20 Shocking Truths About Narcissism: A Twisty Tour through Diagnosis and Treatment

Katherine MacAulay

19. Vulnerability to Substance Abuse & Depression: Hidden Coping

Man Wearing Pajamas Suffering With Depression Sitting On Bed At Home. Photo Credit: Envato @monkeybusiness

Despite their outward grandiosity, individuals with NPD are startlingly vulnerable to co-occurring mental health issues like substance abuse, anxiety, and depression. These conditions often serve as hidden coping mechanisms for their fragile self-esteem, deep-seated insecurities, and inability to tolerate criticism or setbacks. The depression might stem from the constant pressure to maintain their perfect image, or the emptiness beneath the facade. Recognizing these comorbidities is crucial for a holistic diagnostic and treatment approach, addressing the underlying pain they attempt to mask.

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19. Vulnerability to Substance Abuse & Depression: Hidden Coping

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