Narcissistic Personality Disorder and Alcoholism: The Facts (2022)

Narcissism is a personality trait that in some people can be part of narcissistic personality disorder (NPD) and alcoholism is a substance use disorder, but the two are linked and share similar qualities. Narcissists can become alcoholics and alcoholics can be particularly narcissistic when drunk. Many alcoholics are not narcissists when they’re sober.

This article discusses the similarities and differences between people with narcissistic personality disorder and people with alcohol use disorder and where and when they overlap. It also discusses the various treatments available for people experiencing these disorders.

What Is Alcohol Use Disorder?

Alcohol use disorder (AUD) is the medical term for alcohol abuse or alcoholism. It refers to the inability to control alcohol intake despite negative social, health, financial, or other impacts and growing dependence and tolerance (i.e., when you need more of the same drug to have the same effects because your body is used to it). It also refers to when your body goes into withdrawal without alcohol.

One in 10 children live in a home with a parent who has a drinking problem.

Narcissistic Personality Disorder and Alcoholism: The Facts (1)

Narcissists vs. Alcoholics

Narcissists or people with narcissistic personality disorder may use alcohol to help them cope with aspects of their disorder. Alcoholism or alcohol use disorder may trigger someone to develop narcissistic traits.

What Is the "Narcissist Alcoholic?"

The narcissist alcoholic or alcoholic with narcissist traits has co-occurring narcissist tendencies (or narcissistic personality disorder) and AUD.

It’s not known for certain how likely someone is to experience both clinical disorders, but a 2018 meta-analysis of 16 studies found lifetime prevalence for alcohol use disorder and personality disordersis estimated at 38.9% (excluding antisocial personality disorder and borderline personality disorder, which have even higher estimated rates).

Overlapping Traits

Narcissists and alcoholics share various traits. Both may:

  • Be self-absorbed: The addiction to alcohol narrows their perspective until it’s all about them getting alcohol, consuming alcohol, paying for alcohol, etc.
  • Have an exaggerated sense of entitlement: This may be to alcohol, to other people’s alcohol or personal belongings including their time, home, and money.
  • A lack of empathy for others: This is due to being all-consumed in the addiction
  • Show no shame in manipulating others to get what they want

Overt narcissists or classic narcissists have a larger-than-life (grandiose) view of themselves. They often have difficulties with self-awareness and recognizing when they need help. They are typically vain and self-serving. Overt narcissists are also interpersonal exploiters—people who use relationships as a way of getting what they want.

People with AUD can also be self-serving, experience grandiose thinking, and have trouble recognizing when it’s time to seek help. They are also known to engage in exploitative or manipulative behaviors as a way of maintaining their addiction.

Difficulty With Diagnosis

The shared denial, lack of self-awareness, and refusal to take responsibility for one’s actions can make the diagnostic process particularly challenging. It can also mean one disorder (or both) may go undiagnosed.

Researchers have suggested that due to the link between personality disorders (PD) and AUD, it’s important for healthcare providers to screen for both disorders when one is present.

(Video) Are you Dealing With Addict, ALCOHOLIC, NARCISSIST or All Of The Above?

Overlapping Signs and Symptoms

Overlapping signs, symptoms, and behaviors may include:

  • Neverending or insatiable need for drug of choice: attention or alcohol
  • Exaggerated sense of importance
  • Avoiding certain emotions like shame or guilt
  • Blaming others or shifting responsibility to someone else
  • Destructive (to self and others)
  • Mood swings
  • Ongoing relationship troubles (breakups, makeups, empty or unfulfilled promises)

What Are the Differences: Bipolar vs. Narcissistic Personality Disorder?

Does One Cause the Other?

The relationship between NPD and AUD is far too complex to say that either one “causes” the other. People with personality disorders have difficulties coping with daily stressors and may turn to alcohol to escape their feelings.

The link between mental health conditions and substance misuse is strong; several national surveys have found that around half the population with a mental illness or substance use disorder will experience the other.

Personality plays a role, too, even in the absence of a clinical personality disorder. Personality is a contributing factor to whether or not someone is likely to develop an alcohol use disorder.

A 2019 study of 345 college students (28% male, 72% female) found both grandiose (overt) and vulnerable (covert) forms of narcissism to be good predictors of alcohol use and alcohol-related problems. Overt narcissism is the stereotypically overly confident, vain, and arrogant type of narcissism. Covert narcissism isthe introverted, victim-role for attention, self-doubting type of narcissism.

