She is increasingly & frantically trying to self soothe with larger quantities of food & drugs & literally avoiding physical life by not only not doing the basics of hygiene & self care but by not leaving her room. She is more & more obsessed with damping down or preventing intrusive thoughts... again with drugs & as she admits - sleep. Sleep & more sleep.
Sleep, drugs, food, drugs, sleep... rinse & repeat.
She doesn't want to die, (I don't think) but she's afraid to live; afraid to put in even the smallest amount of work needed for the basis of a life.
The live streams - she's looking for external motivation, happiness & validation. One of her big problems, (again, my thoughts only), is that at some level, she's aware she's not going to get what she needs from others & she sure as hell is in no condition to call on internal resources - she's right out of those. Her frequent stern reminders about "no negativity"... she might as well be saying: "Reason & reality are not welcome".
It doesn't take a Big Brain to see her current path is anything but a wise choice. It will take increasing amounts of severely dysfunctional behavior to achieve fewer... "gains". I can't predict how this will end but end it will. She might muster up enough to energy to make one more bogus effort: shower, GRWM, maybe a grocery run & lots of talk about turning over a new leaf... TOMORROW. And of course, doing it her way because she is just SO good at knowing what's best for her. Limited fast food, "micro-dosing", baby steps; same old, same old.
Sadly, the only micro about any of her current behavior patterns is micro thought.
There's nothing her family can do - she's not actively suicidal or an overt threat to others & we're not a tyranny; she retains the right to refuse any/all treatment.
Watching her live is a window into her 'mind'. She's not really looking to engage anybody; she's happiest when she's zoned out & nothing coherent is bouncing from neuron to neuron. Except to see a lot more real time blotto.