Dr. Ingela Thuné-Boyle
Health Psychologist
Online Practice

For those who have endured narcissistic abuse (i.e. a pattern of aggressive, manipulative, and controlling behaviors used by someone with narcissistic traits to gain power over another person), the concept of setting boundaries can feel foreign, threatening, or even selfish. In relationships where one’s sense of self has been repeatedly minimized, invalidated, or manipulated, boundaries may have been consistently dismissed or punished.

Living with a chronic illness is already a profound challenge. It often requires immense physical endurance, emotional strength, and a support system that understands the unpredictable and often invisible nature of long-term health conditions. But when someone with chronic illness is also in a narcissistic relationship - whether with a partner, parent, or close family member - the burden can become exponentially heavier.

Intermittent reinforcement is an unpredictable and inconsistent pattern of rewards or responses (i.e. a pattern where affection, approval, or connection is unpredictably given and withdrawn). It has profound psychological and physiological consequences, particularly when experienced in close relationships. Common in emotionally abusive, manipulative, or unstable environments, this behavioural pattern keeps individuals locked in cycles of confusion, self-doubt, and emotional d

The connection between narcissistic abuse, trauma, and chronic illness conditions, underscores the profound impact of emotional suffering on

Some people with a chronic illness or with distressing physical symptoms may have experienced trauma in their lives, either as a direct result of their illness or at a previous point in their lives. Ongoing childhood abuse, for example, has been shown to be related to ill health in adulthood, where those who experienced a rough childhood are more likely to be diagnosed with a chronic illness later on in life.