She doesn't seem any different in other ways at the moment, she knows who everyone is etc. Her eating has worsened - she has very disordered eating but everyone is in denial about it. Since her op that has sparked increased obsession I have suggested many times that she chat to the GP about her anxiety and depression around this but she thinks about it for a day and then decides not to go. Similarly, my psychiatrist suggested years ago that she see a therapist - at the time I thought it was because he thought she needed support with dealing with me, but maybe it was because he thought she had issues herself - and she went once, decided she didn't like it and didn't go again.