the hallucinations
I generally don't like the whole "did it really happen or not" plot device, but found it worked here. Kind of reminded me of Rosemary's Baby. Because I doubt they'll go through at the end point by point, spoon-feeding to us which ones really happened and not. Because I think it'll be some of both. I'd guess the majority will be real, but there will still be some actual hallucinations in there to trip us up and make us wonder. Because she clearly has a history, or it wouldn't be a concern. And for all of this to really happen, and not trigger her phobias? About as realistic as everyone else believing all of her hallucinations are real.
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