It's affected everything for me, except for work since I've never held a job.
I failed through highschool & middle school with flying colours, except for 1/2 a year when I didn't have any friends to talk to, but I wound up dropping out due to home problems. Now my attention span & my intellectual capacity have suffered due to my BP & I am scared about the upcoming semester.
I used to be a lot worse off in the social category-- Making friends that were detrimental to me & putting myself in danger just to be sexually involved with someone. Most of my social problems are mainly NPD related now.
Home-life used to be very hard for me, but it's also mainly an NPD problem. (I'm really good at just up & leaving people, argument beforehand or not... I tend to be really demeaning & have high standards when I am surrounded by incompetent morons.) Now it's making me unable to feel comfortable due to the remittent psychotic episodes & makes things shakey between my boyfriend & I.