There may also be common environmental contributing factors for NPD and AUD. Factors include:

  • Experiencing trauma in childhood, such as sexual, physical, or emotional abuse or neglect
  • Living in a home with a person with alcohol use disorder or other addiction
  • Living with someone with any mental illness, including NPD

What Is Addiction?

Being a Narcissist When Drunk

Exhibiting narcissistic behavior when drunk doesn’t necessarily mean a person has narcissistic personality disorder. Alcohol can influence narcissistic attitudes, including arrogance, self-importance, and an inflated self-esteem or feelings of superiority that aren’t otherwise present when sober.

Narcissism looks like the drunk person monopolizing all conversations, exaggerating their stories to sound better and gain admiration, and making poor choices such as lying, manipulating, or cheating in order to get their way at any cost.

Over-Consumption Is Dangerous

The self-destructiveness associated with both NPD and AUD makes continuing to drink to the point of getting drunk incredibly risky. When drunk, inhibitions are lowered and self-awareness is even further compromised, leaving the drunk narcissist vulnerable to making dangerous decisions like drinking and driving or over-consuming and experiencing alcohol poisoning.

(Video) Alcoholism - The deadly truth about its stigma | Sarah Drage | TEDxFolkestone

According to the World Health Organization, 3 million deaths occur every year worldwide due to harmful use of alcohol, representing 5.3% of all deaths.

Initiating Treatment

If you or someone you care about is struggling with AUD and NPD, please consider starting the conversation about treatment. While it may seem daunting, these two conditions are best tackled together. AUD is progressive, meaning it will only get worse over time without treatment. AUD can also be fatal (e.g., increased risk of accidents, suicidal behavior, assault, and physical effects of excessive alcohol consumption and withdrawal).

Contact your healthcare provider, find a therapist, or check out Alcoholics Anonymous (AA). AA offers free online meetings at any hour of any day.

Suicide Prevention Hotline

If you or someone you know are having suicidal thoughts, dial988to contact the988 Suicide & Crisis Lifelineand connect with a trained counselor. If you or a loved one are in immediate danger or concerned for someone’s safety, call 9-1-1.

What to Expect From Alcohol Withdrawal Symptoms

Relapse and Recovery

Relapse, or a return to drinking, can be extremely challenging for the person with NPD and AUD and those that love them. Narcissists, by definition, have trouble accepting criticism and admitting when they’re wrong. Narcissists may hide, deny, or downplay if they start drinking again, especially since they may have made their sobriety the new focus of attention in your family or friend group.

Relapse is common in people with AUD, but many do recover. Seeking professional help early on can help prevent relapse to drinking. Treating both conditions at the same time is also advised as a means of reducing relapse risk.

Where to Find a Support System

Finding the right support system is important when dealing with co-occurring disorders or helping someone who has NPD, AUD, or both.

Substance Use and Mental Health Helpline

If you or a loved one are struggling with substance use, addiction, or NPD, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area.

If you are having suicidal thoughts, dial 988 to contact the 988 Suicide & Crisis Lifeline and connect with a trained counselor. If you or a loved one are in immediate danger, call 911.

For more mental health resources, see our National Helpline Database.

As the Patient

To get the support you deserve, you’re going to need to seek professional help. Admitting there’s a need for help is the first hurdle. Finding the appropriate mental health and addiction professionals is the next hurdle.

Change is possible with help. You can find support by speaking with your healthcare provider about what you’re noticing or what others have told you. For example, maybe you’re considering seeing a healthcare provider because your spouse says you’re a narcissist who drinks too much and they won’t stop asking you to get help. It may be a good idea to slow down and, keeping in mind no one is perfect, really listen to what your spouse is saying and how your healthcare provider responds.

Choosing the Right Therapist

(Video) The drunk narcissist

If you’re not quite ready to talk to someone about narcissism or alcohol use, and if you’re wondering if your relationship to alcohol is healthy, there are many online assessments you can take to let you know where you sit on the spectrum of narcissistic traits and drinking behaviors. These are not diagnostic tools, but can be helpful to give you an idea so you can have an honest conversation with yourself and, when ready, your healthcare providers.

