If all the mental issues she is talking about are purely for attention, I'd guess option one, however, if she is seriously mentally ill, the latter is more likely. *sigh*
Another weeabo stinky, reminds me a lot of https://kiwifarms.net/threads/christy-lynn-walker-olimar-puke-chan-ppauly-nemu-holden-malfunction54.45546/ gonna keep lurking this thread.