In addition, men scored higher on exploitativeness (i.e., interpersonally manipulative for personal gain) than women. We conducted mediational analysis with asymmetric confidence intervals and a bias-corrected bootstrap technique. Mediational tests showed that higher levels of grandiose-fantasy were indirectly related to fewer alcohol-related problems through less IC and less heavy-episodic drinking. In contrast, higher levels of devaluing were indirectly related to more alcohol-related problems through more IC and heavy-episodic-drinking. Our results suggest that targeting thought processes in which people with Alcohol Use Disorders (AUDs) are actively devaluing others may be a good target for therapeutic intervention.

Can a narcissist get sober?

Understanding Narcissism: Even after getting sober, a narcissist can still relapse if their frustrations and disappointments continue every day.

Therapists provide guidance, support, and tools to develop healthier coping mechanisms, enhance self-awareness, and improve interpersonal relationships. Alcoholism is the abuse of alcohol that involves the inability to manage an individual’s drinking habits. Individuals who struggle with alcoholism feel that they cannot function without alcohol. Through time this can lead to negatively impacting those individual goals, relationships, personal matters, and overall health. Alcoholism can lead to serious side effects and can generate damaging complications. Overall, the results of this study demonstrate the difference between the two types of narcissism and how they relate to alcohol outcomes in a college sample.

Psychological & Holistic Therapy

When drunk, they have an easier time seeing themselves as smarter and more powerful than everyone else. Detoxification is usually the first phase of a comprehensive treatment plan. Once detox is complete, a person will be able to enter an inpatient or outpatient treatment program to continue their recovery journey.

These groups offer a supportive community where individuals can share their experiences, learn from others, and receive guidance from peers who have faced similar challenges. Engaging in risky behaviors is another symptom that overlaps with both alcoholism and narcissism [1]. Narcissistic alcoholics may partake in reckless actions to satisfy their need for excitement and attention, disregarding the potential consequences.

Is It Narcissism or Alcoholism? How to determine the cause of your loved one’s behavior.

While don’t always occur together, there are some reasons why narcissists might be more prone to developing an alcohol use disorder than the average person. If you or a loved one needs help for a substance use disorder and a co-occurring  mental health disorder, you can find help for both at Chapters Recovery Center. We can provide a medically supervised detox (a necessity for alcohol withdrawal) and a range of outpatient programs, beginning with the most intensive partial hospitalization program (PHP).

In a nutshell, grandiose narcissists may feel proud of their excessive alcohol use, and the problems it can cause, if it makes them stand out. Meanwhile, vulnerable narcissists deal with inner shame that can make them more likely to develop alcohol abuse problems later on as a way to cope. One study investigated alcohol and narcissism in college students.


Alcoholism is used to describe the chemical and psychological dependence on alcohol that a person may have. The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5)  uses “alcohol use disorder” as the official term for alcoholism. An individual is diagnosed with AUD if they meet at least 2 of 11 criteria of DSM-5. People with this type are much more sensitive, and narcissistic behavior helps protect them from feelings of being inadequate. Although they go between feeling superior and inferior to others, they feel offended or anxious when other people don’t treat them as if they’re special.

narcissism and alcoholism

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