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My grandpa started acting off kind of like this at one point when we were on a family vacation. He ended up being diagnosed with diabetes shortly after that trip. We figure it was likely related.
She needs mh support. She sounds like she is in a major depression and as such is totally unable to be motivated to do jack squat.
I would encourage her to talk to someone about why she has stopped bathing, and taking proper care of herself. The weight is a side effect of emotional eating, depression fueled lack of energy and this creates the apparent “laziness” you see. She literally can't tap into energy to wash her ass.
It sounds fairly advanced. If she refuses, I suppose you could reach out to her family.
It’s crazy isn’t it how people can just create this entire fake life for themselves.