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While I don't mean this as a diagnosis, the last person I knew who did that was later diagnosed with schizophrenia. Although getting mental health care can be a challenge in itself, let alone for someone who doesn't want to.
Luckily I don't think that's the route her mind is going. The ekboms was brought on by extreme work stress, and she's already showing some signs of healing after being pulled from work. But it's certainly crossed my mind.