Open communication, empathy, and education can foster understanding and promote healthier interactions. It is important to note that not all individuals who consume alcohol excessively or experience alcohol-related problems meet the criteria for alcoholism. Alcoholism is diagnosed based on specific criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) published by the American Psychiatric Association.

  • When you’re caught in the crossfire of someone with these symptoms, recognize that you aren’t responsible for their behavior—as much as they might try to pin it on you or someone else.
  • Think about a typical alcoholic personality, the way that people with alcoholism relate to others and see themselves.
  • Morgan Blair is our expert medical reviewer, a licensed therapist, and writer with a master’s in clinical mental health counseling.
  • This includes an increased risk for personality disorders in those with alcohol or drug addictions.
  • A 2018 study found that people with personality disorders were more likely to have AUD at some point in their lives.

Narcissism is a personality trait where people may feel a need for admiration, show a lack of empathy, or be self-involved. It is typical for people to display occasional narcissistic traits, but a pattern of narcissism could be part of narcissistic personality disorder (NPD), a mental health condition. They may use alcohol as a tool to manipulate or control others, or as a means of gaining attention and admiration.

Narcissism and social media addiction

Understanding the dynamics between these two conditions is crucial in providing effective support and treatment. With the right resources, professional help, and a multidisciplinary approach, it is possible to navigate the complexities of alcoholism and narcissism and work towards healing, recovery, and healthier relationships. Alcoholism, also known as alcohol use disorder, is a chronic condition characterized by the compulsive and excessive Patients of sober living centers are often last to know about closures consumption of alcohol despite negative consequences. It is a complex disease influenced by various genetic, environmental, and psychological factors. Alcoholism affects individuals physically, psychologically, and socially, often leading to detrimental effects on health, relationships, and overall well-being. Alcoholism and narcissism are two complex and multifaceted topics that have garnered significant attention in psychology and society.

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. People with NPD and people with AUD might have some symptoms in common. The outlook of co-occurring NPD and AUD may depend on the severity of each condition and how each individual is functioning. People with AUD may have self-awareness of their condition and a desire to change. However, some with NPD may not be aware of how their behavior affects others.


If you feel like you or someone you care about might be showing signs of being an alcoholic narcissist, there is hope, and there is no reason to be ashamed. Alcoholism is a very serious condition, and without treatment, it can lead to homelessness, failed relationships, and even early death. Research suggests that narcissism is not caused by alcohol, but rather by other factors that occur during the early developmental period. For instance, research has shown that genetic predispositions can place a person at risk of NPD. Childhood rejection or experiences like child abuse and neglect are also linked to NPD [2].

are alcoholics narcissists

They may ask the person to fill out a questionnaire about their behaviors. Some individuals have both narcissistic personality disorder and an active addiction. If someone in your life has such a dual diagnosis, you may find coping with them much more difficult than if that person had just narcissism or addiction.

Do Narcissists Tell the Truth When They’re Drunk?

In the following sections, we will explore the characteristics, symptoms, and treatment options for narcissism, providing a comprehensive understanding of this personality disorder. Inpatient rehab takes place in a residential facility where 24/7 care is provided. This type of treatment is well-suited for individuals who have struggled with their co-occurring disorders while dealing with problems at work or home. Inpatient facilities offer therapy sessions, support groups and medication-based therapy in a safe, supportive environment, allowing individuals to focus on their recovery without outside stress. Just as narcissism doesn’t necessarily cause alcohol use disorder, alcoholism doesn’t necessarily cause NPD.

These stereotypes make people comfortable, allowing those who don’t fit them to avoid asking themselves some tough questions. Dr. Jenni Jacobsen is a licensed social worker and behavioral health consultant. She has a PhD in clinical psychology and teaches college curriculum in the areas of mental health and addiction. If someone you know exhibits destructive, selfish behavior—and can’t be held accountable for it due to their drinking—it can be hard to decipher if you’re dealing with an alcoholic or a narcissist. The combination of a self-obsessed narcissist who never considers your feeling and an alcoholic who blames their need to drink on you can quickly destroy the strongest bond.

They need and seek too much attention and want people to admire them. People with this disorder may lack the ability to understand or care about the feelings of others. But behind this mask of extreme confidence, they are not sure of their self-worth and are easily upset by the slightest criticism. Both narcissistic personality disorder and alcoholism are treatable conditions, but getting an alcoholic narcissist to accept help is notoriously difficult. People who display addictive behaviors in addition to narcissistic traits may require a substance abuse treatment program that is equipped to treat co-occurring disorders. While alcoholism is an addiction and extreme narcissism is a personality disorder, narcissists and alcoholics tend to share 11 similarities.

  • After seven years of compulsive drinking, Radu reached out to Alcoholics Anonymous and managed to admit he had a problem after the first meeting.
  • Along with emotionally or physically neglecting their loved ones, they sometimes commit physical abuse.
  • Like narcissists, they may threaten harm to themselves or others if they don’t get what they want.
  • Genetics also seem to play a role in the development of both conditions.