That ensures the plan addresses both sides of the problem from day one. Throughout, I exhibited my persistent faith in his capacity to override his self-defeating patterns and used Alcoholics Anonymous empathic confrontation when needed. He learned healthy ways to self-soothe and comfort his vulnerability through imagery, self-talk, breath- and body-focused work, and behavioral redirection for impulse control. And ultimately, he’d be able to choose a partner instead of a prisoner. These days, there are specialized therapists, and even more unlicensed coaches, claiming to help survivors of this abuse understand and heal from it.
It’s not always the objective reality, but definitely in his mind, he feels utterly inadequate and deficient. The abuse of substances such as alcohol and drugs provides the addict with much more than a fuzzy feeling or a high. And so the covert narcissist feels even less than the Neanderthals. When the covert narcissist drinks, he perceives himself as much more than he is and he also perceives his deficiencies, his defects, his deformities, his problems, as gone.

Dual diagnosis refers to the simultaneous presence of narcissistic personality disorder (NPD) and alcohol use disorder (AUD). This combination is not uncommon, as individuals with NPD may turn to alcohol to cope with underlying insecurities or boost their self-image. Research consistently shows that narcissistic personality disorder (NPD) increases the risk of substance use disorders. Understanding why requires looking at what narcissism actually involves. The intersection of narcissism and alcoholism presents unique and complex challenges. Understanding the dynamics between these conditions is essential for recognizing the struggles faced by individuals and their loved ones.
As with all personality disorders, NPD is a long-standing condition. In some cases, someone who’s misusing alcohol may display similar tendencies to narcissistic people — or at least, it might come across that way to those around them. Some people who have narcissistic tendencies do misuse alcohol.
For instance, they might avoid deep conversations about feelings, keeping interactions superficial. While they may appear engaged and caring on the surface, they tend to keep an emotional distance from others. This difficulty with intimacy stems from their fear of being exposed or vulnerable. Covert narcissists might be too busy looking at other people’s achievements and wondering why they are not in their shoes. This might make it impossible for them to be focused on a particular goal.
Dealing with a covert narcissist can be challenging, especially when it comes to communication. Their subtle manipulations and sensitivity can make interactions difficult. A covert narcissist’s fear of vulnerability can lead to a lack of genuine intimacy in the relationship. They may avoid deep, emotional conversations and keep interactions superficial. They might use triangulation, gaslighting, passive-aggressiveness, love bombing, and other means of manipulation to achieve their goal.
Co-occurring disorders have a profound impact on individuals and families. Seek treatment and support if you or someone you know has alcohol use and narcissistic personality disorders. For this reason, it’s crucial to treat co-occurring disorders covert narcissist alcoholic simultaneously. Treating only one (alcoholism or narcissistic personality disorder) increases the chances of relapse. Diagnosing and treating co-occurring disorders can be difficult. This is true with alcoholism and narcissistic personality disorder, which have overlapping symptoms.
The reinforcement of entitlement can lead to a cycle where alcohol abuse fuels narcissistic tendencies and vice versa. Alcohol impairs judgment and inhibitions, which can intensify narcissistic behaviors. Under the influence of alcohol, individuals with narcissistic tendencies may become more self-centered, arrogant, and impulsive. They may engage in reckless or https://david-lane.net/wp/2025/09/02/alcohol-dependence-understanding-physical/ attention-seeking behaviors without considering the consequences, further reinforcing their narcissistic self-perception.

Depression causes a person to have a consistently negative outlook and affects a person’s thoughts and actions. Alcohol is sometimes used as a quick fix but can actually make symptoms worse. Alcoholics might cry about the costs of their addiction, but it doesn’t mean anything because they still won’t stop drinking. Alcoholics and narcissists will both become defensive once they are confronted about it.

Antidepressants or mood stabilizers might be used to address co-occurring mental health issues often present in narcissistic individuals with alcohol use disorder. Effective treatment for narcissistic alcoholism requires a multifaceted approach. Psychotherapy, medications, and support systems play crucial roles in addressing both the alcohol use disorder and narcissistic personality traits. Prescription medications, including antidepressants, should only be taken under the guidance of a licensed healthcare provider. Do not start, stop, or adjust any medication without first consulting your doctor.
Alcoholism is a complex disorder with various underlying causes, and it can affect individuals from all walks of life. While some alcoholics may exhibit narcissistic traits, many others do not. Dealing with a narcissistic and alcoholic partner can be difficult. It requires great courage, even if your partner is willing to change. While helping your partner, do not neglect your well-being and practice self-care. Engage in activities that bring you joy, maintain a healthy lifestyle, and take time for yourself.