AA and other 12-step programs can also provide a valuable added layer of peer support for people quitting or cutting back on their drinking. Exact outcome data is hard to determine due to the anonymity of the programs.

Online “closed groups” and public groups, as well as apps that track usage or money saved and health benefits since quitting, like I am Sober, Sober Tool, and Sober Grid, are also useful to people seeking more support or reward replacements.

Other Resources

As the Partner

If you’re the partner of someone with NPD and AUD, you likely witness and hear things the narcissist’s family and friends don’t. Understandably, this can make it difficult to seek support from them or to convince them of a need for intervention. Your partner may also have surrounded themselves with people who feed their narcissism with praise, admiration, and constant validation (people pleasers).

Self-Care for Partners

Whether you decide to stay in the relationship or leave but are involved through shared children, getting support for yourself is essential. Being with a narcissist is emotionally exhausting and may leave you drained and feeling like you’re walking on eggshells.

Seeking outside support from your social network or professionals can help you manage these feelings.

You may want to begin with peer support groups for family members of alcoholics (Al-anon) and/or support groups for people in a relationship with a narcissist or narcissist abuse support groups. These groups are offered in-person and online.

If you are being physically, emotionally, or sexually abused, know that there is help available. Take a moment in a safe location like a public washroom to create a plan for safety at the Domestic Violence Hotline so you’re prepared if or when you decide to leave. If you’re in immediate danger, please dial 9-1-1.

Signs of Domestic Abuse

Summary

NPD is a personality disorder and AUD is an addiction. 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.

Treatment is best approached as a team effort to cope with both disorders. Relapse can occur, but doesn’t mean hope for change is lost.

A Word From Verywell

Although you may be convinced you’re dealing with a narcissist and that they have an alcohol use disorder, only a qualified healthcare provider can make a formal diagnosis. Beyond that, only the person with narcissism or with an alcohol use disorder (or both) can do the work involved in changing their narcissistic thought patterns and drinking behaviors. You can help by seeking support for yourself and knowing when it’s time to enforce more boundaries or leave.

(Video) Narcissistic Personality Disorder and Alcoholism

Frequently Asked Questions

  • Is it safe to drink if you have been diagnosed with a narcissistic personality disorder?

    Drinking when you have been diagnosed with narcissistic personality disorder can be additionally dangerous. Drinking alcohol lowers inhibitions and can increase other narcissist behaviors including self-absorption, denial, illusions of grandeur, and destructiveness. These behaviors can lead to poor choices, including drinking and driving or excessive consumption, which can be fatal.

  • How do you know if your partner is an alcoholic narcissist?

    There are diagnostic criteria you can check within the DSM to see how many signs of alcoholism or narcissism apply to your partner. You may have some idea that you’re dealing with an alcoholic narcissist, but the two conditions are complex and can only be diagnosed by a medical professional.

    Learn More:What Are Personality Disorders?

  • How likely are you to abuse alcohol if you have NPD?

    People with NPD may abuse alcohol in an attempt to cope with the impact of their disorder. About half of those with a mental illness will experience a substance use disorder at some point in their lives, and vice versa, according to several national surveys.

  • Do alcoholic narcissists ever truly change?

    Alcoholic narcissists can change, but it does require a few hurdles like admitting there is a problem and need for change and following through with treatment plans. Only the alcoholic narcissist can decide if they need help and when they’re ready to begin treatment.

    (Video) TNC 138- ALCOHOL AND NARCISSISM. HOW DOES ALCOHOL EFFECT THE NARCISSISTS IN YOUR LIFE? #NPD

FAQs

What does alcohol do to a narcissist? ›

Drinking alcohol lowers inhibitions and can increase other narcissist behaviors including self-absorption, denial, illusions of grandeur, and destructiveness. These behaviors can lead to poor choices, including drinking and driving or excessive consumption, which can be fatal.

Is narcissism a symptom of alcoholism? ›

Narcissism and alcoholism are different conditions, but they can occur simultaneously and may share some overlapping symptoms. While both conditions can be challenging, certain approaches can help individuals overcome the potential complications of these disorders.

How do you tell the difference between a narcissist and an alcoholic? ›

Narcissists are quick to blame others for making them act as they do. Alcoholics have plenty of excuses for why they drink. Narcissists almost never apologize or promise to change their ways. That would feel like weakness, which is anathema to narcissists, sullying the image they desperately seek to cultivate.

