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The Invisible Consequence

24 July 2025

Codependency in Adult Children of Parents with Mental Health Issues and Its Link to Narcissistic Abuse

Understanding the Impact of Childhood Experiences on Adult Relationships

Our childhood experiences profoundly shape our adulthood and our ability to form relationships. For children of parents with mental health problems—known in Dutch as KOPP-kinderen (Children of Parents with Psychological Problems)—growing up in such an environment can lead to a unique set of challenges. One consequence of these childhood experiences is the development of codependency. In addition, many adult children of parents with mental health issues are prone to becoming victims of narcissistic partners, which further intensifies their codependent patterns. In this blog, we will explore how adult children of parents with mental health issues are susceptible to codependency and the specific dynamics between them and narcissistic partners.

What Is Codependency?

Codependency is a dysfunctional behavioral pattern in which a person's self-worth and well-being depend on meeting the needs of others. It is an unbalanced relationship where the codependent is constantly focused on pleasing others at their own expense. This behavior can stem from a childhood in which children of parents with mental health issues take on the responsibility for the emotional and/or physical care of their parents.

The Impact of Childhood as a KOPP-Kind and the Link with Narcissistic Partners

Adult children of parents with mental health issues often have an increased risk of, as I did 17 years ago, becoming victims of narcissistic partners. This is because they have become accustomed to adapting to the needs and whims of their parents. They are conditioned to ignore their own needs and to serve others completely. This makes them vulnerable to narcissistic partners, who are manipulative, egocentric, and needy.

Narcissistic partners exploit the codependent patterns of adult children of parents with mental health problems. They fuel feelings of responsibility and guilt in their partner, making them increasingly dependent on the narcissist. The narcissist ensures that the codependent partner feels constantly undervalued, unimportant, and incompetent, reinforcing existing codependency patterns. I have described this extensively in my recently published book: ‘Monddood, aan een narcist ontsnapt’.

Breaking the Cycle of Codependency in Narcissistic Relationships

Breaking the cycle of codependency in narcissistic relationships is extremely challenging because of the manipulative nature of the narcissist. It requires a courageous step toward self-examination and self-care. Here are some steps that can help free yourself from codependency and deal with a narcissistic partner:

  • Self-reflection: Examine your own behavioral patterns and recognize the dynamics of the relationship. Understand the manipulative tactics the narcissist uses to make you dependent and undermine your self-worth.
  • Setting boundaries: Learn to define healthy boundaries and communicate them clearly. Be assertive and refuse to give in to manipulation and abuse.
  • Seek support: Find professional help to guide you in restoring your self-worth and learning to recognize healthy relationships. Support from other adult children of parents with mental health issues and victims of narcissistic abuse can also be valuable.
  • Self-care: Prioritize your own well-being and happiness. Develop healthy self-care habits and focus on rebuilding your identity and self-confidence.

Conclusion

Adult children of parents with mental health problems often struggle with codependent patterns and, unfortunately, are also vulnerable to becoming victims of narcissistic partners. The dynamics between these children and narcissistic partners reinforce codependency and make it harder to break the cycle. It is essential for adult children to become aware of these patterns, seek support, and give themselves the care and love needed to heal and build healthy relationships. I want to emphasize again that codependency is not a diagnosis: nothing is wrong with you. You do not have a disorder and you are not weak. Codependency is a survival mechanism, a coping style you needed to protect yourself as a child and later in a relationship with a narcissistic partner.

It actually means that you are fundamentally healthy, and your system found a way to stay afloat. It is absolutely not your fault that your parents could not be healthy adults, nor is it your fault that a narcissistic partner abused you. My focus is solely on you, wonderful person, so that you see how beautiful you truly are and that you deserve to be happy, that you come first, and that your own needs matter.

Children of parents with mental health problems often possess great talents in social interactions and are frequently drawn to professions where they can support others. If, after your healing process, you learn to use these talents in a healthy way, you will truly flourish in all areas of your life. I call these “fruitful scars.”

With love,

Annemarie

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