judgment, lowers inhibitions, and reduces self-awareness, which can lead to an intensification of narcissistic traits and behaviors.
  • A 2019 article in Frontiers in Psychiatry looks at the relationship between the problematic use of substances and narcissism, concluding that self-esteem plays a major role.
  • According to a 2019 study in Behavioral Medicine, 40.6% of NPD have substance abuse problems.
  • For example, if you try to bring up behaviors that you don’t like, an abuser with NPD may try to gaslight you by making statements like “it is all in your head” or “you are way too sensitive,” Poulakos says.
  • NPD is a mental illness where patients exhibit a constant need for admiration from others.
  • Cravings can be powerful and persistent, sometimes leading to relapse even after a period of sobriety.

This includes an increased risk for personality disorders in those with alcohol or drug addictions. In a 1993 study published in Comprehensive Psychiatry, researchers Cor A.J. DeJong et al. found that of 178 alcoholics and 86 drug addicts hospitalized, 78% alcoholics had at least one personality disorder. Within the 86 drug addicts hospitalized, there was a 91% rate of individuals meeting the criteria for at least one personality disorder.

What are the potential consequences of being in a relationship with a narcissistic alcoholic?

  • However, treatments like psychotherapy, group support, and self-care strategies can help people with either condition feel much better.
  • For instance, NPD and AUD both involve psychotherapy, but the formats for each can vary.
  • Treating both disorders while at a recovery treatment center can help a person remain sober once they’ve completed the program.
  • Avoid enabling the alcoholic narcissist’s destructive behaviors by refusing to make excuses for their actions.
  • Trent Carter, FNP-BC, CARN-AP, is a seasoned nurse practitioner with over a decade of experience in addiction medicine.

A graduate of Texas Tech University and the University of Cincinnati, Trent is fervently dedicated to providing evidence-based, compassionate care to those battling addiction. He emphasizes a holistic, patient-centered approach and stays updated on the latest in addiction research. Trent Carter, FNP-BC, CARN-AP, is a seasoned nurse practitioner with over a decade of experience in addiction medicine. You can survive the experience by applying the techniques listed above, but at some point, you will have to bring up the subject of treatment. Self-care is crucial for maintaining your resilience and emotional strength, and for additional guidance on handling complex commitments, you might find useful information at ““.

A 2018 study found that people with personality disorders were more likely to have AUD at some point in their lives. Traits like narcissism and personality disorders like NPD are long-standing. In order to have a diagnosis of NPD, they’ll have to consistently show the relevant symptoms over a period of many years. Similarly, many people who misuse alcohol might display very few signs of narcissism.

Dealing with the Alcoholic Narcissist

are alcoholics narcissists