What part of the brain is damaged in a narcissist? ›

Narcissistic traits have been linked to structural and functional brain networks, including the insular cortex, however, with inconsistent findings. In this study, we tested the hypothesis that subclinical narcissism is associated with variations in regional brain volumes in insular and prefrontal areas.

Why do narcissist drink so much? ›

Narcissism may lead to alcoholism in some patients due to their grandiose view of themselves and denial of a negative outcome occurring. Alcohol abuse can cause people to develop narcissistic personality disorder as they become defensive about their substance use and whether they have an addiction.

How do narcissists treat their children? ›

A narcissistic parent will often abuse the normal parental role of guiding their children and being the primary decision maker in the child's life, becoming overly possessive and controlling. This possessiveness and excessive control disempowers the child; the parent sees the child simply as an extension of themselves.

Do narcissists know they are narcissists? ›

More times than not, narcissists do not know they are narcissists and will receive being told they are narcissists very poorly. What is this? Narcissists have no insight and self-awareness, so their ability to recognize that they are a problem will not happen.

Does addiction cause narcissism? ›

You may be surprised to learn that most individuals who struggle with addiction often have narcissistic personality traits. These individuals may have a heightened view of themselves and focus on their own greatness before thinking about the needs of others.

Can a narcissist love? ›

Narcissists may show you love and act in loving ways, but this tends to be conditional, in that displays of love depend on what you can give them in return. For people with NPD, relationships tend to be transactional. Love is not self-serving, proud, boastful, exploitative, or envious.

Can you see narcissism on an MRI? ›

Researchers used magnetic resonance imaging to scan the brains of 34 people, including 17 individuals who suffer from narcissistic personality disorder, and found that pathological narcissists have less gray matter in a part of the cerebral cortex called the left anterior insula.

Can you see narcissism on a brain scan? ›

We can now see narcissism in the brain. A brain scan of people with Narcissistic Personality Disorder (NPD) shows less brain matter in areas associated with emotional empathy. Actually, this is the first time anyone has seen the proof of narcissism in brain structures.

What goes on inside the mind of a narcissist? ›

Narcissistic personality disorder — one of several types of personality disorders — is a mental condition in which people have an inflated sense of their own importance, a deep need for excessive attention and admiration, troubled relationships, and a lack of empathy for others.

Which person would be most likely to develop alcoholism? ›

Individuals in their early to mid-twenties are the most likely to abuse alcohol and suffer from alcohol use disorders. The younger that an individual starts consuming alcohol, the more likely they are to develop alcoholism later in life. This is especially true of individuals who start drinking before 15.

Do most alcoholics have personality disorders? ›

According to clinical and epidemiological studies, the prevalence of personality disorders in alcoholism ranges from as low as 22-40% to as high as 58-78%.

Do alcoholics lack empathy? ›

Prior research has shown that chronic alcoholics often demonstrate impaired socio-cognitive and communicative abilities as well as emotion-related behaviors. Male alcoholics in particular suffer from dysfunctions in empathy.

What is Narc rage? ›

Narcissistic rage is a term that was first coined by author Heinz Kohut in 1972 to refer to the tendency for people with narcissistic personality disorder (NPD) to fly into a rage with what might seem like the slightest provocation or no obvious provocation at all.

What are the signs of a vulnerable narcissist? ›

Vulnerable Narcissists

Are hypersensitive and easily hurt. Are more introverted than grandiose narcissists. Find it difficult to deal with any failure or trauma. Are more neurotic and will worry and fret over how they are perceived.

Can a narcissist be a good person? ›

Bottom Line. Narcissists can sometimes be helpful and caring. However, more often than not, they only pretend to have these qualities. Moreover, even when they act giving and helping, they are not motivated by empathy because they severely lack it, and as a result, their help is often not very productive.

Can a narcissist be a good mother? ›

Recent studies confirm that narcissistic parents are incapable of truly loving others, even their own children.

What kind of childhood does a narcissist have? ›

The development of narcissistic traits is in many cases, a consequence of neglect or excessive appraisal. In some cases, this pathological self-structure arises under childhood conditions of inadequate warmth, approval and excessive idealization, where parents do not see or accept the child as they are.

