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It's a combination of environment/parents but there's probably a genetic aspect too. Regardless of the past trauma, you might have a loving parent trying to help/deal with his/her daughter and when she has these afflictions, you constantly have to make sure she takes her meds, is supervised, etc. It's really not easy at all. I'm gonna be honest in those cases it's usually best to put the people in closed hospitals for a while and do intense therapy where they re-learn behaviours to function in the real world. IE: Katie would be taught to not be chronically online, maybe focus on art and drawing more, etc. Anyway it's all for naught now and she's with the Angels.