Creative Speculation

His getting "worn out" will lead to more erratic behavior. And his family might want to intervene before he offs himself or gets the codes and pushes the button. But given his pathology, the more stressed he gets, the more likely he won't listen to advice. His disturbance is counterintuitive in this respect, IMO. He will only see those around him as opposing his success, even Princess Sparkles. I tend to agree with a few others: that Trump's pathological pattern is to keep challenging the norms, keep fighting his opposition, his enemies. He may even begin to view his family as his enemies. There may not be a way out for him in which he will voluntarily admit defeat and resign. I'd like to think you're right. His leaving office would be a lot easier if you were right and he chose the path of accepting common sense advice.