Thank you for posting, HeavyRain. In addition to possible depression and anxiety (we can't diagnose) I suspect deeply rooted cultural and family dynamics are at work in your friend, and it will be exceptionally difficult for her to accept therapy. "Exceptionally difficult" does not mean impossible. Therapy for her should be sensitive to those cultural and family influences and not impose upon her a one-size-fits-all psychological template.

I feel compelled to ask: Were the fact of therapy or certain details of your friend's history to get back to her family, would that put her at risk of becoming the target of an honour action?