What does the Bible say about narcissist? ›

1 Corinthians 7: 15 tells us that if an unbeliever (this includes a narcissist [you can read my article about whether someone is a believer here]) can't live with you in peace, then let them live without you.

Are narcissists evil? ›

Narcissists can be intently and irreversibly evil, though most of them are not. The question is, what makes them so wicked? The simplest definition of narcissism is excessive self-love, but it isn't the whole picture.

Can a narcissist recover from addiction? ›

Narcissistic traits and symptoms of narcissistic personality disorder can make the road to recovery from alcoholism and drug addiction recovery challenging. But, with the right help, narcissists can recover from addiction.

Do narcissists have morals? ›

Thus, both vulnerable and grandiose narcissistic individuals tend to have dysfunctional moral standards which are inconsistent with acceptable moral and ethical ideals (e.g., moral: more related to personal perception of right and wrong; ethic: more related to common and social standards of right and wrong).

How does a narcissist recover? ›

Narcissistic tendencies can improve with support from a compassionate, trained therapist. If you choose to remain in a relationship someone dealing with these issues, it's essential to work with your own therapist to establish healthy boundaries and develop resilience.

How does a narcissist show love? ›

A narcissist will shower you with affection in order to get you on side. They aim to disarm and distract you from their flaws and from the reality that the relationship will be constructed around getting their needs met, rather than real affection. Narcissism is a thorny issue in romantic relationships.

Are narcissists ever happy? ›

Some narcissists may be very happy with themselves, happy with their lives, happy with their relationships, and may feel content. Narcissists in this category tend to look on the bright side, focus on everything being good, and honestly may not even acknowledge that there is bad stuff going on in the world.

Do narcissists love their spouse? ›

Narcissists can develop positive feelings toward their partner, although many have trouble sustaining a relationship more than six months to a few years. Those that marry lack the motivation to maintain a façade.

Are narcissists brain damage? ›

Narcissistic Abuse Awareness and Guidance with Randi Fine

Because according to recent studies, neuroscientists have discovered that long-term narcissistic abuse can lead to actual physical brain damage.

What does a narcissist brain look like? ›

NPD Brains Work Differently

According to research, people with narcissistic personality disorder have reduced gray matter volume in areas of the brain related to empathy and increased activity on baseline images in brain regions associated with self-directed and self-absorbed thinking.

Is narcissism a chemical imbalance? ›

Is narcissism a chemical imbalance? The answer isn't so simple. Due to the complex interplay between brain development, neurotransmitters, mental health and narcissism, young people who are more narcissistic may also be at higher risk for certain psychological disorders.

What happens to your brain after narcissistic abuse? ›

Continuous stress due to abuse can damage the brain cells in the hippocampus, making it gradually shrink in size. As a result, the person starts to forget things easily and finds it difficult to learn new stuff. The prefrontal cortex is the region of the brain that is located right behind the eyes.

What tests are done to diagnose narcissism? ›

Your psychotherapist may give you personality tests to see if you have narcissistic traits.
...
Tests include:
  • Personality diagnostic questionnaire-4 (PDQ-4).
  • Millon clinical multiaxial inventory III (MCMI-III).
  • International personality disorder examination (IPDE).
19 Jun 2020

Is NPD a serious mental illness? ›

Narcissistic personality disorder (NPD) is a complex mental health issue that can cause great distress, and impact relationships and wellbeing. It is a long-term condition that usually develops fairly early in life. It can impact people throughout their lives.

What is the ultimate goal of a narcissist? ›

We provided evidence that everyday narcissists pursue goals of fame and wealth because they view them as meaningful and derive meaning from them. On the one hand, meaning in life has been found to be an important component of psychological health.

Are narcissists weak minded? ›

A common misconception is that narcissists go for the weak, because they are easier to manipulate. In fact, narcissists prefer to try and hook someone in who is strong-willed, and who has talents or characteristics they admire. That way, they feel more accomplished if they succeed in tearing them down.

Do alcoholics lack empathy? ›

Prior research has shown that chronic alcoholics often demonstrate impaired socio-cognitive and communicative abilities as well as emotion-related behaviors. Male alcoholics in particular suffer from dysfunctions in empathy.

