Thanks. One can get snippets of the DSM online. The "at least two" thing is good. It would be great to find something like that with a bit more explanation for her.

Otherwise, as I had indicated, I think that ideally her family needs to know about this. This is problematic though for a couple of reasons. First, she would learn that I went behind her back again, and it would destroy trust. She's already a little suspicious of me. Second, I'm worried that this kind of news could negatively impact the mental health of her mother. Her grandmother is 90 and while quite lucid is a bit of a loose cannon and will likely tell the mother. There is an aunt as well, but I don't know how to contact her.

I suppose that the shrink could call the grandmother, but I really don't know what that would unleash. The ideal thing would be for her to tell her family, but this can't happen either for obvious reasons.