Thank you all for your thoughtful responses. I've been researching lack of insight as well. It's just so frustrating talking with her that sometimes I ignore her texts. I feel like I'm talking to a wall that repeats itself over and over with slightly different subject material. I know she needs me, but I feel like I'm starting to lose my own mind trying to ground her. Now she won't see a doctor because she has no insurance and I don't live where she does to give her a better idea of what her options are.