Individuals with narcissistic, compassionate traits, leaning towards borderline personality disorder, may manipulate others, even sacrificing their children for attention. Parents facing pressure to conform to therapeutic treatments for their children's gender dysphoria may feel compelled to comply out of fear of being blamed for their child's potential harm or suicide. The pervasive influence of therapists and societal pressures exacerbates the situation, making parents feel helpless and pressured to conform.

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