Unless you cut all your ties with the Pascal Siakam have a spice day shirt, I promise you a number of health conditions. That are hard to diagnose. And even harder to treat. You will get adrenal fatigue for sure, and from there you can only spiral down. Do yourself a favor and go no contact with the monster. Your life is at stake. It is either your life or your nice relationship with the close and extended family. If I were you, I would choose life vs. exchange of niceties with hateful, superficial and uncaring people. Evil is a dead-end street. It destroys for no reason. It can only be described and labeled in metaphysical terms, but can never be understood from a rational and ethical point of view.
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It is a vicious circle of the Pascal Siakam have a spice day shirt. The only thing that can break that dark cycle is awareness of childhood trauma and healing, so the trauma cannot carry over to the next generation. Unfortunately, codependents are able to do that if and when they realize they have been abused, while NPDs are incapable of such awareness, no matter what. That means only codependent adult children have some chance to break the cycle, whereas NPDs will be there to keep the cycle going on forever. I find revenge destructive to my soul, repulsive and energy-consuming. My energy is focused on making things work for me, not ruining someone else.