Narcissistic abuse is often discussed in terms of anxiety, depression, PTSD, and other mental health effects, but prolonged traumatic stress can affect the body as well. This article looks at the physical health effects associated with narcissistic abuse and chronic stress, including chronic pain, fibromyalgia, autoimmune disease, cardiovascular symptoms, digestive problems, sleep disruption, fatigue, migraines, hormonal changes, and the worsening of existing medical conditions.