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Yes, it is possible for a narcissist who is also an alcoholic to complete inpatient rehab and stay sober, but it can be challenging. Both narcissism and alcoholism are complex issues that require individualized treatment and a willingness to change.

Inpatient rehab can be beneficial for individuals struggling with alcohol addiction as it provides a structured environment, professional support, and access to various therapeutic interventions. However, the success of rehab largely depends on the person's commitment to change, their willingness to engage in therapy, and their ability to address underlying emotional and psychological issues.

For a narcissist, treatment can be more complicated because of their characteristic self-centeredness, difficulty accepting criticism, and resistance to acknowledging personal flaws. Therapy for narcissism typically involves a specialized approach that focuses on addressing underlying insecurities, building empathy, and developing healthier coping mechanisms.

In the context of addiction, narcissism can also manifest as denial or an unwillingness to accept responsibility for the consequences of one's actions. Overcoming these barriers may require a significant amount of introspection and a shift in mindset.

It is crucial for individuals with co-occurring narcissism and alcoholism to work with experienced mental health professionals who understand both conditions and can provide appropriate, tailored treatment. Additionally, a supportive network of friends and family can play a vital role in the recovery process.

Ultimately, success in rehab and maintaining sobriety for a narcissist who is also an alcoholic depends on their commitment to the process, the quality of treatment they receive, and their ability to confront and address the root causes of their addiction and narcissistic tendencies. While it may be challenging, with the right support and effort, positive outcomes are possible.

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