The pics in post #101 are telling. There’s a big change in her appearance - especially her eyes - between Spring and Fall of last year.
Yes, the dramatic change in eyes AND mouth! Both show enormous anger. When I see a lost soul like this, I want to turn back the clock to a crossroads in her life and see her take another path.
I do note she was originally called in by her mother, following at least her second assault on her. Can’t begin to imagine her mother’s grief watching her child destroy herself.