Considering what she is potentially doing to her liver - per her own self-reported pain - and the fact that she is also abusing codeine in the process of being addicted or self-medicating or whatever… I don’t think it matters what we call it right now. What she is doing, unquestionably, is damaging her body and her relationships with others.
I have a brother-in-law who drank heavily but we didn’t find out until he was in the ER with alcohol-induced liver failure and the doctor telling everyone to come in because he might not live until morning. He was able to moderate his drinking enough when around us at get-togethers with the inlaws - and we all drank some to deal with those - but when alone he’d chug vodka or whatever else in hard liquor to make up for lost time. I don’t know that he ever stopped for 9 months at a time, but he could put down the bottle. He just hated doing so.
He had psoriasis so we dismissed the red nose/cheeks. He had a belly - well, most of us had something. He had “stomach issues” - he and our sister-in-law thought maybe it was IBS. He was also fortunate enough that his liver eventually started working again, but he’s on disability these days (years later) from the after-effects of the months of hospitalization and everything he put his body through.