My mother, 82 years old, a former model and television singer, a total bombshell, has suffered from NPD for most of my (and I’m assuming her) life. We have never had a good relationship: she’s always been emotionally abusive to me, lies incessantly, gaslights me constantly, was indirectly responsible for the death of her 2nd husband (who drank himself to death), and has a makeup and cheap jewelry addiction because she always “must have some bling.” She is anorexic and when she had a catastrophic fall in 2016 (requiring surgery and a stay in rehab) she had horrible insurance because she didn’t want to carry a Medicare card (because people would know how old she was). I am her only child, 54, and I live 2 hours away with my spouse. When she fell I spent 5 months taking control of the practical aspects of her life: got her back on Medicare, got her a supplement (I pay for it), and got her on community Medicaid because she has no money left after spending it all on makeup. Her social security pays her rent. She was overdrawn this month because her credit card payment was swept out of her checking account, leaving her with nothing, because she spends her money taking taxis everywhere (I offer to send her Ubers, but she “doesnt Want to be a bother.”) Every conversation I have with her results in screaming, my high bp going through the roof, her complaining that I don’t take care of her properly given all she’s “done for me,” and I’m waking up at 3 am worried that she’s going to be out on the street. I want to run away rather than have to continue to accept this abuse but I also feel like it’s my moral responsibility to make sure she’s safe. She’s not yet at the point where she should go into assisted living, and even if she was she doesn’t have the resources for it. To be clear: this is a woman who in her 70s was fired by her psychiatrist when she tried to get him to leave his wife for her. I’m at my wits’ end. Advice please.