complex and somewhat esoteric response to such a simplistic "gotcha" question...very astute on her part.
btw, there are many other scholarly articles available on the web, If you want to educate yourself on that topic...while the numbers of affected individuals are not high, the need for understanding is real...try to be more understanding, through reading...and a little empathy...surely, you have some of that...
Link: https://www.sciencedirect.com/science/article/abs/pii/S0091302211000252