I associate it deeply with BPD style emotional abuse. Everyone who’s done that form of abuse to me has called themselves an empath. But inevitably, nope, it’s just hypervigilance and projection and don’t I dare correct them on how I’m feeling.

Incidentally I have a cptsd response where I often mask discomfort and fear so it’s especially things like me saying “no” and “I don’t want that” that get disbelieved by these “empaths”