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.

Human beings are wired for connection. From the earliest moments of life, our nervous systems develop within the context of relationships, and this interdependence continues throughout our lifespan. One of the most profound ways we influence one another is through co-regulation; the process by which two or more people attune to each other’s internal states, providing a stabilizing influence on emotional, mental, and even physical functioning.

Living with a chronic illness reshapes nearly every part of a person’s life, and friendships are no exception. While companionship and connection are fundamental human needs, they can become difficult to sustain or initiate when someone is navigating unpredictable symptoms, physical limitations, or the emotional weight of long-term illness. What many healthy people may take for granted - meeting for coffee, keeping up with texts, attending social events, or spontaneously maki

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pattern of rewards or responses (i.e. a pattern where affection, approval, or connection is unpredictably given and withdrawn).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

Living with a chronic illness often involves not only physical pain or fatigue but also the ongoing challenge of explaining your condition to others. For many people with chronic conditions, one of the most exhausting and isolating aspects is the repeated need to clarify, justify, or defend their limitations to healthy people who simply do not understand.