The same factors that drive the problematic use of alcohol and drugs can also drive sex addiction. There’s a significant overlap in people with personality disorders and substance use disorders in general. The National Institute of Mental Health estimates that 22.6% of people with any personality disorder also have a substance use disorder. Other research found that 40.6% of people with NPD engage in substance abuse. Seek treatment and support if you or someone you know has alcohol use and narcissistic personality disorders. Diagnosing and treating co-occurring disorders can be difficult.
Greater risk of abuse
All personality and substance abuse disorders are diagnosed based Sober living house on a strict set of criteria described in the DSM-5. While there is room for interpretation, a person with NPD and/or AUD must meet a minimum standard before a diagnosis can be delivered with confidence. It is not uncommon for two mental health conditions to co-exist (referred to as a comorbidity). Covert narcissist traits may reflect a different subtype or more subtle presentation of narcissistic personality disorder (NPD). Individuals with narcissistic traits may struggle to maintain healthy and meaningful connections with others due to their self-centeredness, lack of empathy, and need for constant admiration. Alcoholism exacerbates these challenges by causing erratic behavior, emotional volatility, and broken promises.
What is Alcoholism?
Do you know someone who struggles with alcoholism and also displays patterns of narcissism? These two conditions can be related, and it’s essential to understand their similarities and differences. Therapy is one of the most effective forms of treatment for clients with NPD and co-occurring AUD.
- Seek support from trusted friends, family, or professionals, such as therapists or counselors, who can provide guidance and assistance.
- Understanding these distinctions is crucial for proper diagnosis and treatment approaches.
- The two conditions may co-occur, but it is often difficult to determine which disorder occurred first.
Symptoms and Diagnostic Criteria
Then there is alcohol, which creates disinhibition and loss of impulse control. Covert narcissist would engage in this kind of behavior when they’re bored, when they’re bored, they possess a low arousal or low boredom threshold, very much like psychopaths. I’ve seen them when drunk not giving a damn on professional obligations, on proper conduct, on moral standards. I mean, they give up, they are utterly out of control and they have so much pent up rage, so much pent up frustration and aggression and envy that when these are let loose, they’re like the hounds of hell. So, they have all this and it constrains them, it constricts them, it makes them people pleasers on the one hand and on the other hand it narrows their lives.
What is alcoholism?
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. They may believe that only their version of reality is accurate and are often unconcerned with the damage that their arrogant and manipulative behavior does to other people. When narcissism is combined with the cravings and impulses of alcoholism, this behavior only worsens. Whether someone with AUD has admitted they need help or loved ones have staged an intervention, the first phase of treatment is detox and withdrawal.
The care team helps clients overcome these symptoms and develop a healthy support system. Individuals with NPD may do whatever it takes to achieve power, beauty, and admiration, even if it causes great harm, like Narcissus in the Greek tragedy. Risk-taking behaviors, including alcohol and drug abuse, are common in individuals with NPD. Very little research has been conducted specifically on narcissism’s effect on problem recognition or a person’s readiness to change. Narcissistic personality disorder https://animo.info/key-strategies-to-recognizing-and-preventing/ and alcoholism frequently coexist, but there are some differences. Personality disorders and substance use disorders occur together about 22.6% of the time, according to the National Institute of Mental Health (NIMH).
Narcissists May Be More Likely to Struggle with Alcohol Use Problems

The speaker discusses the characteristics of a person they believe has borderline personality disorder, highlighting behaviors such as disappearing at night and exhibiting hot-and-cold emotional patterns. They then shift focus to the effects of alcohol on covert narcissists, emphasizing that alcohol alters empathy, reduces inhibitions, and affects perceptions of attractiveness. Alcohol is described as disinhibiting, allowing individuals to act on pre-existing desires without the constraints covert narcissist alcoholic of social norms. The speaker outlines seven specific effects of alcohol, including changes in empathy, memory impairment, and the promotion of reckless behavior.

It’s worth noting that not all narcissists exhibit the same behaviors. Some may have high self-esteem and a healthy sense of self-worth, while others may exhibit extreme narcissism and a lack of empathy for others. Additionally, there are different types of narcissism, including vulnerable narcissism and grandiose narcissism. Alcoholism, also known as alcohol use disorder (AUD), is a chronic condition characterized by an individual’s excessive and compulsive consumption of alcohol, despite harmful consequences. It is a form of addiction that affects the brain, leading to a loss of control over alcohol consumption and an increased tolerance for its effects.
Individuals with narcissistic personality disorder (NPD) are often excessively preoccupied with their achievements, beauty, or intelligence. They may exploit or disregard the feelings and needs of those around them. They may exhibit grandiose behaviors, require excessive attention and praise, and struggle with maintaining healthy relationships.