Although sometimes I actually wonder if it's wrong to make fun of her because she's disabled in terms of being intellectually impaired and too emotionally stunted to care for herself.
She is not disabled. Any perceived impairments are merely symptoms of a personality disorder. You don't have to be Dr. Armchair, Stern or Freud to recognize that. Although, I'd love to hear Freud's take on her fascination with farts and shit.
She continually demonstrates her willful ignorance, her disconnect with reality, lack of common sense and her striking ability to cherry pick info to reinforce her confirmation biases so she can control the narrative.
She expects everyone in the world to put her needs first. All of her inappropriate and socially offensive behaviors are to manipulate those around her either by deflecting from something or to garner all the attention from others. This is not new behavior. Her mother maybe didn't create this, but she sure as hell reinforced it. To this day, it's obvious her family placates her.
That said, it also manifests in her habitual false dichotomous thinking- You are with her or against her. It's kale or it's Wendy's for 5. Look at me, guize! Unless I fuck up, then you better look away and don't mention it. Ever. Or I'll block your ass.
The most striking evidence is of course her constant lying, evasiveness, deception, and, at times, confabulation because she can't keep the line between truth and fiction clear. Her recent and past medical dramas are evidence of this.
Big AL and Jen are guilty of all of this as well to varying degrees. It has become second nature to them as a way to compensate for the utter misery their shit show of a life is, as well as deflect from situations that are unacceptable. Then, when things don't go their way, instead of just letting it go or finding a solution, they rage and eat and the "cycle" begins anew.
If these lies only impacted themselves, you could feel a modicum of pity for them. However, again the component of personality disorder ,they manage to take advantage of and gaslight well-meaning people and make a mockery of those who are putting in effort to improve their lives. They are predators in that respect. Which is why nobody should ever feel bad for calling them out.
Lastly, I'd like to reference something from her live. She complained that the doctors asked her the same questions multiple times. Sometimes that's just a consequence of having several doctors taking their own patient's history etc . Other times, it's because they know the patient is lying and being evasive. It's a coordinated attempt to get to the truth or something close to it. Her doctors are doing the bare minimum. It's impossible to give good healthcare to someone who not only isn't truthful, but who also has no interest in their own wellness.