"She was narcissistic to begin with," Luisa said. "This isn’t a formal diagnosis, mind you. But according to what we heard from you and Dinah, her trip up to Izzy was pretty traumatic. She lost her husband and her child and blood was spilled along the way. It doesn’t take a trained professional to guess that she is suffering from some level of PTSD. Connected with that we might expect her to have a dark, paranoid vision of the world. But she may have been that way to begin with."