People with NPD tend to have difficulty receiving criticism from others, and as such, they might find it difficult to commit to psychotherapy and lifestyle changes. People with AUD or NPD might resist getting treatment or looking for help. It’s possible for people with AUD to successfully stop using alcohol when they have the right support and treatment. People who are genetically predisposed to experience unpleasant side effects of drinking are less likely to drink often, making AUD unlikely. In other words, those who had narcissistic tendencies were more likely to use alcohol and experience problems because of alcohol use. If you think that you or a loved one has NPD or AUD, knowing the symptoms can help you better understand both conditions.

Does alcohol cause lack of empathy?

Empathy (both cognitive and affective) is significantly reduced in alcohol dependence. Higher empathy correlates with lesser relapses. Abstinence and progression in motivation cycle is associated with remission in empathic deficits.

narcissistic personality disorder and alcoholism with an alcoholic personality show a disregard for others. They hurt their loved ones and let down people who trust them.

Similarities Between Alcoholism and Narcissism

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Finding the right support system is important when dealing with co-occurring disorders or helping someone who has NPD, AUD, or both. If you or a loved one is suffering from alcoholism or NPD, we are here.

This can mean drinking more frequently, as well as drinking larger quantities of alcohol. Binge drinking, which involves having multiple drinks within a small window, is a common initial sign of a drinking problem. However, there are many correlations between the two, which are most often displayed by alcoholics. To an alcoholic narcissist, drinking becomes one of their layers of defense. Hill E. The role of narcissism in health-risk and health-protective behaviors. Simons J, Gaher R, Correia C, Hansen C, Christopher M. An affective-motivational model of marijuana and alcohol problems among college students. People with NPDare more likely to be self-centered and almost always seek to be the center of social situations.

Can addiction mimic narcissism?

Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. We link primary sources — including studies, scientific references, and statistics — within each article and also list them in the resources section at the bottom of our articles. Following alcohol guidelines can help people stay within moderate levels of alcohol consumption. For females, it is not advisable to consume more than one unit of alcohol per day.

It should be noted that narcissism is a trait, but can also be part of a personality disorder. People who are at the highest end of the spectrum are the people who are classified as NPD. Others with narcissistic traits may fit on the lower end of the narcissistic spectrum. Alcohol addiction affects an alcoholic’s behavior and the way they treat people, as well.

Withdrawal Symptoms from Adderall

If you have a loved one or are personally struggling with Narcissism and alcoholism, contact our team today to speak with one of our kind and experienced intake specialists. There doesn’t appear to be a significant relationship between narcissistic personality disorder and substance use relapses. But, when people with both AUD and NPD go back to drinking, they will probably hide or deny it.


While different, they can co-occur and they share similarities. People with NPD and AUD may avoid taking responsibility, have a lack of self-awareness, live with grandiosity, and may be practiced in manipulating others to get their own way.

Moreover, they can start to neglect their partners and kids. They began to prioritize drinking over things that usually matter to them. Certified mental health professionals will facilitate group counseling sessions where you can learn how to interact with others in a positive manner and use sober social skills.

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