I want to feel sorry for her, but after all the shit I've read about her, I just can't.
I've known cases of mentally ill people who are very aware that they're sick and that they are hurting their families and friends and they don't give a shit, not because their diseases make them like this but because they enjoy being sick. For them, the benefits of their illnesses, even if less than the negative, are enough to keep acting like brats who make everybody around live in absolute fear and despair because they haven't stopped loving them. And they do know well they can try to get better and probably get better for real, but they aren't likely to even try. There is really nothing to win for them if they improve their lives because people won't give them the attention they demand.
Sure, Ashley probably lives in constant pain and she's certain she's gonna [beep] at any moment, but for her, the idea of knowing we're talking about her and that there are people staring at her and saying "poor girl" is worth all of it. She enjoys making others feel awkward, bullying others, and shit. She's just a mean bitch.
You know, maybe we should say the D-word often so she can keep living on until she's 50 and suffering all those year she's still left.