If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please contact at Browse our directory or reach out to the Substance Abuse and Mental Health Services Administration (SAMHSA) for more information about addiction recovery. People may be unable to prevent certain factors, covert narcissism and alcoholism such as genetic reasons, that increase the risk of AUD and NPD. However, there are steps they can take to reduce risks within their control.
Overlapping tools for diagnosis
While aggressive behaviors aren’t inherent symptoms of Narcissistic Personality Disorder (NPD), covert narcissist alcoholics may exhibit aggression in certain circumstances. Recognizing these behaviors can help individuals navigate relationships with covert narcissist alcoholics more effectively and protect themselves from emotional manipulation. Recognizing these signs of covert abuse and manipulative patterns is essential in identifying individuals who may be covert narcissist alcoholics. Understanding these behaviors can help in setting boundaries and seeking appropriate support for both the individual struggling with alcoholism and those affected by their manipulative actions. It can be very challenging to get a person with narcissistic personality disorder into treatment, especially because it is highly unlikely that they will admit they have a problem with addiction.
Finding Healing in Narcissistic Abuse Support Groups
- With treatment, those with NPD can live healthy lives with positive relationships.
- Narcissistic injury—a highly reactive sense of shame or ‘narcissistic wound’—is another significant issue.
- Often, family therapy reduces the negative effects on children or partners.
- While the road to recovery for an alcoholic narcissist is long and often fraught with challenges, it is a journey well worth undertaking.
NPD increases the risk of alcohol misuse as a means to escape difficult emotions. While diagnosis and treatment can be challenging, studies have shown that the successful treatment of a mental illness can lead to alcohol recovery in two out of every three cases. For this reason, mental health professionals will routinely screen for substance use when diagnosing a personality disorder or screen for behavioral concerns when a person has a substance use disorder. Narcissistic personality disorder (NPD) and alcohol use disorder (AUD) are closely linked.
Are Alcoholics Narcissists?
This overlap suggests that individuals with narcissistic traits may turn to addictive Sober living house behaviors as a maladaptive strategy to cope with their inner pain and insecurities. The temporary relief or gratification provided by substance use or addictive activities offers an escape from the negative feelings they typically avoid confronting. Both individual and group therapies are crucial in addressing the intertwined issues of alcohol misuse and narcissistic personality disorder, offering structured support and practical strategies. For an alcoholic narcissist, cognitive-behavioral therapy (CBT) serves as a cornerstone of effective treatment. By targeting faulty thought patterns and behaviors, CBT helps individuals develop healthier coping mechanisms.
Narcissistic personality disorder is just one of several personality disorders that can be dual diagnosed with alcoholism. However, there is some evidence that having narcissistic personality disorder can make you more vulnerable to alcohol abuse, according to a study from the National Institute of Health. So, how to stop the relationship between alcoholism and narcissism from gaining momentum?
Commonly Asked Questions About Narcissistic Alcoholics
- I have another video which I advise you to watch where I explain the transition from doormat, doormat covert narcissist to a primary psychopath.
- Participation in support groups, such as Alcoholics Anonymous (AA) or Narcotics Anonymous (NA), can be highly beneficial for individuals with alcoholic narcissism 3.
- These psychological factors underscore the complexities of covert narcissism and its intersection with sexual addiction.
- It seems that in determining attractiveness, when I say attractiveness, I want to say not only sexual attractiveness, but social attractiveness, the wish to spend time with that person.
- It’s important to do this safely under medical care, especially if your AUD is severe, to avoid dangerous withdrawal symptoms like seizures.
Engaging in positive social engagements is considered a form of self-care. People recovering from co-occurring AUD and NPD must find healthy ways to replace maladaptive behaviors and thought patterns. Narcissism involves manipulation, taking advantage of the kindness of others, and selfish behaviors. The care team helps clients overcome these symptoms and develop a healthy support system. If you find yourself in a relationship with someone who is an alcoholic narcissist, it is important to establish guidelines for your own safety and mental health. Alcohol will not necessarily create narcissistic behaviors or thought processes, but it can create social feedback that could evolve into more grandiose behaviors from the consumption of alcohol.

Chris Hanks is an experienced physical therapist based in Austin, Texas. He earned his Doctor of Physical Therapy degree from the University of Texas at Austin in 2005 after completing his Bachelor of Science in Kinesiology in 2002. Dr. Hanks has been a licensed PT in Texas since 2005. He began his career at Central Texas Rehabilitation Hospital before moving to Austin Sports Medicine Center in 2010. In 2015, Dr. Hanks opened his own clinic, Capital City Physical Therapy, where he continues to treat patients.