I think mental health support would be good kittylester but hard to get atm, and again, she has to "own" a problem to ask and if she is afraid end consequences will be "alone" she might not engage.
The more posts we get I'm inclined to feel if she sort of feels people are pushing her to a feared aloneness...... then the very best offers you can make to her is "'I'll always be at the end of a phone for you", nice birthday cards, low key little emails or texts on everyday matters so she knows in fact someone is there in an unthreatening way even if she cant "use" that for now.
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