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perception I got from Katie's penultimate twitter video was that she was just cringing at herself. I do the same thing when talking to myself in a moment, telling myself not to do silly shit or cringe a bit. I've had people overhear and wonder who I'm talking too. in her I case presumed it was related to racing thoughts cause of she was high and her being an aspiring actress just regulating the bit. I get racing thoughts but I prescribe it to self diagnosed ADHD. but admittedly I only started or maybe I just noticed I was talking to myself after my friend developed psychosis and talked to the "voices". from personal experience I wouldn't call her giggly yap a sign of psychotic breakdown alone
her final joker themed vid is very ominous in hindsight, the poor girl