We've been talking. It's difficult because she seems to get very tired after a few minutes of questions. She does not claim to hear voices or see things. She has had some odd body sensations (feeling a breeze when there isn't one, which scared her).

She does claim that she is in contact with her spirit and can ask her spirit for anything. The spirit communicates with her by nodding/shaking her head to answer yes or no. It will sometimes point her head straight up when the answer is more complex. She doesn't know what that means. The spirit directs her to look in certain directions and to observe the colors of the objects in her field of view. The colors have special meanings.

She has tried to prove to me that the spirit is real, by sitting still for 4 hours and doing something (meditating?) That didn't work, and she has no explanation for it. The spirit made other predictions which have not come true. When I ask her about this, she says that she'd like to answer but feels too tired.

She engages in lengthy, rambling conversations with the spirit when we're not talking directly.

She's not interested in seeing her therapist(s). I could mention adderall psychosis to her, but I worry that she'd be dismissive of it. I don't know what else to do. This is really heart-breaking.