Logan:

your friend has several issues.

She needs to see her GP immediately for sleep issues. She also needs to make an appointment with a psychiatrist (p-doc) to discuss voices. She does not have an emergency with the voices, since the voices are benevolent. So it is an issue, but not an emergency. The sleep issue is an emergency.

I do not know about the smiling thing. It seems to be worthy of a discussion with a p-doc, but not an emergency.