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. The narcissist-like behavior of some alcoholics may only be a result of their addiction—it may not be how they really are when sober. And while there are some links between alcoholism and narcissism overall, the connection isn’t as straightforward as some might think. Alcoholism is considered a substance abuse disorder, which is often referred to as an addiction.
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. Narcissistic personality disorder can be one of the more challenging mental health conditions to treat.
In other words, those who had narcissistic tendencies were more likely to use alcohol and experience problems because of alcohol use. It leaves their partners hanging on, putting up with their behaviours. Believing that one day a nice person will surface from their alcoholism. Most narcissists don’t know when to stop once they start drinking. Narcissists aren’t good at regulating their emotions and behaviours. When they’re drunk you actually see more of their true selves.
Understanding how these two separate disorders are similar may offer some insight into the type of addiction treatment that would be most beneficial. I worked in drug and alcohol rehab for a short time in my 20s after I got my psychology degree and I’ve trauma bonded to many narcissists in my life. Even if their drunk behavior brings misery to other people, they may hardly care because narcissists do not empathize with others.
This shouldn’t come as a surprise when considering why people are driven to drink. For instance, they tend to demonstrate a lack of empathy and narcissism and alcoholism are prone to anger, irritability, and impulsivity outbursts. They may use alcohol to feel more confident, charming, and socially adept, aligning with their belief in superiority. Grandiose narcissists are highly concerned with their self-image and how others perceive them.
Alcohol acts as a lubricant, making the vulnerable narcissist feel more at ease in social situations that may otherwise seem overwhelming. Alcohol can temporarily alleviate the vulnerable narcissist’s feelings of inadequacy, giving them a false sense of confidence that negates their niggling self-doubt. They tend to display more passive-aggressive behaviors, self-pity, and a victim mentality. Grandiose narcissists have an inflated sense of self, an unshakeable belief in their own superiority, and a lack of empathy for those around them.