Boy, that's a rough one. I really don't know for sure.

Could you say something like "I've noticed that you aren't feeling well -- is there something you'd like to talk about?" I know there is something bothering you -- do you feel you can open up to me and discuss it?"

Do you think that would get her talking? Perhaps she doesn't even FEEL any different. I don't know. Perhaps she's felt this way for so long, that she doesn't notice that she feels awful. And anyone with that disorder WOULD feel awful -- but she probably doesn't know it. But then again she might. So perhaps she'll say something or talk about it. Who knows?

Are you two open and honest with each other, or do you both keep things to yourselves? Do you communicate?

I think you know what/when you can talk to her and what you SHOULD say. You're the only one who knows her. I'd just suggest picking a time when she's not extremely stressed out or overly anxious. (if there IS a time like that.)

I wish you the best! Take care and let us know what happens. God bless and take care. Hugs, Lee