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She certainly has some issues. She has an alcohol and drug problem. One of her other big mental issues is that she suffers from the delusion that the rules don't apply to her. Her actions indicate that she honestly thinks she can do whatever she wants with no consequences, natural or legal. That delusion that the rules don't apply to her eill get will be cured when either a) she kills herself or someone else by her actions or b) a judge shows her that the rules DO apply to her.
I'm not talking about serious prison time, but for a spoiled brat like her a few weeks in county jail might cure her of the delusion that her actions have no consequences. To help her understand that reality might be the kindest thing you could do for her.
I have many friends who have had similar problems, mainly with alcohol and drugs. Those who got better all began with the sobering realization that their actions did real harm. A few weeks in jail might have been a new beginning for her, perhaps followed by an intense conversation with Drew Barrymore about stardom, addiction, addiction, recovery, and responsibility. I don't see why Lohan would bother to try to change her life in any meaningful way as long as she continues to get away with felonies all the time, though.
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