JR, That really sounds like a complicated set of symptoms. Do you really think that a lack of attention from her mother is causing this? Young people and kids act out to be heard but this doesn't sound like a run of the mill situation at all, if it's real that is. If you genuinely believe she's trying to put one over on you, I'd confront her and say look, I understand you've been going through a rough time but you are alienating the people who'd like to help you the most with type of behaviour. If you don't get help I just can't support this anymore. I don't want to judge because I haven't met her and well, I don't want to judge. If the symptoms are genuine, she really needs help. If the symptoms are put on and fake, she really needs help of a kind a non-professional isn't qualified to deal with. Either way, she must have a desire to get better and you can't do it for her. If she's looking for attention with such extreme measures, don't give it or it reinforces the idea that it's working.