I will be generous and provide you with a new cope.
What if instead of a medical condition, she just has extremely high anxiety? It would explain a lot of what happened:
>The extremely high heart rate during the karaoke.
>The doctor diagnosing her with something that she was able to better manage in two months to go to Japan.
>Her saying, "it's my..." but then cutting herself off and saying that it would be too embarrassing. Maybe she was about to say, "It's my anxiety."
>Her going into therapy and using psychologist language like "self enrichment".
>Her cutting back on streams and communication because her doctor told her to limit the activities that give her anxiety.
>Her cutting off streams before traveling like for holofes this year because traveling is stressful for her and streaming on top of it is unmanageable.
>Her avoiding all of hololive because thinking about any of it worsens her anxiety.
>her saying that she has trouble managing stress.
>Looking for new off-line hobbies and interests because being online stresses her out.
>Doing yoga/stretching to lower her anxiety, which is why she can now do the splits.
>Ame leaving causing her anxiety to spike, resulting in her having to distance herself from hololive.
>why she takes random months off at a time for anxiety attacks and is never back for very long.
>why she suddenly cancels shit or breaks promises. Perhaps her anxiety attacks come in waves.
>avoiding group events.
>not being able to eat in front of others.
>unwilling to talk about her psychological issues on stream because she thinks it's embarrassing.
>never wants to discuss her emotions on stream anymore because she links them to her anxiety problem.
>asking us to diagnose her because she has become more familiar with mental disorders after going to therapy.
None of this excuses the way she's treated us, but I think her health problem, if she even has one, is entirely psychological and her heart rate was high because of psychological issues and not a physical one. Also, I doubt she was sick last month beyond the sore throat. She probably just wasn't managing her anxiety well enough.
However, I still think she's a lying whore, she doesn't care about her fans, and her psychologist/psychiatrist almost certainly told her that having sex would lower her anxiety.
Also, if her issues are really this bad and unmanageable for her, then her symptoms are pretty much only consistent with someone who has extreme PTSD. Which means that some sort traumatic event likely happened to her, and for women that usually means one thing.