A little background, I sincerely believe my husband's mother is self-harming. She's very self-centered and believes the world revolves around her. She also abuses her medication. For my family's sake, we have pulled back from her majorly. We went from 4 - 5 calls a day that we were answering to 2 - 3 calls per week and we call her. Visits once a month. On top of this, she is diabetic and I believe her to be sincerely personality disordered. She constantly lies to make herself look good or to save herself from a situation she has created. Her family are a family of enablers. On to the current situation, back in December she landed herself in ICU over her diabetes. We had been away and were distancing ourselves and not allowing her to change our minds at this time. I sincerely believe she removed her insulin pump and went to bed. She was in the hospital for a week this time. We did not go running. We helped where we could, because we already had those suspicions. Now she has fractured her hip. I had a hard time figuring out how that could be done purposely, but several things add up to that she was planning on creating this crisis. I just think she didn't necessarily mean to go this far, but it has gotten her quite a bit of attention. I truly believe she was inebriated on sleeping pills when she fell. I will add that she is not even old enough to be on social security yet. She has made herself feeble and helpless and her entire family (with the exception of her two children, who are tired of the abuse and tired of being her sacrificial lambs and want to live their lives) are enabling her to do so. Does anybody have experience with this? Where do we go from here? I believe she needs a thorough psych evaluation. I'm just not sure we can get her one.