Being around cluster b personality disordered people causes immense trauma. They suck all the air out of the room, require constant adulation and attention, they lie incessantly, they gaslight, they treat everyone around them as objects, they triangulate people and groups against each other, they discard people who arent useful to them, they intentionally hurt anyone who goes against them.

Psychologists say the only way to deal with these folks on the narcissist/sociopath spectrum is to go no contact. Imagine if a cluster b person were to suddenly head a nation. A situation where going no contact werent an option. Where you had to pay attention daily to this person for you and your families safety. Suppose this went on for years? What sort of effect might this have on that nations collective mental health? What sort of strain might this put on mental health clinicians?