What help is there out there for my friend?

A close friend of mine who I have known for over thirty years is rapidly deteriorating before my eyes. She was raised by a very controlling mother who made her such an emotional cripple that she was unable to leave home. She still takes care of her widowed mother to this day, even sharing the same room with her.

Other than this, which I find to be unhealthy, behaviors exhibited for years now which are indicative of her condition include:

Going from fastidious and organized to beyond chaotic and disorganized. "Her room" is a fire trap as per the police and her car so cluttered that passengers are problematic.

She is ALWAYS late. She's had this destructive habit since high school and has lost jobs as a result and has been spoken to at every job she hasn't managed to lose. She knows she has a twenty minute drive to work in the best of traffic conditions, yet leaves her house seven minutes before her start time, not thirty minutes like she should be.

She avoids paperwork. As a result, she never signed up for direct deposit and still has paychecks in August dating back to March that she has yet to deposit in the bank. She's losing pay she's entitled to under FMLA, because she didn't do the paperwork. As a result, any missed work to care for her mother results in lost wages.

She is forever shopping then returning. This is a vicious cycle. I've never heard of anyone that has so many "returns." She's running back to stores every week returning.

There are more avoidance behaviors, but I've listed the most important ones. For the past six weeks now, she's been unable to work and unable to function. I believe she's had a nervous breakdown but her family is in denial. In just the past day or so she's tried making an appointment with a psychiatrist, but only because she needs to be written out of work longer. There is no way that she's anywhere close to being able to go back to work.

If these symptoms look familiar, I'd appreciate someone shedding light on what I fear may be a chronic anxiety or panic disorder that will remain with my friend for life. Thank you.