companions. She has been unable to achieve any relief
from these aversive experiences. She is also distressed by
the disfigurement and deformity of her face and ears,
along with the resulting facial asymmetry. She cannot look
at herself without becoming distressed and each time she
is forced to re experience the nightmare of how her face
has been transformed. The restricted range of motion has
disruptive effects on activities such as driving, which is an
enormous handicap, living in the USA where she is forced
to live since she cannot function independently.