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I would say under at this point, surprising to say but I think her mental health was better in the past during the first year or so she was back in the US from Brazil.  Seems to have gone down since then.

Wrecking two cars in a short amount of time and she seems to be moving residences a lot in the past year.  Also the can't keep down a job to save her life.

She is what 25/26 now and is still a food prep/cleaning person.  Whereas people she went to high school with have graduated college and are years into their careers or have been married for years. 

All this has a toll on a persons mental faculties.