Karen is seriously mentally ill but that’s what this show is about. The codependent relationships in that family are seriously unhealthy. Karen telling her 20 something year old daughter that she’ll be attending her Gino appointment?? Calling their parents “mommy and daddy” as adults. Karen’s a dog whistling abuser and she likes to push people to the absolute limits and then blame them for finally reacting to her tactics. She acts so tough and makes constant threats of physical violence to others but then acts like that behavior is only ok when she does it. She is obviously in need of controlling her kids lives to feel complete as a human being, not to mention the way they act around Pedros Grandmother, someone who is obviously very poor and opened her home to them and cooked food for them even though she was very sick was disgusting. That family is embarrassing. I would never want my family to be seen publicly if they acted like that. The woman is in her 60s acting like a spoiled 15 year old.