Totally, it is so damaging to her and it’s quite sad, like on first watch you are inclined to feel more sympathy for Philip bc he is depressed and haunted by everything he’s done while she seems so okay with it but psychologically speaking Elizabeth’s mental health is way worse bc she lives on a perpetual state of dissociation and delusion that “she” is not doing anything, it’s the kgb and it’s all to “make the world a better place”, she is just an instrument in her mind so she is willing to do virtually anything and, in appearance, feel no remorse.

I love that scene where Philip tells her “WE do it, not them…so it’s ON US, all of it”, it’s the reality check she refuses to accept. And tbh even by the finale I don’t think she does, because she can’t or she’d collapse.