This part sticks out to me:

"Black children in the U.S. are also disproportionately affected by asthma, with 12% of kids affected by the condition, according to the Centers for Disease Control and Prevention. Often, Black children are statistically more likely to live in areas with high industrial pollution or in rental housing with mold or other asthmatic triggers. Distrust in doctors or otherwise poor medical care can lead to more severe cases of asthma: Black children are seven times more likely to die from asthma compared to their white counterparts, according to the National Library of Medicine."

I imagine Clairton Coke Works probably contributes to a lot of asthma here.

You have OCD and are on the autism spectrum. Your mom is kind of narcissist, set strong boundaries with her. You're strong enough to live on your own. Don't stop educating yourself. You can handle graduate school.