This means that millions of narcissism and alcoholism may have both conditions at once. Yet information about an alcoholic narcissist is not clear. During conversations, they don’t seem to process what other people tell them. In some cases, they take money set aside for household expenses or their children’s education. Along with emotionally or physically neglecting their loved ones, they sometimes commit physical abuse. Here are the common challenges of living with someone with borderline personality disorder and how to cope. Others are viewed as either enabling their drinking or as potential threats to their freedom to drink.


Not every person suffering from this mental health disorder will display all of these traits. Narcissistic personality disorder can present itself differently from person to person. They then figure out coping strategies like breathing exercises that help them make better decisions. CBT has worked for people with alcohol problems and personality disorders. There are differences between an alcohol use disorder and NPD. Many people who drink to excess are kind to others when they are not sober. A person’s behavior may change over the course of an alcohol use disorder, but narcissism may be lifelong.

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Making excuses for drinking such as to relax, deal with stress or feel normal. Neglecting responsibilities, such as missing work and forgetting childcare duties. Engaging in actions that are irresponsible, unsafe or illegal. Finding excuses to drink, which can range from being stressed to wanting to celebrate. A Healthy Journal was born out of passion, the passion for food, but mainly for a healthy life.

It seems that many people who have NPD might also have AUD, but it’s not clear why. As such, we don’t yet know whether one causes the other. People with NPD and people with AUD might have some symptoms in common. It’s worth noting that the DSM-5-TR doesn’t use the term “alcoholism,” but the term is still used colloquially to refer to AUD. Narcissism is defined as excessive self-love or egocentrism.

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They justify their drinking through a variety of excuses. Nothing, not even their family’s pain, can stand in the way of the drink they feel they deserve. An alcoholic narcissist may drink heavily for multiple reasons. In some cases, they want to show off by drinking as much as possible. When drunk, they have an easier time seeing themselves as smarter and more powerful than everyone else.

What causes narcissistic rage?

Causes of Narcissistic Rage

Need for power and control. Lacking empathy. A sense of entitlement. Being envious of others.

Participants were told of the nature of the study and provided informed consent by agreeing to take the online survey. All procedures were approved by the institutional review board . Participants received course credit for their participation. The person develops tolerance, which is needing more of the substance to achieve the same effects they once achieved with smaller amounts. The person is aware of psychological or physical problems caused or worsened by the substance but chooses to use it anyway.

Vulnerable Narcissism and Alcohol Outcomes

The researchers found that grandiose narcissism, i.e., overt narcissism, was a positive predictor of alcohol consumption. People in this group were also less likely to see their alcohol use as a problem. You may have to distance yourself, and you’ll probably need the support of a professional interventionist if you want them to seek help. While alcoholism is an addiction and narcissism is a personality disorder, the two share many characteristics that may cause trouble in their personal, social and work lives.

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