But the fact that she's in her 40s and still panics when she tries to lose weight means she needs to be in therapy to deal with that.   Not to mention that she's clearly functional and rational enough to be held accountable for her actions. Similar thing with boogie. Emotional trauma is understandable, but only up to a point. Even a few years in I think it's pretty dependent on whether one is actually working on the issue or not. And whether they're trying to hold themselves up as a functional member of society.  You don't get it both ways. You don't get to have a progressively worse bacterial infection eating away at you for decades while refusing to take antibiotics while still insisting that you're a totally rational and productive member of society. Even more so if you're trying to demand sympathy for that bacterial infection. It's little different with mental health issues compared to physical health issues. They're a very real medical concern that's just as severe as a physical one. But you can't play the sympathy card while also not getting the symptoms worked on.