What are the signs of a vulnerable narcissist? ›

Vulnerable Narcissists

Are hypersensitive and easily hurt. Are more introverted than grandiose narcissists. Find it difficult to deal with any failure or trauma. Are more neurotic and will worry and fret over how they are perceived.

What is Narc rage? ›

Narcissistic rage is a term that was first coined by author Heinz Kohut in 1972 to refer to the tendency for people with narcissistic personality disorder (NPD) to fly into a rage with what might seem like the slightest provocation or no obvious provocation at all.

Does addiction cause narcissism? ›

You may be surprised to learn that most individuals who struggle with addiction often have narcissistic personality traits. These individuals may have a heightened view of themselves and focus on their own greatness before thinking about the needs of others.

What mental health issues do alcoholics have? ›

Alcohol abuse can cause signs and symptoms of depression, anxiety, psychosis, and antisocial behavior, both during intoxication and during withdrawal. At times, these symptoms and signs cluster, last for weeks, and mimic frank psychiatric disorders (i.e., are alcohol–induced syndromes).

What are the psychological causes of alcoholism? ›

In addition to paternal alcoholism and affiliation with substance-using peers (Chassin et al. 1996), the predictors include high life stress, nonadaptive coping styles, parental and peer substance use, little parental support, a low level of academic competence, and poor behavioral control (Wills et al. 1996).

What does alcohol do to an empath? ›

A new study suggests drinking too much alcohol can interfere with men's feelings of empathy and understanding of irony. Chronic heavy drinking may damage parts of the brain involved in deciphering emotions and processing humor, the researchers say.

Do narcissists hold grudges? ›

Tendency to hold grudges

Covert narcissists tend to hold grudges for a long time. If they feel they are being treated unfairly, they may say nothing at the moment but wait to take revenge in some way. Along with a desire for revent, these grudges can lead to feelings of bitterness and resentment.

What does a depressed narcissist look like? ›

He fears the imminent loss of the source and the damage to his own, fragile, mental balance. The narcissist also resents his vulnerability and his extreme dependence on feedback from others. This type of depressive reaction is, therefore, a mutation of self-directed aggression.

How do you manipulate a narcissist? ›

Take these steps to handle a narcissist:
  1. Educateyourself. Find out more about the disorder. It can help you understand the narcissist's strengths and weaknesses and learn how to handle them better. ...
  2. Create boundaries. Be clear about your boundaries. ...
  3. Speak up for yourself. When you need something, be clear and concise.

What are flying monkeys in narcissism? ›

Flying monkeys are people who actively participate in a narcissist's smear campaign. The goal of the campaign is to destroy the target's reputation. Flying monkeys carry out much of the narcissist's dirty work, allowing the narc to keep their hands clean.

Are narcissists evil? ›

Narcissists can be intently and irreversibly evil, though most of them are not. The question is, what makes them so wicked? The simplest definition of narcissism is excessive self-love, but it isn't the whole picture.

Can a narcissist recover from addiction? ›

Narcissistic traits and symptoms of narcissistic personality disorder can make the road to recovery from alcoholism and drug addiction recovery challenging. But, with the right help, narcissists can recover from addiction.

Can narcissists love? ›

Narcissists may show you love and act in loving ways, but this tends to be conditional, in that displays of love depend on what you can give them in return. For people with NPD, relationships tend to be transactional. Love is not self-serving, proud, boastful, exploitative, or envious.

Can a narcissist love their child? ›

According to Perpetua Neo, a psychologist and therapist who specializes in people with DTP traits, the answer is no. "Narcissists, psychopaths, and sociopaths do not have a sense of empathy," she told Business Insider. "They do not and will not develop a sense of empathy, so they can never really love anyone."

Videos

1. Substance use disorder and narcissism
(DoctorRamani)
2. How to Help a Narcissistic Alcoholic | Dr. B
(Dr. B Addiction Recovery)
3. Narcissism and Alcoholism: How Often Are Alcoholics Narcissists?!
(Pej The Addiction Interventionist)
4. It's not me, it's you … An inside into narcissistic personality disorder
(Demystifying Medicine McMaster)
5. Cheers! The Narcissist and Alcohol
(HG Tudor - Knowing The Narcissist : Ultra)
6. Similarities Between Narcissists and Alcoholics | Link Between Alcoholism and Narcissism
(Mindset Therapy PLLC)

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